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Telerehabilitation and Performance Assessment Lab

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The 3-room, 600 ft2 Telerehabilitation and Performance Assessment Laboratory, directed by Dr. Jack Winters, possesses a rich variety of videoconferencing technologies, including 5 channels of ISDN lines (with 4 additional channels in the Falk Conference Room) that are used by several types of H.320-compliant ISDN systems, several types of H.324-compliant videophones, and a rich variety of IP-based H.323- and SIP-compliant systems. Many of these systems can be coordinated through a new, dedicated videoconferencing server in the lab.

 

There is a sister Teleheath Lab in the College of Nursing, directed by Dr. Jill Winters, that includes IP-based products, plus telehealth products from ViTel, AMD and American Telecare. The figure to the right shows Drs Jack and Jill Winters in a video-connection between the two labs, in this case with both ising Polycom systems.

This Telerehab Lab has been used for a number of research projects, including:

A project coordinated by graduate student Anna Adenine Stanislaus that compared remote assessment by a practitioner (nurse, physiatrist, physical therapist) of a person with stroke for three types of encounters: face-to-face, low-bandwidth (H.324) and high-bandwidth (H.320) videoconferencing systems. Six well-documented, goal-directed neuro-assessment test batteries where evaluated, with results indicating that most of these neuro-assessment scales could be administered effectively even at low bandwidth.

Several "Intelligent Telerehabilitation Assistant" (ITA) student software projects, for example one where mobile PDA devices have been used for neuro-assessment and simple conferencing, and another that targets neurorehab prognosis prediction.

A project coordinated by Jill Winters, Ph.D., R.N., where over 30 subjects evaluated remote assessment for a collection of goal-directed health assessement and training tasks, again finding that tele-assessment can generally be administered successfully, with high satisfaction. There are also extensive new telehealth capabilities within the College of Nursing.

A project coordinated by Jason Foil, where individuals with a variety of disabilities (e.g., mobility, hearing, visual) were involved in cooperative goal-directed "instructor-apprentice" tasks, role-playing roles as instructor and apprentice, comparing H.320 (ISDN) and H.323 (Internet) alternatives. A key focus has been on studying multimedia options for communication for individuals with a diversity of abilities. This relates to the D3 (Emerging Technologies) project of the Rehabiltiation Engineering Research Center on Accessible Medical Instrumentation, which is focusing on access through telehealth and multimodal interfaces.

A project studying multipoint videoconferencing approaches that make use of software alternatives for network and Internet2 connectivity (this lab was one of three focus areas for Marqeutte's successful proposal to NSF for Internet2), with a target on collaborative rehabilitation research and telerehabilitation.

Part of a project coordinated by graduate student Sean Campbell that is evaluating accessibility and performance measures of home exercise ergometers and vitals monitoring equipment when used by older adults with history of a cardiac event, that includes a telerehabilitation connection between the participant and a therapist.

There is also an ongoing project using UniTherapy for stroke subjects (discussed in under the Falk Neurorehabilitation Lab), that includes videoconferencing as part of the protocol.

This laboratory is also used for lab homework projects in the BIEN 167 Rehabilitation Engineering: Telerehabilitation and Neurorehabilitation course.

 

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