In-Home Tele-Rehabilitation Improves Tetraplegic Hand Function
Jan Kowalczewski, Su Ling Chong, Mary Galea, Arthur Prochazka
Neurorehabilitation and Neural Repair | SAGE PUBLICATIONS INC | Published : 2011
BACKGROUND: Spinal cord injury (SCI) survivors with tetraplegia have great difficulty performing activities of daily living (ADLs). Functional electrical stimulation (FES) combined with exercise therapy (ET) can improve hand function, but delivering the treatment is problematic. OBJECTIVE: To compare 2 ET treatments delivered by in-home tele-therapy (IHT). METHODS: Each treatment involved ET, tele-supervised 1 h/d, 5 d/wk for 6 weeks. Treatment 1: "conventional ET" comprised strength training, computer games played with a trackball, and therapeutic electrical stimulation (TES). Treatment 2: "ReJoyce ET" comprised FES-ET on a workstation, the Rehabilitation Joystick for Computerized Exercise ..View full abstract
The author(s) disclosed receipt of the following financial support for the research and/or authorship of this article: Funding was provided by the International Spinal Research Trust, Canadian Foundation for Innovation, Alberta Heritage Foundation for Medical Research, Canadian Institutes of Health Research, and the Victorian Neurotrauma Initiative.