A User-Friendly Wearable Telerehabilitation System Based on Neuromotor Training for Mild Post-Stroke Patients: The DoMoMEA System
Home-based telerehabilitation technologies can support the long-term rehabilitation needs of post-stroke patients. This work describes an Android-based wearable system for telerehabilitation (DoMoMEA), which engages such patients in a full-body customized neuromotor rehabilitation protocol. DoMoMEA...
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2025-01-01
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| Online Access: | https://ieeexplore.ieee.org/document/11075791/ |
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| author | A. Zedda M. Caruso S. Bertuletti G. Baldazzi G. Sedda A. Spanu D. Riboni A. Pibiri M. Monticone A. Cereatti D. Pani |
| author_facet | A. Zedda M. Caruso S. Bertuletti G. Baldazzi G. Sedda A. Spanu D. Riboni A. Pibiri M. Monticone A. Cereatti D. Pani |
| author_sort | A. Zedda |
| collection | DOAJ |
| description | Home-based telerehabilitation technologies can support the long-term rehabilitation needs of post-stroke patients. This work describes an Android-based wearable system for telerehabilitation (DoMoMEA), which engages such patients in a full-body customized neuromotor rehabilitation protocol. DoMoMEA features seven inertial units and five force sensors, which capture patient’s body posture, movements, and interactions with a non-immersive virtual reality environment, providing real time scores, motivational feedback, and online automatic corrections for performance errors. Clinically relevant parameters can be collected and sent to a remote server where they can be retrieved by a physiotherapist through a dedicated web application, according to a store-and-forward telemedicine approach. Clinicians can also personalize the training settings to ensure a high level of engagement and challenge for patients, based on their residual motor abilities, needs and progress. Preliminary tests performed on 11 healthy elderly volunteers revealed a high usability of the system (<inline-formula> <tex-math notation="LaTeX">$82~\pm ~6$ </tex-math></inline-formula> points in the System Usability Scale questionnaire). Furthermore, the system was presented to experienced physiatrists and physiotherapists, who provided their assessment by a semi-structured interview. The evidence underscored the usefulness of DoMoMEA not only at home, but also in daily clinical practice. |
| format | Article |
| id | doaj-art-7a890cbb673a49a3be98b4e914860165 |
| institution | DOAJ |
| issn | 2169-3536 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | IEEE |
| record_format | Article |
| series | IEEE Access |
| spelling | doaj-art-7a890cbb673a49a3be98b4e9148601652025-08-20T03:13:39ZengIEEEIEEE Access2169-35362025-01-011312290012291310.1109/ACCESS.2025.358761411075791A User-Friendly Wearable Telerehabilitation System Based on Neuromotor Training for Mild Post-Stroke Patients: The DoMoMEA SystemA. Zedda0M. Caruso1https://orcid.org/0000-0002-1529-8095S. Bertuletti2G. Baldazzi3https://orcid.org/0000-0003-1275-4961G. Sedda4https://orcid.org/0000-0002-9662-7697A. Spanu5D. Riboni6A. Pibiri7M. Monticone8https://orcid.org/0000-0002-6526-888XA. Cereatti9https://orcid.org/0000-0002-7276-5382D. Pani10https://orcid.org/0000-0003-1924-0875Department of Electrical and Electronic Engineering, University of Cagliari, Cagliari, ItalyDepartment of Electronics and Telecommunications, Politecnico di Torino, Turin, ItalyDepartment of Biomedical Sciences, University of Sassari, Sassari, ItalyDepartment of Electrical and Electronic Engineering, University of Cagliari, Cagliari, ItalyDepartment of Electrical and Electronic Engineering, University of Cagliari, Cagliari, ItalyDepartment of Electrical and Electronic Engineering, University of Cagliari, Cagliari, ItalyDepartment of Mathematics and Informatics, University of Cagliari, Cagliari, ItalyDepartment of Surgical Sciences, University of Cagliari, Cagliari, ItalyDepartment of Surgical Sciences, University of Cagliari, Cagliari, ItalyDepartment of Electronics and Telecommunications, Politecnico di Torino, Turin, ItalyDepartment of Electrical and Electronic Engineering, University of Cagliari, Cagliari, ItalyHome-based telerehabilitation technologies can support the long-term rehabilitation needs of post-stroke patients. This work describes an Android-based wearable system for telerehabilitation (DoMoMEA), which engages such patients in a full-body customized neuromotor rehabilitation protocol. DoMoMEA features seven inertial units and five force sensors, which capture patient’s body posture, movements, and interactions with a non-immersive virtual reality environment, providing real time scores, motivational feedback, and online automatic corrections for performance errors. Clinically relevant parameters can be collected and sent to a remote server where they can be retrieved by a physiotherapist through a dedicated web application, according to a store-and-forward telemedicine approach. Clinicians can also personalize the training settings to ensure a high level of engagement and challenge for patients, based on their residual motor abilities, needs and progress. Preliminary tests performed on 11 healthy elderly volunteers revealed a high usability of the system (<inline-formula> <tex-math notation="LaTeX">$82~\pm ~6$ </tex-math></inline-formula> points in the System Usability Scale questionnaire). Furthermore, the system was presented to experienced physiatrists and physiotherapists, who provided their assessment by a semi-structured interview. The evidence underscored the usefulness of DoMoMEA not only at home, but also in daily clinical practice.https://ieeexplore.ieee.org/document/11075791/Neuromotor recoverystroketelerehabilitationtelemedicinewearable system |
| spellingShingle | A. Zedda M. Caruso S. Bertuletti G. Baldazzi G. Sedda A. Spanu D. Riboni A. Pibiri M. Monticone A. Cereatti D. Pani A User-Friendly Wearable Telerehabilitation System Based on Neuromotor Training for Mild Post-Stroke Patients: The DoMoMEA System IEEE Access Neuromotor recovery stroke telerehabilitation telemedicine wearable system |
| title | A User-Friendly Wearable Telerehabilitation System Based on Neuromotor Training for Mild Post-Stroke Patients: The DoMoMEA System |
| title_full | A User-Friendly Wearable Telerehabilitation System Based on Neuromotor Training for Mild Post-Stroke Patients: The DoMoMEA System |
| title_fullStr | A User-Friendly Wearable Telerehabilitation System Based on Neuromotor Training for Mild Post-Stroke Patients: The DoMoMEA System |
| title_full_unstemmed | A User-Friendly Wearable Telerehabilitation System Based on Neuromotor Training for Mild Post-Stroke Patients: The DoMoMEA System |
| title_short | A User-Friendly Wearable Telerehabilitation System Based on Neuromotor Training for Mild Post-Stroke Patients: The DoMoMEA System |
| title_sort | user friendly wearable telerehabilitation system based on neuromotor training for mild post stroke patients the domomea system |
| topic | Neuromotor recovery stroke telerehabilitation telemedicine wearable system |
| url | https://ieeexplore.ieee.org/document/11075791/ |
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