Разработка программного комплекса для оценки и реабилитации двигательных расстройств при поражении центральной нервной системы

Объектом исследования в данной работе является влияние дополненной реальности на двигательные расстройства больного с двигательной дисфункцией. Целью является разработка программного комплекса для реабилитации двигательных нарушений у больных. Актуальность работы с уверенностью можно назвать высокой, так как в ней используются последние достижения кибер-индустрии (очки дополненной реальности, инфракрасный датчик движения), также работа может использоваться в качестве базы для других программ. Область применения в медицине является - область неврологии. Медицина одна из самых актуальных частей производства в мире где всегда требуются улучшения и приветствуется новаторство для расширения границ восприятия.The object of the study in this work is the effect of extended reality on the motor disorders of a patient with motor dysfunction. The goal is to develop a software package for the rehabilitation of motor disorders in patients. The relevance of work with confidence can be called high, because it uses the latest achievements of the cyber industry (glasses augmented reality, infrared motion sensor), and the work can also be used as a basis for other programs. The field of application in medicine is the field of neurology. Medicine is one of the most important parts of production in the world, where improvements are always required, and innovations are encouraged to expand the boundaries of perceptio

Eye tracking and virtual reality in the rehabilitation of mobility of hemianopia patients:A user experience study

Purpose: To test the usability of eye tracking and virtual reality during vision rehabilitation training of hemianopia patients.Methods: Individuals with hemianopia (n = 13) and normal-sighted controls (n = 4) performed various exercises that are commonly used in vision rehabilitation for mobility, while wearing a head-mounted eye tracker or a head-mounted virtual reality (VR) display. Occupational therapists (n = 4) guided them through the exercises. All participants (including therapists) filled out a questionnaire, assessing their experience with the used device. Individuals with hemianopia were split into three groups according to their stage in vision rehabilitation therapy and performed 1 (beginner), 2 (intermediate) or 3 (advanced) different exercises.Results: Individuals with hemianopia rated the mobile eye tracker with a score of 3.97 ± 0.5 points (beginner), 3.8 ± 0.5 points (intermediate) and 4 ± 0 points (advanced) the corresponding occupational therapists with a score of 3.6 ± 0.6, 3.4 ± 0.9 and 3.87 ± 0.6 points (out of a maximum of 4 points). The VR headset was rated with 3.9 ± 0.5 points by individuals with hemianopia, 3.8 ± 0.5 points by normal-sighted controls and 2.5 ± 1.4 points by the occupational therapist in a virtual hallway scenario. In a street-crossing scenario, it was rated with 3.7 ± 0.5 points by individuals with hemianopia, 3.7 ± 0.8 points by controls and 2.8 ± 1.2 by occupational therapists. In a walking along a pavement scenario the individual with hemianopia gave 4 ± 0 points and the controls 3.8 ± 0.4 points on average.Conclusions: Both devices were seen as useful additions to vision rehabilitation therapy, as they enable better feedback to patients and the opportunity to do different exercises at different levels of difficulty

Virtually home: Exploring the potential of virtual reality to support patient discharge after stroke

Introduction: The level of assessment and intervention received by patients prior to discharge varies widely across stroke services in the United Kingdom. This study aimed to explore the potential value of virtual reality in preparing patients for discharge following stroke. Method: Semi-structured interviews were carried out with 13 occupational therapists, eight patients with a stroke and four community stroke survivors. Views were sought of the perceived acceptability, potential utility and limitations of a ‘virtual home’ environment for use in pre-discharge education and assessment. Data were analysed thematically. Findings: Interviewees found the virtual home to be an acceptable and visual means of facilitating discussions about discharge. It was perceived as valuable in assessing patient insight into safety risks and exploring the implications of installing assistive equipment at home. Limitations were identified relating to specific software issues and the use of virtual reality with patients with cognitive or perceptual impairments. Conclusion: The results demonstrate the potential utility of the virtual home within stroke rehabilitation. Patients and therapists engaged with the virtual home and, moreover, made practical suggestions for future development. Feasibility and pilot testing in a clinical setting is required to compare the use of the virtual home with traditional approaches of pre-discharge assessment.Stroke Association (ref: TSA SRTF 2013/01) and Nottingham Hospitals Charity and NUH Department of Research and Development – Pump Priming Awar

Approaches to movement therapy and their relevance to the design of interactive systems to support rehabilitation

Stroke is a major cause of physical disability for those that survive it. Traditionally, treatment of disability involves interaction with professional trained in the movement therapies. However, there is a growing body of research into interactive systems that are intended to provide support for rehabilitation, many of which draw on game-like elements to motivate engagement. A promising tactic to consider when designing such systems is the integration of knowledge from the movement therapies, and this paper is intended to provide support for this tactic. It contributes a detailed consideration of the structure of this knowledge within this domain, considers the challenges inherent in incorporating it into effective designs, and describes a conceptual framework which is intended to support this process. These contributions are illustrated in relation to two influential approaches to movement therapy, namely “Bobath” and the “Motor Re-Learning Program”

