Full metadata record
| DC Field | Value | Language |
|---|---|---|
| dc.contributor | Department of Biomedical Engineering | en_US |
| dc.contributor.advisor | Hu, Xiaoling (BME) | en_US |
| dc.creator | Qing, Wanyi | - |
| dc.identifier.uri | https://theses.lib.polyu.edu.hk/handle/200/14359 | - |
| dc.language | English | en_US |
| dc.publisher | Hong Kong Polytechnic University | en_US |
| dc.rights | All rights reserved | en_US |
| dc.title | Exoneuromusculoskeleton-assisted telerehabilitation for motor recovery in stroke survivors | en_US |
| dcterms.abstract | Stroke is a growing global health challenge that results in profound and lasting motor disability. Conventional rehabilitation falls short of providing stroke survivors, once discharged, with the high-intensity and long-term therapy necessary to address residual impairments. Telerehabilitation has emerged to bridge this service gap, and robot-assisted training (RAT) offers a promising way to deliver repetitive, intensive, and physically assisted therapy in home environments. However, the real-world effectiveness of RAT when deployed outside highly controlled research environments, such as clinical practice and home-based settings, remains poorly understood. Moreover, evidence for the durability and generalization of RAT-induced functional gains is limited. | en_US |
| dcterms.abstract | Therefore, this study had three main objectives: (i) to develop a telerehabilitation framework that integrates Internet of Things (IoT) and ankle-foot exoneuromusculoskeleton (AF-ENMS) to facilitate home-based robot-assisted gait training (RAGT); (ii) to investigate the feasibility of translating a wrist/hand exoneuromusculoskeleton (WH-ENMS)-assisted telerehabilitation program from a controlled laboratory setting into routine clinical service, and to compare differences in logistical management and rehabilitative outcomes; (iii) to evaluate the long-term rehabilitation effects of the WH-ENMS-assisted telerehabilitation program in clinical service. | en_US |
| dcterms.abstract | The first section developed an Internet of ENMS framework by integrating IoT technology with AF-ENMS to enable remote therapist supervision, cyber interaction among stroke users, and digital management of training progress. Individuals with chronic stroke (n = 16) participated in a validation trial consisting of 20 sessions of RAGT in home environments. The results confirmed the feasibility of the system, with high patient engagement, smooth management, and positive user satisfaction. Significant improvements in lower limb motor function and gait patterns were observed after the training, and at three months after the training. | en_US |
| dcterms.abstract | The second section investigated the clinical translation of a telerehabilitation program assisted by WH-ENMS for upper-limb recovery. Stroke patients received a 20-session telerehabilitation program either in the lab (n = 12) or the clinic (n = 12) settings. Variations in the arrangement of trial implementation were observed. The results demonstrated that the integration of robot-assisted telerehabilitation into clinical service was feasible and effective. However, functional gains in the clinic group were reduced compared with the lab group, possibly due to adoption of more compensatory strategies and less qualified patient-operator interactions. | en_US |
| dcterms.abstract | The third section evaluated the long-term effects of a WH-ENMS-assisted telerehabilitation program in clinic service. Participants with chronic stroke (n = 20) completed a 20-session telerehabilitation program, with outcomes measured at baseline, post-intervention, and at three- and six-month follow-ups. The results demonstrated sustained improvements in upper limb motor function, achieved primarily through reductions in muscular compensation and improvements in voluntary coordination. | en_US |
| dcterms.abstract | In conclusion, this study developed and validated a novel framework for robot-assisted telerehabilitation and tele-management, advancing understanding of patient needs and safety considerations during unsupervised home-based RAGT. Additionally, this study illustrated the feasibility of translating a robot-assisted telerehabilitation program into clinical service, highlighting logistical variations in therapeutic benefit. Finally, long-term outcomes from clinic-based telerehabilitation provide important insights into the sustained functional benefits of RAT and its potential for real-world deployment in telerehabilitation. | en_US |
| dcterms.extent | xxvi, 188 pages : color illustrations | en_US |
| dcterms.isPartOf | PolyU Electronic Theses | en_US |
| dcterms.issued | 2026 | en_US |
| dcterms.educationalLevel | Ph.D. | en_US |
| dcterms.educationalLevel | All Doctorate | en_US |
| dcterms.LCSH | Cerebrovascular disease -- Patients -- Rehabilitation | en_US |
| dcterms.LCSH | Robotics in medicine | en_US |
| dcterms.LCSH | Telecommunication in medicine | en_US |
| dcterms.LCSH | Gait disorders | en_US |
| dcterms.LCSH | Hong Kong Polytechnic University -- Dissertations | en_US |
| dcterms.accessRights | open access | en_US |
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