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A low cost 'activities of daily living' assessment system for the continual assessment of post-stroke patients, from inpatient/outpatient rehabilitation through to telerehabilitation

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Golby, Christopher, Raja, Vinesh, Lewando Hundt, Gillian and Badiyani, Saurin (2011) A low cost 'activities of daily living' assessment system for the continual assessment of post-stroke patients, from inpatient/outpatient rehabilitation through to telerehabilitation. In: Successes and Failures in Telehealth, Brisbane, Australia, 1-2 December 2011

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Abstract

Research regarding telerehabilitation for stroke patients’ places little emphasis on monitoring and assessment. To effectively monitor a patient, assessment must be continuous; from the inpatient/outpatient setting, to the remote. However, assessment methods used by Occupational Therapists’ can be qualitative and difficult to automate for a remote location. The aim of this research is to develop a system which presents the Occupational Therapist with a tool that, whilst not altering current routine, provides Range of Motion (ROM) analysis from current and previous rehabilitation sessions. Amalgamated data can then be achieved through the use of the same prototype in a remote location. Results from the prototype are outputted in graphical format, detailing movement throughout the session. The system details minimum and maximum extremities of patient ROM throughout all sessions and can be compared with the ROM required to perform certain activities of daily living. This prototype system allows the therapist to continue traditional rehabilitation, whilst providing graphical feedback over time, including detailed ADL assessment. If then used by the patient in a remote location, movements can be analysed and reported to the therapist. The prototype provides visual feedback, helping to increase motivation, whilst providing data that can generate adaptable rehabilitation programs.

Item Type: Conference Item (Paper)
Subjects: R Medicine > R Medicine (General)
Divisions: Faculty of Social Sciences > School of Health and Social Studies
Faculty of Science > WMG (Formerly the Warwick Manufacturing Group)
Library of Congress Subject Headings (LCSH): Cerebrovascular disease -- Patients -- Rehabilitation, Telecommunication in medicine, Joints -- Range of motion, Outcome assessment (Medical care)
Date: December 2011
Status: Not Peer Reviewed
Publication Status: Published
Conference Paper Type: Paper
Title of Event: Successes and Failures in Telehealth
Type of Event: Conference
Location of Event: Brisbane, Australia
Date(s) of Event: 1-2 December 2011
References: 1. Mackay J, Mensah G. The atlas of heart disease and stroke. Geneva: World Health Organization.; 2004. 2. Anderson R. The Aftermath of Stroke. 1 ed. Cambridge: Press Syndicate of the University of Cambridge; 1992. 3. Teasell R. Stroke Rehabilitation. Henry Stewart Talks. [Presentation and Video]. In press 2008. 4. Feigin V. Stroke epidemiology in the developing world. The Lancet. 2005;365(9478):2160-1. 5. Russell T. Telerehabilitation: A Coming of Age. Australian Journal of Physiotherapy. 2009;55. 6. Burdea G. Virtual Rehabilitation - Benefits and Challenges. Intl Medical Informatics Association - Yearbook of Medical Informatics 2003:170-6. 7. Buckley K, Prandoni C, Tran B, editors. Nursing management and the acceptance/use of telehealth technologies by caregivers of stroke patients in the home setting2001. 8. Hill A. Report on the potential application of telerehabilitation to adult rehabilitation services in Scotland. 2010. 9. Kalra L. Stroke Rehabilitation 2009: Old Chestnuts and New Insights. Stroke. 2010;41(2):e88. 10. Barthel D, Mahoney F. Functional evaluation: the Barthel index. Md State Med J. 1965;14:61-5. 11. Granger C, Hamilton B, Keith R, Zielezny M, Sherwin F. Advances in functional assessment for medical rehabilitation. Topics in geriatric rehabilitation. 1986;1(3):59. 12. Carr J, Shepherd R, Nordholm L, Lynne D. Investigation of a new motor assessment scale for stroke patients. Physical Therapy. 1985;65(2):175. 13. Russell T, Wootton R, Jull G. Physical outcome measurements via the Internet: reliability at two Internet speeds. Journal of telemedicine and telecare. 2002;8(Supplement 2):50. 14. Durfee W, Savard L, Weinstein S, editors. Technical feasibility of tele-assessments for rehabilitation2007. 15. Hoffmann T, Russell T, Cooke H. Remote measurement via the Internet of upper limb range of motion in people who have had a stroke. Journal of telemedicine and telecare. 2007;13(8):401. 16. Palsbo S, Dawson S, Savard L, Goldstein M, Heuser A. Televideo assessment using Functional Reach Test and European Stroke Scale. Stroke. 2007;12:14. 17. Norkin C, White J. measurement of Joint Motion. 3rd ed. Philadelphia, PA: F.A. Davis; 2003.
URI: http://wrap.warwick.ac.uk/id/eprint/42341

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