Journal article

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

Abstract

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