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Introducing a feedback training system for guided home rehabilitation.

Kohler F, Schmitz-Rode T, Disselhorst-Klug C - J Neuroeng Rehabil (2010)

Bottom Line: As the number of people requiring orthopaedic intervention is growing, individualized physiotherapeutic rehabilitation and adequate postoperative care becomes increasingly relevant.The chances of improvement in the patients condition is directly related to the performance and consistency of the physiotherapeutic exercises.In this paper a smart, cost-effective and easy to use Feedback Training System for home rehabilitation based on standard resistive elements is introduced.Thus physiotherapeutic training can be extended into the home environment whilst ensuring a high quality of training.

View Article: PubMed Central - HTML - PubMed

Affiliation: Dept of Rehabilitation- and Prevention Engineering, Institute of Applied Medical Engineering, RWTH Aachen University, Helmholtz Institute, Pauwelsstr 20, Aachen, 52074, Germany. kohler@hia.rwth-aachen.de

ABSTRACT
As the number of people requiring orthopaedic intervention is growing, individualized physiotherapeutic rehabilitation and adequate postoperative care becomes increasingly relevant. The chances of improvement in the patients condition is directly related to the performance and consistency of the physiotherapeutic exercises.In this paper a smart, cost-effective and easy to use Feedback Training System for home rehabilitation based on standard resistive elements is introduced. This ensures high accuracy of the exercises performed and offers guidance and control to the patient by offering direct feedback about the performance of the movements.46 patients were recruited and performed standard physiotherapeutic training to evaluate the system. The results show a significant increase in the patient's ability to reproduce even simple physiotherapeutic exercises when being supported by the Feedback Training System. Thus physiotherapeutic training can be extended into the home environment whilst ensuring a high quality of training.

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Concept of feedback generation based on measured force data.
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Figure 3: Concept of feedback generation based on measured force data.

Mentions: The recorded data representing the performed movement must be presented with an adequate visual feedback to the patient to allow him to correct errors and to move accordingly to the individually specified training plan [48-50]. The PC screen is used to display the visual feedback. The given task and the corresponding feedback must be linked to the clearly defined functional goal: The regaining of range of motion and with it self-dependent living to encourage patients to endure in the feedback task [51]. The feedback control problem must be designed in such a way that the patient is not overburdened [52,51]. The implementation takes this into account by presenting an easy-to-follow online and direct one-dimensional feedback of the force path (Figure 3). The recorded data are additionally stored and can be examined off-line by the therapist to monitor the rehabilitation progress and interact by changing the training plan or give additional instructions to the patient if necessary.


Introducing a feedback training system for guided home rehabilitation.

Kohler F, Schmitz-Rode T, Disselhorst-Klug C - J Neuroeng Rehabil (2010)

Concept of feedback generation based on measured force data.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2821380&req=5

Figure 3: Concept of feedback generation based on measured force data.
Mentions: The recorded data representing the performed movement must be presented with an adequate visual feedback to the patient to allow him to correct errors and to move accordingly to the individually specified training plan [48-50]. The PC screen is used to display the visual feedback. The given task and the corresponding feedback must be linked to the clearly defined functional goal: The regaining of range of motion and with it self-dependent living to encourage patients to endure in the feedback task [51]. The feedback control problem must be designed in such a way that the patient is not overburdened [52,51]. The implementation takes this into account by presenting an easy-to-follow online and direct one-dimensional feedback of the force path (Figure 3). The recorded data are additionally stored and can be examined off-line by the therapist to monitor the rehabilitation progress and interact by changing the training plan or give additional instructions to the patient if necessary.

Bottom Line: As the number of people requiring orthopaedic intervention is growing, individualized physiotherapeutic rehabilitation and adequate postoperative care becomes increasingly relevant.The chances of improvement in the patients condition is directly related to the performance and consistency of the physiotherapeutic exercises.In this paper a smart, cost-effective and easy to use Feedback Training System for home rehabilitation based on standard resistive elements is introduced.Thus physiotherapeutic training can be extended into the home environment whilst ensuring a high quality of training.

View Article: PubMed Central - HTML - PubMed

Affiliation: Dept of Rehabilitation- and Prevention Engineering, Institute of Applied Medical Engineering, RWTH Aachen University, Helmholtz Institute, Pauwelsstr 20, Aachen, 52074, Germany. kohler@hia.rwth-aachen.de

ABSTRACT
As the number of people requiring orthopaedic intervention is growing, individualized physiotherapeutic rehabilitation and adequate postoperative care becomes increasingly relevant. The chances of improvement in the patients condition is directly related to the performance and consistency of the physiotherapeutic exercises.In this paper a smart, cost-effective and easy to use Feedback Training System for home rehabilitation based on standard resistive elements is introduced. This ensures high accuracy of the exercises performed and offers guidance and control to the patient by offering direct feedback about the performance of the movements.46 patients were recruited and performed standard physiotherapeutic training to evaluate the system. The results show a significant increase in the patient's ability to reproduce even simple physiotherapeutic exercises when being supported by the Feedback Training System. Thus physiotherapeutic training can be extended into the home environment whilst ensuring a high quality of training.

Show MeSH