https://scholars.lib.ntu.edu.tw/handle/123456789/505418
標題: | Low-cost tele-assessment system for home-based evaluation of reaching ability following stroke | 作者: | Rau C.-L. Chen Y.-P. Lai J.-S. Chen S.-C. Kuo T.-S. Jaw F.-S. JER-JUNN LUH |
公開日期: | 2013 | 卷: | 19 | 期: | 12 | 起(迄)頁: | 973-978 | 來源出版物: | Telemedicine and e-Health | 摘要: | Objective: Tele-assessment techniques can provide healthcare professionals with easily accessible information regarding patients' clinical progress. Recently, kinematic analysis systems have been used to assess rehabilitative outcomes in stroke patients. Kinematic systems, however, are not compatible with tele-assessment. The objective of our study was to develop a tele-assessment system for acquiring kinematic data of forward reaching movements in stroke patients, with an emphasis on cost-effectiveness, portability, and ease of use. Materials and Methods: We selected four healthy control participants and eight hemiplegic stroke patients for our study. The stroke patients were classified as Brunnstrom stage III, stage IV, or stage V. Our tele-assessment system used two three-axes accelerometers, a potentiometer, a multifunctional data acquisition card, and two computers. A standardized kinematic system was applied simultaneously to validate the measurements recorded by our tele-assessment system during five repetitions of forward reaching movements. Results: The correlation coefficients of the reaching displacement, velocity, and acceleration measurements obtained using our tele-assessment system and the standardized kinematic system were 0.956, 0.896, and 0.727, respectively. Differences in the maximum reaching distance and the maximum reaching velocity of forward reaching movements were observed among the study groups. There were no significant differences in the time required to complete the testing session among the study groups. Conclusions: Our tele-assessment system is valid for the evaluation of upper-extremity reaching ability in stroke patients. Further research is needed to investigate the feasibility of the use of the tele-assessment system in patients' homes. ? 2013 Mary Ann Liebert, Inc. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-84889633014&doi=10.1089%2ftmj.2012.0300&partnerID=40&md5=257f0b25923dad84fd914b742f576f48 https://scholars.lib.ntu.edu.tw/handle/123456789/505418 |
ISSN: | 1530-5627 | DOI: | 10.1089/tmj.2012.0300 | SDG/關鍵字: | Accessible information; Correlation coefficient; Health care professionals; Kinematic Analysis; Multi-functional data acquisitions; stroke; tele-assessment; Upper extremity functions; Accelerometers; Voltage dividers; Kinematics; adult; aged; cerebrovascular accident; cost; disability; economics; evaluation study; female; home care; human; male; middle aged; pathophysiology; Taiwan; telemedicine; very elderly; Adult; Aged; Aged, 80 and over; Costs and Cost Analysis; Disability Evaluation; Female; Home Care Services; Humans; Male; Middle Aged; Stroke; Taiwan; Telemedicine |
顯示於: | 物理治療學系所 |
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