A business plan for rehabilitation services at the Algarve: the case of German footballers

This project is about the analysis and evaluation of the economic viability of a rehabilitation center at the Algarve for injured German football players. The rehabilitation center will be located at Cerro da Cabeça da Câmara in the parsish of São Sebastião in Loulé. The idea for the project arose while working for different football clubs and agents in the Bundesliga. Rehabilitation plays a key role for injured football players and it is seen as a difficult task by clubs to manage. From the initial idea of creating an infrastructure for the purpose of establishing a rehabilitation center, the idea evolved later after some reflection and research. The Algarve was found to be the best location, due to the climatic conditions and the destination experience German footballers can have during the rehabilitation process. It was at this point in time, that the decision to build up a start-up in Portugal was made. The project relevance relies in its pioneering scope within the world of rehabilitation, due to its holistic approach beyond the technical and financial concerns, centered on the football player´s well-being. There are two main reasons for writing this business plan. First, for funding purposes, and second, to help the management team to develop a successful project.Este trabalho analisa e avalia a viabilidade econômica de um centro de reabilitação de jogadores de futebol com lesões (físicas) da Alemanha. A estrutura do trabalho inclui uma revisão de literatura sobre Turismo, Turismo Médico em Portugal, reabilitação no desporto profissional, e por último, o empreendedorismo em Portugal. O projeto em si ocupa a segunda parte deste trabalho. Como o centro de reabilitação pretende estar localizado no Algarve, a sua localização será analisada no início do plano de negócios. O Algarve oferece muitas vantagens, por exemplo: condições climáticas perfeitas, oferta cultural e recreativa, cuidados médicos através de clínicas privadas. A ideia do projeto surgiu durante o percurso profissional enquanto trabalhava para diferentes clubes de futebol e agentes na Bundesliga. A reabilitação desempenha um papel fundamental em jogadores de futebol lesionados e é difícil esta atividade ser administrada pelos clubes, dado a especificidade da mesma. Em comparação com outras ligas europeias, há muitos jogadores com lesões graves na Alemanha. Na temporada de 2017/18, por exemplo, os clubes de futebol da Bundesliga perderam 3 jogadores por jornada devido a lesões, o que indica um alto índice de lesões. As lesões graves são classificadas como tendo mais de 28 dias de ausência da rotina de treinamento. A reabilitação é um processo complexo que é influenciado por diferentes fatores. Neste processo, os fatores psicológicos como o medo, frustração e a raiva desempenham um papel fundamental., visto que os Jogadores que estão numa longa fase de reabilitação sofrem de déficits de motivação ou recebem muito pouco apoio no seu ambiente profissional. Estes dados também se aplicam aos jogadores da Bundesliga, onde o processo de reabilitação pode facilmente terminar em uma perda de motivação e numa reabilitação mais longa e de custo-intensivo. O desempenho do atleta, o alto custo económico e o complexo processo de reabilitação, são condições que influenciam o treinamento, e criam o ambiente motivador e positivo para acelerar o processo de reabilitação. Inicialmente, a ideia de criar uma infraestrutura de uso fácil para o propósito de reabilitação evoluiu. Isso levou ao desenvolvimento de um plano de negócios para análise e implementação económica e operacional. A estrutura do plano de negócios está adaptada à Pat. Small Business Administration, O projeto foi organizado para efeitos do presente da seguinte forma: Resumo Executivo, O Cenário, Business Idea e modelo, metas e estratégia, gestão de equipe e organização, serviços e instalações, mercado e concorrência, marketing e vendas e planejamento financeiro. A oferta destina-se a todos os clubes e jogadores profissionais de futebol da Alemanha que tenham problemas durante uma fase prolongada de reabilitação. O centro é composto por duas partes: zona residencial e de lazer, bem como uma área médica e de formação. O modelo de negócios é baseado num sistema modular. O pacote básico inclui hospedagem, pensão completa, uso de equipamento de treinamento e reabilitação, bem como a oportunidade de ganhar novas experiências através das nossas atividades. A proposta de valor é um processo de reabilitação encurtado, um melhor corpo e mentalidade e, no final, vantagens económicas para os clubes de futebol e os jogadores devido a uma recuperação mais rápida. As equipas de gestão desempenham um papel importante no sucesso do projeto, pois reúnem um alto nível de qualificação específica do setor e experiência empreendedora. Após a implementação operacional ter sido descrita em detalhe, é efetuada uma análise económica do projeto. Isto inclui demonstrações financeiras relevantes como demonstração de resultados, balanço patrimonial, mapa de fundo de maneio e plano financeiro e cálculo e análise de indicadores económicos e financeiros, como também indicadores de viabilidade económica – VAL, TIR e Payback. O projeto destaca-se por ser pioneiro e ousado no mundo da reabilitação e apresenta-se viável economicament