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Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
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Mobile Game-based Virtual Reality Program for Upper Extremity Stroke Rehabilitation
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Increasing Access to Cost Effective Home-Based Rehabilitation for Rural Veteran Stroke Survivors.

S N Housley1, A R Garlow1, K Ducote1

  • 1Department of Physical Therapy, Georgia State University, USA.

Austin Journal of Cerebrovascular Disease & Stroke
|December 27, 2016
PubMed
Summary

Home-based robotic therapy significantly improved stroke survivors' upper extremity function and gait speed. This approach expanded access to rehabilitation and reduced costs compared to traditional clinic-based therapy.

Keywords:
Home-basedRuralStrokeTelerehabilitationVeterans

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Area of Science:

  • Neurorehabilitation
  • Robotics in Medicine
  • Health Services Research

Background:

  • Stroke affects 750,000 Americans annually, with many requiring rehabilitation.
  • Limited access to rehabilitation facilities negatively impacts functional outcomes and quality of life.
  • Robotic devices offer reproducible therapy with reduced need for direct human oversight.

Purpose of the Study:

  • To assess the efficacy of home-based, telerobotic-assisted devices (Hand and Foot Mentor: HM and FM) for stroke survivors.
  • To evaluate improvements in functional ability and depression symptoms.
  • To determine the impact on rehabilitation access and cost savings.

Main Methods:

  • Twenty stroke survivors participated in three months of home-based robotic rehabilitation.
  • Therapists remotely monitored patient progress.
  • Functional status, depression symptoms, patient satisfaction, and therapy access were assessed; cost analysis was performed.

Main Results:

  • Significant improvements were observed in upper extremity function (30.06%) and gait speed (29.03%).
  • Moderate improvements noted in depressive symptoms (28.44%) and walking distance (30.2%).
  • Home-based robotic therapy expanded access for 35% and increased daily access for 65%, with average cost savings of $2,352 (64.97%).

Conclusions:

  • Home-based robotic therapy yields clinically meaningful improvements for stroke survivors' impaired extremities.
  • This approach enhances access to rehabilitation for underserved populations.
  • Robotic-assisted therapy significantly reduces costs associated with post-stroke care.