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Conclusion
Published in Hanno W. Kirk, Restoring the Brain, 2020
Perhaps even more significant than the cost barrier is the issue of time commitment. It is a well-known problem that exercise equipment bought for the home soon sits idle in the basement or garage. Exercise gyms are packed on January second, but fishing for customers by September. The answer is to incorporate neurofeedback into other activities. ILF training can be done in the background while the trainee is reading the newspaper on his computer screen or watching television. For youngsters it can be incorporated into video games. And auditory neurofeedback could even be done while taking a walk or commuting. Finally, if all else fails and time has to be set aside for the training, the trainee can always busy himself with video material that engages him. Neurofeedback does not need to be boring.
Artificial Intelligence
Published in Christopher M. Hayre, Dave J. Muller, Marcia J. Scherer, Everyday Technologies in Healthcare, 2019
Hadi Mat Rosly, Maziah Mat Rosly
With the synergic combination of AI diagnosis and automation, an optimal intervention can be achieved without physiotherapists’ constant supervision. Optimal intervention can be described as a dynamic regime that changes intensity, difficulty and techniques based on the patient output, recovery and initiative. Both of these factors can be analysed from the muscle tone feedback and EMG signals produced during the rehabilitation training. This analysis will also support future studies in understanding neurological recovery progression and improve the intervention plan. Additionally, AI can also increase the difficulty level of rehabilitation training as deemed necessary. This includes increasing the difficulty level of a game in exergaming, changing task-oriented rehabilitation training and increasing the machineries’ resistance and feedback. The challenges many healthcare facilities may experience from the utilisation of autonomous rehabilitation system are high maintenance cost and large space to facilitate the equipment. Like most exercise equipment, each equipment is designed for specific extremity and muscle development. This raises more concerns on healthcare commitment in facilitating necessary equipment for all neurological disorders.
Exercise and rehabilitation
Published in Clive Handler, Gerry Coghlan, Marie-Anne Essam, Preventing Cardiovascular Disease in Primary Care, 2018
Clive Handler, Gerry Coghlan, Marie-Anne Essam
A suitable space, resuscitation facilities, exercise cycles and/or treadmills or other exercise equipment including stairs, rowing machines or elliptical training machines can be used for cardiovascular exercise. Gentle weights or medicine balls are useful for some patients. There should be complete and regularly checked resuscitation equipment and the necessary drugs.
The effect of intermittent vs. continuous walking on distance to fatigue in persons with multiple sclerosis
Published in Disability and Rehabilitation, 2022
Herbert Karpatkin, Jaya Rachwani, Rachel Rhodes, Lourdes Rodriguez, Rosie Rodriguez, Anna Rubeo, Evan Cohen
The results of this study further support the findings of other studies analyzing the effects of intermittent vs. continuous walking in pwMS. Karpatkin et al. [9,10] showed that during the 6MWT, individuals who walked intermittently were not only able to achieve a greater distance than when walking continuously but also accumulated less subjective fatigue. In the current study there was no difference in subjective fatigue between the two conditions. This may be a result of greater accumulated objective fatigue as walking times were not limited to 6 min. Furthermore, the increased subjective fatigue in our participants could be a result of the treadmill imposing a consistent walking pace on the participants, while the earlier studies utilized overground walking that did not control for speed. A later study demonstrated that intermittent walking training had a superior effect on 6MWT distances than continuous walking training [26]. Research using intermittent training in other populations has also demonstrated positive effects on performance. Jacikic et al. showed that training intermittently with home exercise equipment improved weight loss and cardiorespiratory fitness in overweight individuals [27]. Exercise tolerance was also improved in persons with chronic fatigue syndrome and chronic obstructive pulmonary disease after training intermittently [28,29].
Factors influencing implementation of aerobic exercise after stroke: a systematic review
Published in Disability and Rehabilitation, 2021
Nicola J. Gaskins, Emma Bray, James E. Hill, Patrick J. Doherty, Alexander Harrison, Louise A. Connell
There was an acknowledgement amongst physiotherapists [37,38] that aerobic exercise after stroke is desirable, even amongst those who were not currently providing this. Exercise professionals [51], physiotherapists [50] and cardiac and stroke rehabilitation teams [66] displayed a willingness to engage with the intervention through training, one example being physiotherapists providing training on stroke to fitness instructors within the Exercise on Prescription setting [65]. The perceived need for further information, knowledge and training about stroke was strongly expressed by physiotherapists, exercise professionals, rehabilitation clinicians and fitness instructors [50,51,56,61,64–66]. Exercise professionals were interested in training on safety, the physical and cognitive aspects of stroke, adaptive exercise and equipment and communication [51] and physiotherapists wanted to improve their skills to incorporate aerobic exercise into stroke rehabilitation [50]. The need for suitable equipment was a recurring factor amongst these same staff groups; one study noted that standard exercise equipment may not be appropriate for some patients and led to physiotherapists referring only more able patients to gyms [65]. A lack of time to incorporate the intervention into their practice was cited by physiotherapists [38,50] and exercise professionals [51].
On the road again! Tricycle adaptation with the design of a universal rig
Published in Assistive Technology, 2023
Elizabeth Hoskin, Michael Fader, Andrew Gowthorpe, Ariana Alvarino, T. Claire Davies
This paper outlined the design and implementation of a custom tricycle adaptation for a client with cerebral palsy that enabled the client to independently ride for up to one hour at a time. The success of the adaptations relied heavily on the ability to test tricycle configurations with the client through a “test rig” and custom double-linked cranks that enabled the client to pedal in an asymmetrical motion. This project highlighted the gaps in access to recreational exercise equipment for individuals with differing needs. The test rig and double linked crank concepts could be employed to assist clients with a variety of physical disabilities in gaining access to cycling equipment.