scholarly journals Adaptive Personalized Training Games for Individual and Collaborative Rehabilitation of People with Multiple Sclerosis

2014 ◽  
Vol 2014 ◽  
pp. 1-22 ◽  
Author(s):  
Johanna Renny Octavia ◽  
Karin Coninx

Any rehabilitation involves people who are unique individuals with their own characteristics and rehabilitation needs, including patients suffering from Multiple Sclerosis (MS). The prominent variation of MS symptoms and the disease severity elevate a need to accommodate the patient diversity and support adaptive personalized training to meet every patient’s rehabilitation needs. In this paper, we focus on integrating adaptivity and personalization in rehabilitation training for MS patients. We introduced the automatic adjustment of difficulty levels as an adaptation that can be provided in individual and collaborative rehabilitation training exercises for MS patients. Two user studies have been carried out with nine MS patients to investigate the outcome of this adaptation. The findings showed that adaptive personalized training trajectories have been successfully provided to MS patients according to their individual training progress, which was appreciated by the patients and the therapist. They considered the automatic adjustment of difficulty levels to provide more variety in the training and to minimize the therapists involvement in setting up the training. With regard to social interaction in the collaborative training exercise, we have observed some social behaviors between the patients and their training partner which indicated the development of social interaction during the training.

Author(s):  
Mahsa Naeeni Davarani ◽  
Ali Arian Darestani ◽  
Peyman Hassani-Abharian ◽  
Salar Vaseghi ◽  
Mohammad-Reza Zarrindast ◽  
...  

1995 ◽  
Vol 89 (1) ◽  
pp. 7-15 ◽  
Author(s):  
A. Horowitz ◽  
E. Balistreri ◽  
C. Stuen ◽  
R. Fangmeier

This article reports on the prevalence and rehabilitation needs of visually impaired residents of nursing homes, based on optometric examinations of 136 residents of a nursing home in Staten Island, NY. The results indicate that about half the residents were at least moderately visually impaired and almost one-third were potential candidates for low vision assessments, or rehabilitation training, or orientation and mobility services.


Thrita ◽  
2020 ◽  
Vol 9 (1) ◽  
Author(s):  
Ameneh Balavi ◽  
Mohsen Ghanbarzade

Background: Airways resistance and broncho-spasm due to exercise are very common. Factors such as exercise, temperature, humidity, air pollution, and disease affect this complication. This study was performed due to the increase in physical disability of muscle weakness in patients with MS and the lack of information on the effect of different strength training exercises on air resistance. Objectives: The current study aimed to investigate the effect of resistance training with different intensities on airway resistance indices of women with MS. Methods: Thirty six women with Multiple sclerosis who had a disability criterion ranged from 1 to 4 (based on Krutzke’s disability scale) were sampled using the targeted and purposive sampling methods. They were selected based on the initial health conditions and then were randomly assigned to each of the three groups (each consisting of 12 participants). The first group received resistance training for 12 weeks, three sessions a week with intensity 60% 1RM, and the second group received resistance training for 12 weeks, three sessions a week with intensity 80% 1RM. Those in the control group didn’t have an exercise program. Results: Airway resistance indices were measured both before and after 12 weeks of resistance training, airway resistance indices in both groups was significantly decreased, and these changes were significant in both experimental groups as compared to the control group. Conclusions: According to the findings, in addition to improving balance, fatigue, and muscle endurance, high-intensity resistance training had similar effects to moderate-intensity exercise on pulmonary function indices in women with MS.


2014 ◽  
Vol 16 (2) ◽  
pp. 99-104 ◽  
Author(s):  
Miho Asano ◽  
Rebecca Raszewski ◽  
Marcia Finlayson

