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首页> 外文期刊>Telemedicine journal and e-health: the official journal of the American Telemedicine Association >Toward the integration of novel wearable step-counters in gait telerehabilitation after stroke.
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Toward the integration of novel wearable step-counters in gait telerehabilitation after stroke.

机译：在卒中后步态康复中尝试将新型可穿戴式计步器整合在一起。

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In the management of stroke, after the first critical care period at the hospital, it is important for the subjects to plan a neural and motion rehabilitation program at home. Telerehabilitation could represent a valid aid for subjects involved in a rehabilitation process at home. Motion and neural rehabilitation are strictly correlated. Prompt motion rehabilitation is essential to ensure good recovery performance from the stroke defect. Remote therapy, which involves a telerehabilitation program, should monitor daily motion activity. An optimal telerehabilitation program should be capable of monitoring patient activity starting from a high disability of imbalance, when there is the need for properly designed aids or prosthesis. The program should continue when the patient improves his or her condition, and progressively changes or abandons aids or prosthesis. New home care for remote activity monitoring has been proposed. It includes a sensorized-codivilla-spring and a gastrocnemius expansion measurement unit to allow activity monitoring in terms of step-counting for the continuity of care at home. This home care has been integrated in a telerehabilitation process. Preliminary clinical trials have shown the effectiveness and the high degree of client satisfaction (patient and therapist). The next phase will be the integration with other units to allow the monitoring of other physiological parameters (blood pressure, heart rate, blood glucose) useful to investigate in stroke telerehabilitation.
机译：在中风的管理中，在医院进行第一个重症监护期后，对受试者来说，在家中制定神经和运动康复计划非常重要。远程康复可以为在家中参与康复过程的受试者提供有效的帮助。运动与神经康复密切相关。快速运动康复对于确保中风缺陷的良好恢复性能至关重要。涉及远程康复计划的远程治疗应监测日常运动活动。当需要适当设计的辅助工具或假体时，最佳的远程康复计划应该能够从高度失衡的残疾状况开始监控患者的活动。当患者病情好转并逐渐改变或放弃辅助设备或假体时，该程序应继续进行。已经提出了用于远程活动监控的新家庭护理。它包括一个带感应功能的Codivilla弹簧和一个腓肠肌扩张测量单元，以实现就步数进行活动监控以实现家庭护理的连续性。此家庭护理已集成到远程康复过程中。初步的临床试验显示出有效性和高度的客户满意度（患者和治疗师）。下一阶段将是与其他单元的整合，以允许监测可用于研究中风远程康复的其他生理参数（血压，心率，血糖）。

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