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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| Format: | Article |
| Language: | English |
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MDPI AG
2020-10-01
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| Series: | Brain Sciences |
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| Online Access: | https://www.mdpi.com/2076-3425/10/11/773 |
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| author | Pablo I. Burgos Oriana Lara Alejandro Lavado Ignacia Rojas-Sepúlveda Carolina Delgado Eusebio Bravo Cristian Kamisato Julio Torres Victor Castañeda Mauricio Cerda |
| author_facet | Pablo I. Burgos Oriana Lara Alejandro Lavado Ignacia Rojas-Sepúlveda Carolina Delgado Eusebio Bravo Cristian Kamisato Julio Torres Victor Castañeda Mauricio Cerda |
| author_sort | Pablo I. Burgos |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-03-10T15:22:48Z |
| format | Article |
| id | doaj.art-8eaa3d9dc1f64c009bd0530ddcfd0899 |
| institution | Directory Open Access Journal |
| issn | 2076-3425 |
| language | English |
| last_indexed | 2024-03-10T15:22:48Z |
| publishDate | 2020-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Brain Sciences |
| spelling | doaj.art-8eaa3d9dc1f64c009bd0530ddcfd08992023-11-20T18:21:48ZengMDPI AGBrain Sciences2076-34252020-10-01101177310.3390/brainsci10110773Exergames and Telerehabilitation on Smartphones to Improve Balance in Stroke PatientsPablo I. Burgos0Oriana Lara1Alejandro Lavado2Ignacia Rojas-Sepúlveda3Carolina Delgado4Eusebio Bravo5Cristian Kamisato6Julio Torres7Victor Castañeda8Mauricio Cerda9Department of Physical Therapy, Faculty of Medicine, Universidad de Chile, Santiago 8380453, ChileDepartment of Physical Therapy, Faculty of Medicine, Universidad de Chile, Santiago 8380453, ChileBiomedical Neuroscience Institute, Independencia 1027, Santiago 8380453, ChileDepartment of Physical Therapy, Faculty of Medicine, Universidad de Chile, Santiago 8380453, ChileDepartment of Neuroscience, Faculty of Medicine, Universidad de Chile, Santiago 8380453, ChileGeriatrics Acute Units, Physical Medicine and Rehabilitation Service, Hospital Clínico de la Universidad de Chile, Santiago 8380000, ChileGeriatrics Acute Units, Physical Medicine and Rehabilitation Service, Hospital Clínico de la Universidad de Chile, Santiago 8380000, ChileDepartment of Physical Therapy, Faculty of Medicine, Universidad de Chile, Santiago 8380453, ChileDepartment of Medical Technology, Faculty of Medicine, Universidad de Chile, Santiago 8380453, ChileBiomedical Neuroscience Institute, Independencia 1027, Santiago 8380453, ChileStroke 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.https://www.mdpi.com/2076-3425/10/11/773stroketelemedicineneurological rehabilitationpostural balance |
| spellingShingle | Pablo I. Burgos Oriana Lara Alejandro Lavado Ignacia Rojas-Sepúlveda Carolina Delgado Eusebio Bravo Cristian Kamisato Julio Torres Victor Castañeda Mauricio Cerda Exergames and Telerehabilitation on Smartphones to Improve Balance in Stroke Patients Brain Sciences stroke telemedicine neurological rehabilitation postural balance |
| 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 | stroke telemedicine neurological rehabilitation postural balance |
| url | https://www.mdpi.com/2076-3425/10/11/773 |
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