JRRD Tipsheet: Focus On Spinal Cord Injury, Gait, Stroke, Po(2)

Selection of an optimal muscle set for a 16-channel standing neuroprosthesis using a human musculoskeletal model, pg. 273

Functional losses from paralysis, such as walking or standing, often limit independence. This study proposes a set of muscles to be stimulated electrically with a neuroprosthesis to allow persons with paraplegia to stand and shift postures. We used a model of a standing adult to assess different muscle combinations to maintain specific postures while minimizing the metabolic energy consumed. The muscles selected would augment the current set of eight muscles used to produce standing from the seated position, allowing users to shift postures over 75 percent of the nondisabled range with a user-controlled device. The results of this study will allow a user to shift weight smoothly while standing, thus providing longer standing periods and saving energy.

Development of a teletechnology protocol for in-home rehabilitation, pg. 287

This paper describes the feasibility of teletechnology for delivering in-home rehabilitation interventions to community-dwelling adults recently prescribed a mobility aid. We provided telerehabilitation interventions with wireless videoconferencing equipment that used standard telephone lines to provide live, two-way video and audio interaction between the patient and a technician located in the home and a therapist located at the hospital. The interventions included prescription of functionally based exercises, home-hazard assessment, and prescription and/or training in use of assistive technology, environmental modifications, and adaptive strategies. Telehealth technology has great potential to increase patients' access to rehabilitation providers in the home setting.

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JRRD Tipsheet: Focus On Spinal Cord Injury, Gait, Stroke, Po(2)