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Pani D, Barabino G, Dessì A, et al. A Device for Local or Remote Monitoring of Hand Rehabilitation Sessions for Rheumatic Patients. IEEE J Transl Eng Health Med. 2014;2:2100111doi: 10.1109/JTEHM.2014.2299274.
Pani, D., Barabino, G., Dessì, A., Tradori, I., Piga, M., Mathieu, A., & Raffo, L. (2014). A Device for Local or Remote Monitoring of Hand Rehabilitation Sessions for Rheumatic Patients. IEEE journal of translational engineering in health and medicine, 22100111. https://doi.org/10.1109/JTEHM.2014.2299274
Pani, Danilo, et al. "A Device for Local or Remote Monitoring of Hand Rehabilitation Sessions for Rheumatic Patients." IEEE journal of translational engineering in health and medicine vol. 2 (2014): 2100111. doi: https://doi.org/10.1109/JTEHM.2014.2299274
Pani D, Barabino G, Dessì A, Tradori I, Piga M, Mathieu A, Raffo L. A Device for Local or Remote Monitoring of Hand Rehabilitation Sessions for Rheumatic Patients. IEEE J Transl Eng Health Med. 2014 Jan 09;2:2100111. doi: 10.1109/JTEHM.2014.2299274. eCollection 2014. PMID: 27170875; PMCID: PMC4852541.
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IEEE J Transl Eng Health Med. 2014 Jan 09;2:2100111. doi: 10.1109/JTEHM.2014.2299274. eCollection 2014.

A Device for Local or Remote Monitoring of Hand Rehabilitation Sessions for Rheumatic Patients.

IEEE journal of translational engineering in health and medicine

Danilo Pani, Gianluca Barabino, Alessia Dessì, Iosto Tradori, Matteo Piga, Alessandro Mathieu, Luigi Raffo

Affiliations

  1. University of Cagliari Department of Electrical and Electronic Engineering Cagliari Italy 09123.
  2. University and AOU of Cagliari Chair of Rheumatology and Rheumatology Unit Department of Medical Sciences Cagliari Italy 09100.

PMID: 27170875 PMCID: PMC4852541 DOI: 10.1109/JTEHM.2014.2299274

Abstract

Current clinical practice suggests that recovering the hand functionality lost or reduced by injuries, interventions and chronic diseases requires, beyond pharmacological treatments, a kinesiotherapic intervention. This form of rehabilitation consists of physical exercises adapted to the specific pathology. Its effectiveness is strongly dependent on the patient's adhesion to such a program. In this paper we present a novel device with remote monitoring capabilities expressly conceived for the needs of rheumatic patients. It comprises several sensorized tools and can be used either in an outpatient clinic for hand functional evaluation, connected to a PC, or afforded to the patient for home kinesiotherapic sessions. In the latter case, the device guides the patient in the rehabilitation session, transmitting the relevant statistics about his performance to a TCP/IP server exploiting a GSM/GPRS connection for deferred analysis. An approved clinical trial has been set up in Italy, involving 10 patients with Rheumatoid Arthritis and 10 with Systemic Sclerosis, enrolled for 12 weeks in a home rehabilitation program with the proposed device. Their evaluation has been performed with traditional methods but also with the proposed device. Subjective (hand algofunctional Dreiser's index) and objective (ROM, strength, dexterity) parameters showed a sustained improvement throughout the follow-up. The obtained results proved that the device is an effective and safe tool for assessing hand disability and monitoring kinesiotherapy exercise, portending the potential exploitability of such a methodology in clinical practice.

Keywords: Telerehabilitation; adapted physical exercise; rehabilitation; rheumatic diseases; telemedicine

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