The Translation of Mobile-Exoneuromusculoskeleton-Assisted Wrist–Hand Poststroke Telerehabilitation from Laboratory to Clinical Service
Rehabilitation robots are helpful in poststroke telerehabilitation; however, their feasibility and rehabilitation effectiveness in clinical settings have not been sufficiently investigated. A non-randomized controlled trial was conducted to investigate the feasibility of translating a telerehabilita...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-08-01
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| Series: | Bioengineering |
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| Online Access: | https://www.mdpi.com/2306-5354/10/8/976 |
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| author | Wanyi Qing Ching-Yi Nam Harvey Man-Hok Shum Marko Ka-Leung Chan King-Pong Yu Serena Sin-Wah Ng Bibo Yang Xiaoling Hu |
| author_facet | Wanyi Qing Ching-Yi Nam Harvey Man-Hok Shum Marko Ka-Leung Chan King-Pong Yu Serena Sin-Wah Ng Bibo Yang Xiaoling Hu |
| author_sort | Wanyi Qing |
| collection | DOAJ |
| description | Rehabilitation robots are helpful in poststroke telerehabilitation; however, their feasibility and rehabilitation effectiveness in clinical settings have not been sufficiently investigated. A non-randomized controlled trial was conducted to investigate the feasibility of translating a telerehabilitation program assisted by a mobile wrist/hand exoneuromusculoskeleton (WH-ENMS) into routine clinical services and to compare the rehabilitative effects achieved in the hospital-service-based group (<i>n</i> = 12, clinic group) with the laboratory-research-based group (<i>n</i> = 12, lab group). Both groups showed significant improvements (<i>p</i> ≤ 0.05) in clinical assessments of behavioral motor functions and in muscular coordination and kinematic evaluations after the training and at the 3-month follow-up, with the lab group demonstrating better motor gains than the clinic group (<i>p</i> ≤ 0.05). The results indicated that the WH-ENMS-assisted tele-program was feasible and effective for upper limb rehabilitation when integrated into routine practice, and the quality of patient–operator interactions physically and remotely affected the rehabilitative outcomes. |
| first_indexed | 2024-03-11T00:06:38Z |
| format | Article |
| id | doaj.art-8f31be8b7d9046cd8531b49039a33712 |
| institution | Directory Open Access Journal |
| issn | 2306-5354 |
| language | English |
| last_indexed | 2024-03-11T00:06:38Z |
| publishDate | 2023-08-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Bioengineering |
| spelling | doaj.art-8f31be8b7d9046cd8531b49039a337122023-11-19T00:18:37ZengMDPI AGBioengineering2306-53542023-08-0110897610.3390/bioengineering10080976The Translation of Mobile-Exoneuromusculoskeleton-Assisted Wrist–Hand Poststroke Telerehabilitation from Laboratory to Clinical ServiceWanyi Qing0Ching-Yi Nam1Harvey Man-Hok Shum2Marko Ka-Leung Chan3King-Pong Yu4Serena Sin-Wah Ng5Bibo Yang6Xiaoling Hu7Department of Biomedical Engineering, The Hong Kong Polytechnic University, Hong KongDepartment of Biomedical Engineering, The Hong Kong Polytechnic University, Hong KongCommunity Rehabilitation Service Support Centre, Queen Elizabeth Hospital, Hong KongCommunity Rehabilitation Service Support Centre, Queen Elizabeth Hospital, Hong KongCommunity Rehabilitation Service Support Centre, Queen Elizabeth Hospital, Hong KongCommunity Rehabilitation Service Support Centre, Queen Elizabeth Hospital, Hong KongDepartment of Biomedical Engineering, The Hong Kong Polytechnic University, Hong KongDepartment of Biomedical Engineering, The Hong Kong Polytechnic University, Hong KongRehabilitation robots are helpful in poststroke telerehabilitation; however, their feasibility and rehabilitation effectiveness in clinical settings have not been sufficiently investigated. A non-randomized controlled trial was conducted to investigate the feasibility of translating a telerehabilitation program assisted by a mobile wrist/hand exoneuromusculoskeleton (WH-ENMS) into routine clinical services and to compare the rehabilitative effects achieved in the hospital-service-based group (<i>n</i> = 12, clinic group) with the laboratory-research-based group (<i>n</i> = 12, lab group). Both groups showed significant improvements (<i>p</i> ≤ 0.05) in clinical assessments of behavioral motor functions and in muscular coordination and kinematic evaluations after the training and at the 3-month follow-up, with the lab group demonstrating better motor gains than the clinic group (<i>p</i> ≤ 0.05). The results indicated that the WH-ENMS-assisted tele-program was feasible and effective for upper limb rehabilitation when integrated into routine practice, and the quality of patient–operator interactions physically and remotely affected the rehabilitative outcomes.https://www.mdpi.com/2306-5354/10/8/976strokeupper limbrobotrehabilitationtelerehabilitation |
| spellingShingle | Wanyi Qing Ching-Yi Nam Harvey Man-Hok Shum Marko Ka-Leung Chan King-Pong Yu Serena Sin-Wah Ng Bibo Yang Xiaoling Hu The Translation of Mobile-Exoneuromusculoskeleton-Assisted Wrist–Hand Poststroke Telerehabilitation from Laboratory to Clinical Service Bioengineering stroke upper limb robot rehabilitation telerehabilitation |
| title | The Translation of Mobile-Exoneuromusculoskeleton-Assisted Wrist–Hand Poststroke Telerehabilitation from Laboratory to Clinical Service |
| title_full | The Translation of Mobile-Exoneuromusculoskeleton-Assisted Wrist–Hand Poststroke Telerehabilitation from Laboratory to Clinical Service |
| title_fullStr | The Translation of Mobile-Exoneuromusculoskeleton-Assisted Wrist–Hand Poststroke Telerehabilitation from Laboratory to Clinical Service |
| title_full_unstemmed | The Translation of Mobile-Exoneuromusculoskeleton-Assisted Wrist–Hand Poststroke Telerehabilitation from Laboratory to Clinical Service |
| title_short | The Translation of Mobile-Exoneuromusculoskeleton-Assisted Wrist–Hand Poststroke Telerehabilitation from Laboratory to Clinical Service |
| title_sort | translation of mobile exoneuromusculoskeleton assisted wrist hand poststroke telerehabilitation from laboratory to clinical service |
| topic | stroke upper limb robot rehabilitation telerehabilitation |
| url | https://www.mdpi.com/2306-5354/10/8/976 |
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