David Putrino1. 1. Telemedicine and Virtual Rehabilitation, Burke Medical Research Institute, Department of Physical Medicine and Rehabilitation, Weill Medical College of Cornell University, New York, New York, USA.
Abstract
PURPOSE OF REVIEW: Stroke is the leading cause of permanent motor disability in the United States, and the rapidly aging population makes finding large-scale treatment solutions to this problem a national priority. Telerehabilitation is an emerging approach that is being used for the effective treatment of multiple diseases, and is beginning to show promise for stroke. The purpose of this review is to identify and highlight the areas of telerehabilitation that require the most research attention. RECENT FINDINGS: Although there are many different forms of telerehabilitation approaches being attempted for stroke, the only approach that is currently showing moderate-strong evidence for efficacy is videogame-driven telerehabilitation (VGDT). However, targeted research is still required to determine the feasibility of VGDT: metrics regarding system usability, cost-effectiveness, and data privacy concerns still require major attention. SUMMARY: VGDT is an emerging approach that shows enormous promise for stroke rehabilitation. Future studies should focus less on developing custom task controllers and therapy games and more on developing innovative, online data acquisition and analytics pipelines, as well as understanding the patient population so that the rehabilitation experience can be better customized.
PURPOSE OF REVIEW: Stroke is the leading cause of permanent motor disability in the United States, and the rapidly aging population makes finding large-scale treatment solutions to this problem a national priority. Telerehabilitation is an emerging approach that is being used for the effective treatment of multiple diseases, and is beginning to show promise for stroke. The purpose of this review is to identify and highlight the areas of telerehabilitation that require the most research attention. RECENT FINDINGS: Although there are many different forms of telerehabilitation approaches being attempted for stroke, the only approach that is currently showing moderate-strong evidence for efficacy is videogame-driven telerehabilitation (VGDT). However, targeted research is still required to determine the feasibility of VGDT: metrics regarding system usability, cost-effectiveness, and data privacy concerns still require major attention. SUMMARY: VGDT is an emerging approach that shows enormous promise for stroke rehabilitation. Future studies should focus less on developing custom task controllers and therapy games and more on developing innovative, online data acquisition and analytics pipelines, as well as understanding the patient population so that the rehabilitation experience can be better customized.
Authors: Grigore C Burdea; Namrata Grampurohit; Nam Kim; Kevin Polistico; Ashwin Kadaru; Simcha Pollack; Mooyeon Oh-Park; A M Barrett; Emma Kaplan; Jenny Masmela; Phalgun Nori Journal: Top Stroke Rehabil Date: 2019-12-25 Impact factor: 2.119
Authors: Michael J Fu; Anna Curby; Ryan Suder; Benjamin Katholi; Jayme S Knutson Journal: IEEE Trans Neural Syst Rehabil Eng Date: 2020-05-11 Impact factor: 3.802
Authors: Lucy Dodakian; Alison L McKenzie; Vu Le; Jill See; Kristin Pearson-Fuhrhop; Erin Burke Quinlan; Robert J Zhou; Renee Augsberger; Xuan A Tran; Nizan Friedman; David J Reinkensmeyer; Steven C Cramer Journal: Neurorehabil Neural Repair Date: 2017-10-26 Impact factor: 3.919
Authors: Behdad Dehbandi; Alexandre Barachant; Anna H Smeragliuolo; John Davis Long; Silverio Joseph Bumanlag; Victor He; Anna Lampe; David Putrino Journal: PLoS One Date: 2017-02-14 Impact factor: 3.240