Perspectives of Decision Support System TeleRehab in the Management of Post-Stroke Telerehabilitation
Abstract
:1. Introduction
2. Materials and Methods
2.1. Software Development
2.2. Simulation Tests
3. Results
3.1. The Architecture of the Decision Support System
3.2. The Software Interface and Functionality
3.3. Results of the Simulation
3.4. The Usability Study Results
4. Discussion
5. Limitations
6. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Abbreviation | Test (Scale) |
---|---|
MMSE | Mini Mental State Examination |
FIM | Functional Independence Measure |
FSST | Four Step Square Test |
TUG | Timed Up and Go Test |
BH | Broken Hearts Test (Oxford) |
TMWT | Ten-Meter Walk Test |
ROM-open | Romberg Test Eyes Open |
ROM-closed | Romberg Test Eyes Closed |
FMA-UE | Fugl–Meyer Assessment for Upper Extremity |
FMA-LE | Fugl–Meyer Assessment for Lower Extremity |
FMA-UE PROX | Fugl–Meyer Assessment for Upper Extremity Proximity |
FMA-UE DIS | Fugl–Meyer Assessment for Upper Extremity Distal |
WMFT Time | Wolf Motor Function Test Time |
WMFT FAS | Wolf Motor Function Test Functional Ability Score |
MAS | Motor Assessment Scale |
MAL AOU | Motor Activity Log Amount of Use |
MAL QOM | Motor Activity Log Quality of Movement |
BBT MAH | Box and Blocks Test for the More Affected |
BBT LAH | Box and Blocks Test for the Less Affected Hand |
MRS | Modified Rankin Scale |
MoCA | Montreal Cognitive Assessment |
NFI | Neurobehavioral Functioning Inventory |
NEADL | Nottingham Extended Activities of Daily Living Scale |
BIT | Behavioral Inattention Test |
WAB | Western Aphasia Battery |
Variable | Value, Description |
---|---|
Age | 35–95 |
Gender | Male, Female |
Dysfunction | Upper extremities, Lower extremities, Balance, Aphasia, Cognitive deteriorations, Upper extremities and cognitive deteriorations, Spatial neglect |
Clinical stage of stroke | Subacute, Chronic |
Medical tests (scales) values | (See Table 1) |
Scenario | Age | Gender | Dysfunction | Time Since Stroke, Days | Medical Tests (Scales) Results |
---|---|---|---|---|---|
Patient 1 | 62 | Male | Balance | 103 | MMSE 26; FIM 5.6; FSST 18.22; TUG 8.7; TMWT 10; ROM-open 46.57; ROM-closed 43.1 |
Patient 2 | 58 | Male | Upper extremities | 657 | MMSE 25; FMA-UE 41; WMFT time 9.17; WMFT FAS 2.86; MAL AOU 1.7; MAL QOM 0.95 |
Patient 3 | 62 | Female | Upper extremities | 475 | MMSE 26; FMA-UE 34; WMFT time 11.21; WMFT FAS 2.75; MAL AOU 1.64; MAL QOM 1.32; FMA-UE PROX 25.4; FMAUE dis 12 |
Patient 4 | 68 | Male | Upper extremities and cognitive deterioration | 18 | BBT MAH 13; BBT LAH 55; MoCA 20; NFI 187 |
Patient 5 | 72 | Male | Upper extremities | 82 | FMA-UE 44; BBT MAH 27 |
Patient 6 | 53 | Male | Lower extremities | 1295 | FM-LE 22; FIM 109; MAS 0.8; MRS 3 |
Patient 7 | 75 | Male | Aphasia | 1979 | WAB 59.8 |
Patient 8 | 71 | Female | Cognitive deterioration | 3649 | MoCA 29; NEADL 16 |
Patient 9 | 69 | Female | Spatial neglect | 3108 | BIT 139; BH 45 |
No. | Questions | Rating Scale | Mean |
---|---|---|---|
1 | I think that I would like to use this system | 1 (Strongly disagree)–5 (strongly agree) | 4.5 |
2 | I found the system unnecessarily complex | 1 (Strongly disagree)–5 (strongly agree) | 1.4 |
3 | I thought the system was easy to use | 1 (Strongly disagree)–5 (strongly agree) | 4.2 |
4 | I think that I would need the support of a technical person to be able o use this system | 1 (Strongly disagree)–5 (strongly agree) | 1.4 |
5 | I found the various functions in the system were well integrated | 1 (Strongly disagree)–5 (strongly agree) | 4.8 |
6 | I thought there was too much inconsistency in this system | 1 (Strongly disagree)–5 (strongly agree) | 1.0 |
7 | I would imagine that most people would lean to use this system quickly | 1 (Strongly disagree)–5 (strongly agree) | 4.4 |
8 | I found the system very cumbersome to use | 1 (Strongly disagree)–5 (strongly agree) | 1.3 |
9 | I felt very confident using the system | 1 (Strongly disagree)–5 (strongly agree) | 4.4 |
10 | I needed to learn a lot of things before I could get going with this system | 1 (Strongly disagree)–5 (strongly agree) | 1.7 |
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Nikolaev, V.A.; Nikolaev, A.A. Perspectives of Decision Support System TeleRehab in the Management of Post-Stroke Telerehabilitation. Life 2024, 14, 1059. https://doi.org/10.3390/life14091059
Nikolaev VA, Nikolaev AA. Perspectives of Decision Support System TeleRehab in the Management of Post-Stroke Telerehabilitation. Life. 2024; 14(9):1059. https://doi.org/10.3390/life14091059
Chicago/Turabian StyleNikolaev, Vitaly A., and Alexander A. Nikolaev. 2024. "Perspectives of Decision Support System TeleRehab in the Management of Post-Stroke Telerehabilitation" Life 14, no. 9: 1059. https://doi.org/10.3390/life14091059