Accepted for/Published in: JMIR mHealth and uHealth
Date Submitted: Jun 20, 2022
Open Peer Review Period: Jun 20, 2022 - Aug 15, 2022
Date Accepted: Dec 9, 2022
(closed for review but you can still tweet)
Clinical Study of a Wearable Remote Rehabilitation Training System for Stroke Patients: Randomized Controlled Pilot Trial
ABSTRACT
Background:
In contrast to the large and increasing number of stroke patients, clinical rehabilitation resources cannot meet their rehabilitation needs. Especially for discharged stroke patients, how to carry out effective rehabilitation training without the supervision of doctors and get the guidance of doctors is an urgent problem to be solved in clinical rehabilitation and a research hotspot at home and abroad. At present, there are many studies on home rehabilitation training based on wearable devices, Kinect, etc., but there are problems such as complex systems, high value, and unsatisfactory rehabilitation effects.
Objective:
The aim of this study is to design a remote intelligent rehabilitation training system based on wearable devices and human-computer interaction training tasks, and to evaluate the effectiveness and safety of the remote rehabilitation training system for non-physician-supervised motor rehabilitation training of stroke patients through a clinical trial study.
Methods:
In 2 rehabilitation institutions, 120 stroke patients with limb motor dysfunction were enrolled as subjects in a randomized parallel control method, of which 60 were in the experimental group and 60 in the control group. The subjects in the experimental group used the telerehabilitation training system for rehabilitation training + clinical routine physical therapy (PT) training and routine drug treatment every day. The subjects in the control group received routine clinical occupational training (OT) training + clinical routine PT training and routine drug treatment every day. At the beginning of training (baseline) and after 3 weeks, the Fugl-Meyer motor function rating scale was scored by rehabilitation doctors, and the results were compared and analyzed.
Results:
SAS software (version 9.4) was used for statistics. The Fugl-Meyer total score of physicians was increased by 11.98±8.46 in the control group and 17.56±11.65 in the experimental group, and the difference between the two groups was statistically significant (P<0.05). The test results showed that the experimental group was better than the control group, and the exercise ability of the subjects was improved.
Conclusions:
This study found that the designed remote rehabilitation training system based on wearable devices and human-computer interaction training tasks can replace clinical routine OT training. In the future, through medical device registration certification, applications will be carried out without the participation of doctors or therapists, such as rehabilitation training halls and remote home environments. Clinical Trial: ChiCTR2200061310
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