Journal of Biomedical Engineering Research (대한의용생체공학회:의공학회지)

The Korean Society of Medical and Biological Engineering (대한의용생체공학회)
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Development and Clinical Evaluation of the Upper Extremity Rehabilitation Game Program for Patients with Upper Extremity Hemiplegia After Stroke Using Smartphone: Preliminary Study

스마트폰을 이용한 뇌졸중 후 상지 편마비 환자의 상지 게임재활훈련 프로그램 개발 및 임상적 유용성 평가에 대한 예비연구

  • Lim, Hyunmi (Department of Biomedical Engineering, College of Medicine, Keimyung University) ;
  • Choi, Yoon-Hee (Department of Physical and Rehabilitation Medicine, Soonchunhyang University College of Medicine, Soonchunhyang University Hospital) ;
  • Paik, Nam-Jong (Department of Rehabilitation Medicine, Seoul National University College of Medicine, Seoul National University Bundang Hospital) ;
  • Ku, Jeonghun (Department of Biomedical Engineering, College of Medicine, Keimyung University)
  • 임현미 (계명대학교 의과대학 의용공학과) ;
  • 최윤희 (순천향대학교 서울병원 재활의학과) ;
  • 백남종 (분당서울대학교병원 재활의학과) ;
  • 구정훈 (계명대학교 의과대학 의용공학과)
  • Received : 2015.07.27
  • Accepted : 2015.09.16
  • Published : 2015.10.31
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Abstract

In the paper, we developed the mobile based rehabilitation system for patients with upper extremity hemiplegia after stroke and evaluated clinical usefulness and effectiveness of the system. The sensors built in the smartphone were used to track patients' upper limb motion and the movements was transferred to the tablet PC through bluetooth connection so that the game contents could be interact with the movements. The rehabilitation game contents was based on Brunnstrom stage(B-stage), and was designed to lead accurate movement of upper limb. For the clinical evaluation of the effectiveness, 11 patients were recruited and make them perform an exercise of their wrist, shoulder, and forearm using the system for two weeks. The change of upper limb motor function was measured using fugl-meyer assessment(FMA), Brunnstrom stage(B-stage). And the change of quality of life was measured using EuroQoL-5 Dimension(EQ-5D), Beck Depression Inventory(BDI). The results showed significant improvement in upper limb function but not in quality of life. We verified mobile based rehabilitation program could be useful and effective for the clinical use.

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References

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