Mobile Tablet-Based Stroke Rehabilitation: Using mHealth Technology to Improve Access to Early Stroke Rehabilitation

International Journal of Interactive Mobile Technologies

Dale Corbett¹  Karen H Mallet²  Lise Zakutney³  Julien Guerinet⁴  Dar Dowlatshahi⁵  Katherine M Atkinson⁶  Kumanan Wilson⁷  Rany Shamloul⁸  Michael William Pugliese⁹ 

[1] Cellular and Molecular Medicine, Candian Partnership for Stroke Recovery and University of Ottawa Brain and Mind Research Institute, University of Ottawa , Ottawa, CanadaThe Ottawa Hospital, General Campus, Room 3510G, Roger Guindon Hall, 451 Smyth Rd, Ottawa, ON.;Champlain Regional Stroke Network, The Ottawa Hospital, Ottawa Hospital Research Institute Ottawa, Ontario, Canada The Ottawa Hospital, Box 608, 1053 Carling Avenue, Ottawa, ON, K1Y 4E9.;Champlain Regional Stroke Network, The Ottawa Hospital, Ottawa Hospital Research Institute of Ottawa, Ontario, CanadaThe Ottawa Hospital, Civic Campus, 1053 Carling Avenue, Ottawa, ON.;Clinical Epidemiology Program, Ottawa Hospital Research Institute.103B Stirling Avenue, Ottawa, ON, K1Y 1P9.;Department of Medicine (Neurology), University of Ottawa Brain and Mind Research Institute and Ottawa Hospital Research Institute, Ottawa, Canada.The Ottawa Hospital, Civic Campus,1053 Carling ave, Room C2182, Ottawa, ON.;Department of Public Health Sciences, Karolinska Institutet, Stockholm, Sweden and Clinical Epidemiology Program, Ottawa Hospital Research Institute.103B Stirling Ave, Ottawa, ON, K1Y 1P9.;Departments of Medicine, Epidemiology and Community Medicine, University of Ottawa, and Ottawa Hospital Research Institute, Ottawa, Canada.The Ottawa Hospital, Civic Campus, 1053 Carling Avenue, Administrative Services Building, Room 1009, Box 684, Ottawa, ON, K1Y 4E9.;Ottawa Stroke Program, Ottawa Hospital Research Institute, Ottawa, ON, CanadaThe Ottawa Hospital, Civic Campus- 1053 Carling avenue, Ottawa, ON, K1Y4E9, box# 608;School of Epidemiology, Public Health and Preventive Medicine, Faculty of Medicine, University of Ottawa, Ottawa, Canada.The Ottawa Hospital, General Campus, 451 Smyth Road,Roger-Guindon Building, Room 3105, Ottawa, ON, K1H 8M5.

关键词: aphasia;    mobile tablet;    recovery;    stroke;   

DOI  :  

学科分类：电子、光学、磁材料

来源: International Association of Online Engineering

【 摘 要 】

Mobile health (mHealth) technology represents a means through which more stroke survivors could access early stroke rehabilitation. Although rehabilitation is most effective when begun early post-stroke, limited resources (facilities, therapists) prevent survivors from initiating therapy. Furthermore, the coupling of an aging population with advances in acute therapy has led to an increase in the absolute number of individuals suffering from and surviving strokes which in turn has put further strain on already scarce rehabilitation resources. There is an urgency to conduct high-quality research exploring cost-effective and creative mHealth devices for early rehabilitation in the acute setting. Mobile technology allows therapists to prescribe apps based on standard cognitive/physical assessments in the acute setting, remotely monitor patient progress across individual carepaths, and update prescribed therapies based on patient feedback and recovery. Recognition of the growing problem of accessing early stroke rehabilitation, and the possibilities offered by mHealth technology led to the development of the RecoverNow platform for stroke rehabilitation in the acute setting. RecoverNow is a custom built, tablet-based stroke rehabilitation platform that houses a variety of previously existing apps with activities analogous or identical to exercises in speech language and/or occupational therapy. While RecoverNow represents how mobile technology can be utilized to address a growing public health issue, the feasibility, acceptability and efficacy of tablet-based stroke rehabilitation are unknown. Studies with the goal of establishing feasibility of early tablet-based stroke rehabilitation are needed and, if appropriate, a randomized controlled trial to establish efficacy.

【 授权许可】

Unknown