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Interactive video exercise tele-rehabilitation (IVET) for stroke care in Jamaica

机译:牙买加中风保健的交互式视频锻炼远程康复(IVET)

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Stroke is a growing global public health issue in low and middle income countries, where prevalence rates for cerebrovascular events now exceed those in industrialized nations. Limited access to stroke rehabilitation, which includes prevention of physical inactivity and deconditioning to better manage risk factors for recurrent vascular events, remains a major barrier to care. In the Caribbean Community, this is compounded by population trends in aging and obesity that also require an integrative health education and nutrition program to manage the myriad metabolic risk factors that drive pan-vascular disease. To begin to address this gap, we developed Interactive Video Exercise Tele-rehabilitation (IVET) as a web-based and smart device linked technology to deliver personalized exercise rehabilitation, coupled as needed with nutrition and health education. The exercise program uses a pull down menu Avatar remotely manageable by a coach to personalize visual-motor reinforced mobility focused training, according to each individual's observed neurological and cardiopulmonary capacities. Rate and duration of exercise are adjusted to produce a measured aerobic intensity known to improve cardiovascular health. This initial report describes the IVET technology as a wireless tool for low and middle income countries, and demonstrates the exercise rehabilitation safety and performance profiles, and ratings for acceptance of the technology for 27 Jamaican adults with hemiparetic stroke.
机译:在中低收入国家,中风是一个日益严重的全球公共卫生问题,脑血管病的患病率现已超过工业化国家的水平。中风康复的机会有限,这包括预防身体不活动和身体不适,以更好地管理复发性血管事件的危险因素,仍然是护理的主要障碍。在加勒比共同体,人口老龄化和肥胖趋势进一步加剧,这也需要综合健康教育和营养计划,以管理各种引起全血管疾病的代谢危险因素。为了解决这一差距,我们开发了交互式视频运动远程康复(IVET),它是一种基于Web的智能设备链接技术,可提供个性化的运动康复,并根据需要与营养和健康教育结合在一起。锻炼计划使用下拉菜单Avatar,该菜单可由教练远程管理,以根据每个人观察到的神经和心肺功能,对以视觉运动增强活动能力为重点的训练进行个性化设置。调整运动的速度和持续时间,以产生已知能改善心血管健康的有氧运动强度。这份初次报告将IVET技术描述为中低收入国家的无线工具,并演示了运动康复安全性和性能概况,以及27名牙买加偏瘫性中风成年人接受该技术的等级。

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