Background: This review was undertaken to identify and summarize the existing evidence regarding postrelapse rehabilitation interventions in people with multiple sclerosis (MS). Methods: Literature searches were conducted within the following databases: CINAHL Plus with Full Text, MEDLINE via Ovid, and PsycINFO via CSA Illumina. The following terms were searched as subject headings or keywords: choice behavior, counseling, decision making, disease management, health education, health promotion, patient education, patient participation, patient satisfaction, psychotherapy, rehabilitation, self-care, self-management. Then these searches were combined with the subject headings for relapsing-remitting multiple sclerosis and subject heading or keywords for recurrence/relapse. Through the initial database search and additional citation search, 260 potentially relevant citations were identified. After screening the titles and abstracts as well as the citation search results, the reviewers agreed to keep five studies for the full-text reviews. Three rehabilitation intervention studies were included in the final review. Results: A combined total of 145 adults who experienced a relapse within the previous 5 months received 3 to 18 days of rehabilitation. All three studies suggested the benefit of multidisciplinary rehabilitation for individuals with MS to improve impairment or disability. Conclusions: The three multidisciplinary rehabilitation interventions included in this review appear to be effective in improving impairment or disability of people with MS who experienced a relapse. Given the limited number of studies and their methodological limitations, the results must be interpreted cautiously. Further investigation is needed to better understand the rehabilitation needs of people with MS after relapse in order to improve research and care.


Author(s):  
Guido Giunti ◽  
Maëlick Claes ◽  
Enrique Dorronzoro Zubiete ◽  
Octavio Rivera-Romero ◽  
Elia Gabarron

Introduction: Multiple sclerosis (MS) is one of the world’s most common neurologic disorders. Social media have been proposed as a way to maintain and even increase social interaction for people with MS. The objective of this work is to identify and compare the topics on Twitter during the first wave of COVID-19 pandemic. Methods: Data was collected using the Twitter API between 9/2/2019 and 13/5/2020. SentiStrength was used to analyze data with the day that the pandemic was declared used as a turning point. Frequency-inverse document frequency (tf-idf) was used for each unigram and calculated the gains in tf-idf value. A comparative analysis of the relevance of words and categories among the datasets was performed. Results: The original dataset contained over 610k tweets, our final dataset had 147,963 tweets. After the 10th of march some categories gained relevance in positive tweets (“Healthcare professional”, “Chronic conditions”, “Condition burden”), while in negative tweets “Emotional aspects” became more relevant and “COVID-19” emerged as a new topic. Conclusions: Our work provides insight on how COVID-19 has changed the online discourse of people with MS.


2014 ◽  
Vol 21 (4) ◽  
pp. 355-371 ◽  
Author(s):  
MJD Taylor ◽  
M Griffin

Gaming technology – exergaming – is a novel tool to facilitate exercise, improve balance, and encourage rehabilitation training. This review will describe some of the key exergame research to promote physical activity and its use in rehabilitation in other diseases or clinical populations. We will then describe the current state of research in exergaming in people with multiple sclerosis and describe the theories for the mechanism behind some of the improvements in outcomes seen after using exergaming. Lastly, we will identify gaps in the literature and provide directions for future work in this growing area. The current work is contradictory and there is no consensus with regards to training duration/intensity and the outcomes used to assess the clinical effectiveness. This in part is due to the off-the-shelf nature of the games used. A more satisfactory approach would be the development of bespoke games which match a clinical need. Exergames are seen as enjoyable and could be effective in enhancing adherence to rehabilitation. However, the definitive RCT has yet to be carried out comparing exergaming to traditional exercise.


2019 ◽  
Vol 5 (1) ◽  
pp. 205521731983471
Author(s):  
Dominique Kinnett-Hopkins ◽  
Robert Motl

Background The promotion of exercise among black individuals with multiple sclerosis (MS) is important for managing the functional and symptomatic manifestations of MS. Objective The objective of this study was to elicit exercise program preferences among black individuals with MS. Methods Participants completed a survey delivered through Qualtrics. The survey measured exercise program component preferences, the importance of racial considerations, and barriers and facilitators to exercise participation. Results Forty black individuals with MS completed the survey and reported a preference for five days per week (range 0–7) of exercise at a moderate intensity (50% of the sample). Over 60% of participants desired an exercise program that was longer than six months, and over half wanted the aid of a behavioral coach. Participants preferred weight/resistance training exercises (52.5%) and easy walking (35%) modalities. The outcomes expected from exercise were increased muscle strength (65%) and improved overall body functioning (60%). The anticipated barriers for exercise were largely fatigue (40%) and time management (32.5%). The desired facilitators were a personal trainer (57.5%) and more exercise information (32.5%). Cultural and racial tailoring was very important or held some importance on the components of the program. Conclusion The findings of this study should be considered when developing exercise interventions for black individuals with MS.


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