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RehabPhone: a software-defined tool using 3D printing and smartphones for personalized home-based rehabilitation

Published: 15 June 2020 Publication History

Abstract

Approximately 7 million survivors of stroke reside in the United States. Over half of these individuals will have residual deficits, making stroke one of the leading causes of disability. Long-term rehabilitation opportunities are critical for millions of individuals with chronic upper limb motor deicits due to stroke. Traditional in-home rehabilitation is reported to be dull, boring, and un-engaging. Moreover, existing rehabilitation technologies are not user-friendly and cannot be adaptable to different and ever-changing demands from individual stroke survivors. In this work, we present RehabPhone, a highly-usable software-defined stroke rehabilitation paradigm using the smartphone and 3D printing technologies. This software-definition has twofold. First, RehabPhone leverages the cost-effective 3D printing technology to augment ordinal smartphones into customized rehabilitation tools. The size, weight, and shape of rehabilitation tools are software-defined according to individual rehabilitation needs and goals. Second, RehabPhone integrates 13 functional rehabilitation activities co-designed with stroke professionals into a smartphone APP. The software utilizes built-in smartphone sensors to analyzes rehabilitation activities and provides real-time feedback to coach and engage stroke users. We perform the in-lab usability optimization with the RehabPhone prototype with involving 16 healthy adults and 4 stroke survivors. After that, we conduct a 6-week unattended intervention study in 12 homes of stroke residence. In the course of the clinical study, over 32,000 samples of physical rehabilitation activities are collected and evaluated. Results indicate that stroke users with RehabPhone demonstrate a high adherence and clinical efficacy in a self-managed home-based rehabilitation course. To the best of our knowledge, this is the first exploratory clinical study using mobile health technologies in real-world stroke rehabilitation.

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    cover image ACM Conferences
    MobiSys '20: Proceedings of the 18th International Conference on Mobile Systems, Applications, and Services
    June 2020
    496 pages
    ISBN:9781450379540
    DOI:10.1145/3386901
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    Published: 15 June 2020

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    Author Tags

    1. 3D printing
    2. mobile health
    3. smartphone
    4. stroke rehabilitation

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    • (2024)Automatic Assessment of Upper Extremity Function and Mobile Application for Self-Administered Stroke RehabilitationIEEE Transactions on Neural Systems and Rehabilitation Engineering10.1109/TNSRE.2024.335849732(652-661)Online publication date: 2024
    • (2024)A Systematic Review of Human Activity Recognition Based on Mobile Devices: Overview, Progress and TrendsIEEE Communications Surveys & Tutorials10.1109/COMST.2024.335759126:2(890-929)Online publication date: Oct-2025
    • (2023)MobiSpectral: Hyperspectral Imaging on Mobile DevicesProceedings of the 29th Annual International Conference on Mobile Computing and Networking10.1145/3570361.3613296(1-15)Online publication date: 2-Oct-2023
    • (2023)The acceptance and attitudes towards using assistive technology for people with stroke in Jordan: caregivers’ perspectivesAssistive Technology10.1080/10400435.2023.220272336:1(40-50)Online publication date: 2-May-2023
    • (2022)Applications of Additive Manufacturing, or 3D Printing, in the Rehabilitation of Individuals With Deafblindness: A Scoping StudySage Open10.1177/2158244022111780512:3Online publication date: 9-Aug-2022
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    • (2022)Visualization and Qualitative Analysis of Rehabilitation Exercises Based on a Mobile App2022 IEEE 10th International Conference on Healthcare Informatics (ICHI)10.1109/ICHI54592.2022.00022(67-73)Online publication date: Jun-2022
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    • (2020)Promotion System for Home-Based Squat Training Using OpenPose2020 IEEE International Conference on Teaching, Assessment, and Learning for Engineering (TALE)10.1109/TALE48869.2020.9368366(984-986)Online publication date: 8-Dec-2020
    • (2020)mHealth Intervention Applications for Adults Living With the Effects of Stroke: A Scoping ReviewArchives of Rehabilitation Research and Clinical Translation10.1016/j.arrct.2020.100095(100095)Online publication date: Dec-2020

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