Telemed J E Health - Portable kit for the assessment of gait parameters in daily telerehabilitation.


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CKGROUND: When designing a complete process of daily telerehabilitation, it should be borne in mind that patients should be furnished with properly designed methodologies for executing specific motion tasks and the assessment of the relevant parameters. In general, such a process should comprehend three basic elements in both the hospital and the home: (a) instrumented walkways, (b) walking aids or supports, and (c) equipment for the assessment of parameters. The objective, with gait being the focus, of this study was thus to design a simple, portable kit-as an alternative to the complex and expensive instruments currently used-to be easily interfaced or integrated with the instrumented walkways and aids/supports both for self-monitoring while patients are exercising with their own aids and for clinical reporting.MATERIALS AND METHODS: The proposed system is a portable kit that furnishes useful parameters with feedback to both the patient and the trainer/therapist. Capable of being integrated with the most common mechanical tools used in motion rehabilitation (handrail, scales, walkways, etc.), it constantly monitors and quantitatively assesses progress in rehabilitation care. It is composed of one step counter, photo-emitter detectors, one central unit for collecting and processing the telemetrically transmitted data, and a software interface.RESULTS AND DISCUSSION: The system has been successfully validated on 16 subjects at the second level of the Tinetti test in a clinical application for both home and the hospital. The portable kit can be used with different rehabilitation tools and on varying ground rugosity. Advantages include (a) very low cost, when compared with optoelectronic solutions or other portable devices, (b) very high accuracy, also for subjects with imbalance problems, compared with other commercial solutions, and (c) integration (compatibility) with any rehabilitative tool.

Resumo Limpo

ckground design complet process daili telerehabilit born mind patient furnish proper design methodolog execut specif motion task assess relev paramet general process comprehend three basic element hospit home instrument walkway b walk aid support c equip assess paramet object gait focus studi thus design simpl portabl kita altern complex expens instrument current usedto easili interfac integr instrument walkway aidssupport selfmonitor patient exercis aid clinic reportingmateri method propos system portabl kit furnish use paramet feedback patient trainertherapist capabl integr common mechan tool use motion rehabilit handrail scale walkway etc constant monitor quantit assess progress rehabilit care compos one step counter photoemitt detector one central unit collect process telemetr transmit data softwar interfaceresult discuss system success valid subject second level tinetti test clinic applic home hospit portabl kit can use differ rehabilit tool vari ground rugos advantag includ low cost compar optoelectron solut portabl devic b high accuraci also subject imbal problem compar commerci solut c integr compat rehabilit tool

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