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dc.contributorDepartment of Biomedical Engineeringen_US
dc.contributor.advisorHu, Xiaoling (BME)en_US
dc.creatorSong, Hantao-
dc.identifier.urihttps://theses.lib.polyu.edu.hk/handle/200/12976-
dc.languageEnglishen_US
dc.publisherHong Kong Polytechnic Universityen_US
dc.rightsAll rights reserveden_US
dc.titleGait restoration using exo-neuro-musculo-skeleton and cyber physical social system in home-based telerehabilitation for chronic strokeen_US
dcterms.abstractBackground and aimsen_US
dcterms.abstractHemiplegic foot drop and inversion are the primary complaints in individuals with poststroke ankle-foot motor impairments, compromising gait stability and asymmetry. Tele-rehabilitation can deliver efficient rehabilitation services and overcome geographical barriers to commute access. However, the lack of effective lower limb telerehabilitation programs with social interactions necessitates further investigation. An ankle-foot exoneuromusculoskeleton (AF-ENMS) was developed previously. This study aimed to explore the improvement of gait in chronic stroke patients using AF-ENMS for home-based tele-rehabilitation via cyber physical social system (CPSS)en_US
dcterms.abstractMethodsen_US
dcterms.abstractEighteen patients with chronic stroke were recruited to attend a 20-session telerehabilitation program assisted by the AF- ENMS. All participants received a pre-training tutorial and three face to face training sessions guided by a registered therapist, followed by 17-session self-help telerehabilitation at home. Online groups were established between two participants with supervision from the therapist and to encourage interaction. Training progress, including the training duration, completed steps, and unbalanced steps was telemonitored. Clinical assessments (e.g., Fugl-Meyer Assessment of the lower extremity (FMA), Modified Ashworth Scale (MAS), Berg Balance Scale(BBS)), as well as kinematic and plantar pressure evaluations were conducted before and after the training.en_US
dcterms.abstractResultsen_US
dcterms.abstractIn this study, we implemented a 20-session telerehabilitation program for post-stroke patients, with a total of 15 participants completing the program, and three dropping out due to Covid-19 or work conflicts. Results indicate a tendency that the telerehabilitation program led to increased training duration and a reduction in unbalanced steps, attesting to improved patient engagement.en_US
dcterms.abstractPost-training, significant improvements were observed in the Fugl-Meyer Assessment (FMA) and Berg Balance Scale (BBS) scores (P<0.05), demonstrating the program's efficacy in enhancing motor recovery and balance. Gait symmetry P (<0.05), shows the training also has a positive impact on coordination. Furthermore, a significant increase in foot dorsiflexion and a decrease in foot inversion were noted, indicating improved control over lower limb movement.en_US
dcterms.abstractThe study found that balance ability was notably enhanced, significant improvements were observed in conditions of foot drop and foot inversion and gait symmetry showed significant improvement. These findings underscore the potential of telerehabilitation programs in aiding post-stroke recovery and improving gait parameters, thereby contributing to the body of evidence supporting telehealth interventions in neurorehabilitation.en_US
dcterms.abstractConclusionen_US
dcterms.abstractThe home-based tele-rehabilitation training assist by Ankle Foot -ENMS via cyber physical social system can improve the gait performance and motor function of chronic stroke patient.en_US
dcterms.extent87 pages : color illustrationsen_US
dcterms.isPartOfPolyU Electronic Thesesen_US
dcterms.issued2024en_US
dcterms.educationalLevelM.Sc.en_US
dcterms.educationalLevelAll Masteren_US
dcterms.LCSHGait in humans -- Analysisen_US
dcterms.LCSHCerebrovascular disease -- Patients -- Rehabilitationen_US
dcterms.LCSHHong Kong Polytechnic University -- Dissertationsen_US
dcterms.accessRightsrestricted accessen_US

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Please use this identifier to cite or link to this item: https://theses.lib.polyu.edu.hk/handle/200/12976