A telerehabilitation approach to delivery of constraint-induced movement therapy

J Rehabil Res Dev. May-Jun 2006;43(3):391-400. doi: 10.1682/jrrd.2005.02.0042.

Abstract

We have developed a device called AutoCITE (Automated Constraint-Induced Therapy Extension) that automates the intensive training component of constraint-induced (CI) movement therapy, also known as CI therapy. This study evaluated the effectiveness of AutoCITE training in a telerehabilitation setting when supervised remotely and with only intermittent interaction with a therapist. Seven participants with chronic stroke trained with AutoCITE for 3 h/d for 10 consecutive weekdays. The therapist supervised the training from a different room in the clinic using remote control of the AutoCITE computer and teleconferencing equipment when needed. Treatment gains on the Motor Activity Log were quite large (p < 0.001, d' = 3), while gains on the Wolf Motor Function Test and the Jebsen-Taylor Hand Function Test were large (p < 0.05, d' > 0.9). Gains were comparable in size with those previously reported for participants who received equal intensities of directly supervised AutoCITE training or standard one-on-one CI therapy without the device.

Publication types

  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Activities of Daily Living
  • Adult
  • Biofeedback, Psychology
  • Computer-Assisted Instruction / instrumentation
  • Computer-Assisted Instruction / methods*
  • Exercise Therapy
  • Humans
  • Physical Therapy Modalities*
  • Recovery of Function
  • Restraint, Physical / methods*
  • Robotics
  • Stroke Rehabilitation*
  • User-Computer Interface