Telerehabilitation Using a Virtual Environment Improves Upper Extremity Function in Patients With Stroke

Maureen K. Holden, Thomas A. Dyar, Lilian Dayan-Cimadoro
2007 IEEE transactions on neural systems and rehabilitation engineering  
In this paper, we describe our experience in designing a virtual environment-based (VE) telerehabilitation system, and the results of a clinical study of the first 11 subjects with stroke to use the system. Our telerehabilitation system allows a therapist to conduct interactive VE treatment sessions remotely with a patient who is located at home. The system, software architecture, and development experience are described. Results of the clinical study on subjects with stroke showed significant
more » ... mprovements in upper extremity function following 30 1-h VE treatment sessions as measured by three standard clinical tests: Fugl-Meyer test of motor recovery (FM) ( 0 0001), Wolf motor test (WMT) ( = 0 0097, and shoulder strength (ShS) ( = 0 0027). Grip strength (GS) showed a trend toward improvement ( = 0 025). These changes were maintained, for the most part, at four-months follow-up (FM +7.6, WMT 18.4 s, ShS, +169%, GS, +53%).
doi:10.1109/tnsre.2007.891388 pmid:17436874 fatcat:5igodnygefcffdom74e2vkfc74