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T.120 application sharing for the remote configuration of prostheses
Edward D Lemaire1, Craig Smith, David Nielen
1Rehabilitation Centre, 505 Smith Road, Ottawa, Ontario K1H 8M2 Canada. elemaire@ottawahospital.on.ca
Journal of Telemedicine and Telecare
|October 21, 2004
Summary
Remote configuration of microprocessor-controlled lower-extremity prostheses is viable using internet-based desktop videoconferencing and application sharing. This telemedicine approach successfully restored prosthesis settings for amputees with high patient satisfaction.
Area of Science:
- Biomedical Engineering
- Rehabilitation Technology
- Telemedicine
Background:
- Microprocessor-controlled lower-extremity prostheses require precise configuration.
- Remote adjustments are challenging due to geographical limitations.
- Telemedicine offers potential solutions for accessible prosthetic care.
Purpose of the Study:
- To evaluate the feasibility of using internet-based application sharing and desktop videoconferencing for remote prosthesis configuration.
- To assess the efficacy and patient satisfaction with this telemedicine approach.
Main Methods:
- A DSL broadband connection facilitated remote connection between two prosthetic care facilities.
- PC-based videoconferencing with T.120 application sharing was employed for remote configuration.
- Fifteen trans-femoral amputees underwent remote configuration of their prostheses.
Main Results:
- Remote configuration achieved settings identical to original configurations, with no significant differences.
- Clinicians deemed 14 out of 15 sessions successful.
- Patient satisfaction was rated as excellent or above average by 80% of participants.
Conclusions:
- Desktop videoconferencing combined with T.120 application sharing is a viable method for remote configuration of assistive devices.
- This telemedicine strategy can effectively manage and adjust lower-extremity prostheses.
- The technique demonstrates high potential for improving access to prosthetic services.