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Exergames and Telerehabilitation on Smartphones to Improve Balance in Stroke Patients

Stroke is currently the world’s second cause of disability. It can cause deficits such as postural control, and telerehabilitation could improve the therapeutic dose as well as functional results. The aim of this work is to determine the effectiveness and usability of a low-cost telerehabilitation s...

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Autores principales: Burgos, Pablo I., Lara, Oriana, Lavado, Alejandro, Rojas-Sepúlveda, Ignacia, Delgado, Carolina, Bravo, Eusebio, Kamisato, Cristian, Torres, Julio, Castañeda, Victor, Cerda, Mauricio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7690853/
https://www.ncbi.nlm.nih.gov/pubmed/33114245
http://dx.doi.org/10.3390/brainsci10110773
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author Burgos, Pablo I.
Lara, Oriana
Lavado, Alejandro
Rojas-Sepúlveda, Ignacia
Delgado, Carolina
Bravo, Eusebio
Kamisato, Cristian
Torres, Julio
Castañeda, Victor
Cerda, Mauricio
author_facet Burgos, Pablo I.
Lara, Oriana
Lavado, Alejandro
Rojas-Sepúlveda, Ignacia
Delgado, Carolina
Bravo, Eusebio
Kamisato, Cristian
Torres, Julio
Castañeda, Victor
Cerda, Mauricio
author_sort Burgos, Pablo I.
collection PubMed
description Stroke is currently the world’s second cause of disability. It can cause deficits such as postural control, and telerehabilitation could improve the therapeutic dose as well as functional results. The aim of this work is to determine the effectiveness and usability of a low-cost telerehabilitation system in patients with stroke. We developed a telerehabilitation system based on exergames on smartphones, inertial sensors, and a cloud database. We trained the balance of six participants (three men and three women) in early subacute stroke (seven weeks of progress). In addition to their conventional treatment, these participants trained for a total of nine sessions of 30 min per week, for four weeks. The telerehabilitation group was compared with a control group of four clinically similar participants (three men and one woman). Clinical and usability measurements were made before and after the training. The results show a significant improvement of 11.3 ± 3.5 points in the Berg Balance Scale, 8.3 ± 3.01 points in the Mini-BESTest, and 17.5 ± 9.87 points in the Barthel scale for the telerehabilitation group. However, only the improvements of Berg and Barthel scales were statistically higher for the telerehabilitation group compared to the control group. The proposed system achieved excellent usability on the System Usability Scale (87.5 ± 11.61). Our results demonstrate that a complementary low-cost telemedicine approach is feasible, and that it can significantly improve the balance of stroke patients; therefore, the proposed clinical strategy could potentially improve dosage and overall treatment effectiveness.
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spelling pubmed-76908532020-11-27 Exergames and Telerehabilitation on Smartphones to Improve Balance in Stroke Patients Burgos, Pablo I. Lara, Oriana Lavado, Alejandro Rojas-Sepúlveda, Ignacia Delgado, Carolina Bravo, Eusebio Kamisato, Cristian Torres, Julio Castañeda, Victor Cerda, Mauricio Brain Sci Communication Stroke is currently the world’s second cause of disability. It can cause deficits such as postural control, and telerehabilitation could improve the therapeutic dose as well as functional results. The aim of this work is to determine the effectiveness and usability of a low-cost telerehabilitation system in patients with stroke. We developed a telerehabilitation system based on exergames on smartphones, inertial sensors, and a cloud database. We trained the balance of six participants (three men and three women) in early subacute stroke (seven weeks of progress). In addition to their conventional treatment, these participants trained for a total of nine sessions of 30 min per week, for four weeks. The telerehabilitation group was compared with a control group of four clinically similar participants (three men and one woman). Clinical and usability measurements were made before and after the training. The results show a significant improvement of 11.3 ± 3.5 points in the Berg Balance Scale, 8.3 ± 3.01 points in the Mini-BESTest, and 17.5 ± 9.87 points in the Barthel scale for the telerehabilitation group. However, only the improvements of Berg and Barthel scales were statistically higher for the telerehabilitation group compared to the control group. The proposed system achieved excellent usability on the System Usability Scale (87.5 ± 11.61). Our results demonstrate that a complementary low-cost telemedicine approach is feasible, and that it can significantly improve the balance of stroke patients; therefore, the proposed clinical strategy could potentially improve dosage and overall treatment effectiveness. MDPI 2020-10-23 /pmc/articles/PMC7690853/ /pubmed/33114245 http://dx.doi.org/10.3390/brainsci10110773 Text en © 2020 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ).
spellingShingle Communication
Burgos, Pablo I.
Lara, Oriana
Lavado, Alejandro
Rojas-Sepúlveda, Ignacia
Delgado, Carolina
Bravo, Eusebio
Kamisato, Cristian
Torres, Julio
Castañeda, Victor
Cerda, Mauricio
Exergames and Telerehabilitation on Smartphones to Improve Balance in Stroke Patients
title Exergames and Telerehabilitation on Smartphones to Improve Balance in Stroke Patients
title_full Exergames and Telerehabilitation on Smartphones to Improve Balance in Stroke Patients
title_fullStr Exergames and Telerehabilitation on Smartphones to Improve Balance in Stroke Patients
title_full_unstemmed Exergames and Telerehabilitation on Smartphones to Improve Balance in Stroke Patients
title_short Exergames and Telerehabilitation on Smartphones to Improve Balance in Stroke Patients
title_sort exergames and telerehabilitation on smartphones to improve balance in stroke patients
topic Communication
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7690853/
https://www.ncbi.nlm.nih.gov/pubmed/33114245
http://dx.doi.org/10.3390/brainsci10110773
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