Newly developed Tutor system uses telerehabilitation


Learning to walk after a stroke, a physical th...

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As published in J Telemed Telecare. 2011 Aug 15, 2011:

In the article Drs. D. Hailey and R. Roine et al of the School of Information Systems and Technology, University of Wollongong, Australia systematically reviewed the evidence on the effectiveness of telerehabilitation (TR) applications.

The review looked at reports on rehabilitation for any disability, other than: mental health conditions and drug or alcohol addiction.  They looked at all forms of telecommunications technology for Tele rehabilitation (TR). The group made Judgements on whether each TR application had been successful including whether reported outcomes were clinically significant, and or whether further data were needed to establish the application as suitable for routine use.

The group found 61 scientifically credible studies that reported patient outcomes or administrative changes were identified through computerized literature searches on five databases.

Altogether 12 clinical categories were covered by the studies. Studies looking at cardiac or neurological rehabilitation were the most numerous.

31 studies (51%) were of high or good quality with results showing that 71% of the TR applications were successful. 18% were unsuccessful and finally, 11% the status was unclear. Reported outcomes for 51% of the studies appeared to be clinically significant.  The group concluded that further study was required for 62% of the (TR) applications and would help in another 23%.

In conclusion, (TR) shows promise in many fields, but compelling evidence of benefit and of impact onroutine rehabilitation programmes is still lacking. Finally, there is a need for more detailed and better-quality studies for the use of TR in routine care.

The HandTutor, ArmTutor, LegTutor and 3DTutor are wearable devices used to improve movement of the hand, wrist, elbow, knee, ankle, foot and other joints of the body following traumatic injuries. The devices have been effective for brain injury including post stroke victims as well as for those suffering from Cerebral Palsy, spinal cord and brain injuries. In addition, Apraxia, MS, Parkinsons and other movement disabilities can be treated. The Tutors system therapy is based on a rehabilitation program with augmented feedback that allows the therapist to evaluate and record the patient’s motor and cognitive impairments. The HandTutor, ArmTutor, LegTutor and 3DTutor is being used in leading U.S. and foreign hospitals and clinics the system is available for children and adults and can be implemented using telerehabilitation (TR).

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