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Federico S1, Della Pietà C1, Frugarello P1, Turolla A1, Agostini M1
1Fondazione Ospedale San Camillo IRCCS, Laboratory of Neurorehabilitation Technologies, Lido of Venice, Italy
Background: Recent randomized controlled trials, also confirmed by some metanalysis (Woolf C 2015, Agostini 2015, Shukla H 2016) indicate that in post-stroke patients specific treatments based on virtual reality systems and delivered through telerehabilitation produce as good results as the same treatments provided in the hospital. However, past experience is limited to selected patients, focused on a single field of intervention with a partial impact on disability. They do not have sufficient demonstrative force to change the current treatment modalities in territorial rehabilitation nor to indicate new care pathways for post-stroke patients. Telerehabilitation could help to address the peculiarity of post-stroke clinical evolution, providing qualified home rehabilitative treatments without moving operators or patients and ensuring the continuity of hospital-territory care.
Purpose: Our aim is to evaluate the feasibility of an Integrated Telerehabilitation System, which combines motor, speech and cognitive treatments for people with stroke, after their hospital discharge. Data for a cost-effectiveness analysis and interviews addressing acceptability and usability will be also collected.
Methods: We enrol patients from 18 to 80 years old at 2 to 12 months after an ischemic stroke event. Mental illness, dementia, recent fractures, former acquired brain injury are considered as exclusion criteria. 20 tele-treatment sessions are provided after the hospital discharge, at minimum 1h/3 times/w for 6 weeks. The treatment is based on the remote control of a special VRRS-TR® workstation (Khymeia Group) connected via Internet and placed in the patient's home. This System allows the development of motor, speech and cognitive treatments, each administered by a qualified operator (physiotherapist, speech therapist and neuropsychologist).
Primary outcomes: Satisfaction Measure Questionnaire, System Usability Scale, Technology Acceptance Model Questionnaire.
Secondary outcomes: F-M UE, Nine hole pegboard test, Box & Block, Ashworth, MoCA, Bells Test, Modified Barthel Index, SF36, Beck Depression Inventory, Aachener Aphasia Test (AAT). Exploratory and descriptive analysis will be performed to process raw data and preliminary information and to verify the nature of the data available (Shapiro-Wilk test to verify the normality of distribution).
Results: We expect that this Integrated System can be accepted by patients and caregivers improving functions and saving costs, avoiding prolonged intensive hospital stays.
Conclusion(s): This System allows to perform different rehabilitative methodologies, providing the patient an integrated approach. In this way, it is possible to reduce costs and, in the meanwhile, to increase the frequency and to intensify care-delivering.
Implications: This System will develop new personalised care and improve the supply in the territory of neurorehabilitative treatments for post-stroke patients.
Keywords: Homecare, Telerehabilitation, Stroke
Funding acknowledgements: This System is part of IRCCS Neurology and Rehabilitation network, part of Ministerial funding for current research in 2016
Purpose: Our aim is to evaluate the feasibility of an Integrated Telerehabilitation System, which combines motor, speech and cognitive treatments for people with stroke, after their hospital discharge. Data for a cost-effectiveness analysis and interviews addressing acceptability and usability will be also collected.
Methods: We enrol patients from 18 to 80 years old at 2 to 12 months after an ischemic stroke event. Mental illness, dementia, recent fractures, former acquired brain injury are considered as exclusion criteria. 20 tele-treatment sessions are provided after the hospital discharge, at minimum 1h/3 times/w for 6 weeks. The treatment is based on the remote control of a special VRRS-TR® workstation (Khymeia Group) connected via Internet and placed in the patient's home. This System allows the development of motor, speech and cognitive treatments, each administered by a qualified operator (physiotherapist, speech therapist and neuropsychologist).
Primary outcomes: Satisfaction Measure Questionnaire, System Usability Scale, Technology Acceptance Model Questionnaire.
Secondary outcomes: F-M UE, Nine hole pegboard test, Box & Block, Ashworth, MoCA, Bells Test, Modified Barthel Index, SF36, Beck Depression Inventory, Aachener Aphasia Test (AAT). Exploratory and descriptive analysis will be performed to process raw data and preliminary information and to verify the nature of the data available (Shapiro-Wilk test to verify the normality of distribution).
Results: We expect that this Integrated System can be accepted by patients and caregivers improving functions and saving costs, avoiding prolonged intensive hospital stays.
Conclusion(s): This System allows to perform different rehabilitative methodologies, providing the patient an integrated approach. In this way, it is possible to reduce costs and, in the meanwhile, to increase the frequency and to intensify care-delivering.
Implications: This System will develop new personalised care and improve the supply in the territory of neurorehabilitative treatments for post-stroke patients.
Keywords: Homecare, Telerehabilitation, Stroke
Funding acknowledgements: This System is part of IRCCS Neurology and Rehabilitation network, part of Ministerial funding for current research in 2016
Topic: Information management, technology & big data; Neurology: stroke; Disability & rehabilitation
Ethics approval required: Yes
Institution: Province Of Venice and IRCCS San Camillo
Ethics committee: Ethical Committee for scientific trial
Ethics number: --
All authors, affiliations and abstracts have been published as submitted.
