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This project will demonstrate a home-based robotics-aided telerehabilitation solution for Singapore’s disabled and elderly population.

With population aging in Singapore, demand for rehabilitation is expected to rise exponentially. For people with motor impairment, available therapy doses (measured in therapy hours) are insufficient in the post-acute phase of recovery. Insufficient rehabilitation services post-discharge are contributed by several barriers to access: limited ambulation, lack of transportation, lack of caregivers and financial burden.

Robot-aided therapy (RAT) can deliver task-specific, repetitive, intensive rehabilitation exercises safely with outcomes that compare favourably to conventional therapy [Krebs2000]. Thus, the solution proposed is clinic-to-home intelligent robotic telerehabilitation system.

The objective is to co-develop and test a secure telecommunication and data management system to support robotic telerehabilitation at home. The proposed telecommunication system, the CARE Platform, will virtually link a patient receiving robotic training at home to a supervising therapist working from a remote location.

The proposed Robotics-Aided Telerehabilitation Programme (RATP) is expected to generate substantial increases in home-based training intensity (hours/day), at a fraction of the required clinic visits, and with substantial savings of direct cost, while achieving functional outcomes comparable to conventional therapy.

The completed telerehabilitation system will employ Articares’ H-MAN, a clinically validated robot for upper-limb therapy, specifically designed for home use. Co-development and validation of the complete telerehabilitation system (therapy robot & CARE Platform) for home use will be carried out by TTSH rehabilitationists in collaboration with Articares.

The system will be validated by a home-use trial. Patients will receive daily therapy at home with H-MAN (after prior in-clinic onboarding). A single therapist will be able to virtually supervise multiple patients using the CARE Platform, by accessing patients’ robotic performance data downloadable from a cloud server, making remote adjustments of robotic prescription and telecommunication with patient, thus closing the therapy supervision loop.


Principal Investigator: Adj Assoc Prof Chua Sui Geok, Karen (Dr)

Institution: Tan Tock Seng Hospital

NHIC Ref: NHIC-I2I-2104007

 

 

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