Abstract
Remote therapy frameworks play the main role in home-based telerehabilitation. These remote therapies are exergames that help in the physical and cognitive rehabilitation of the patient. The objective of this review is to present the frameworks of home-based therapies using exergames and to identify the points that can be improved in the development of future systems. To carry out this research, the criteria of the PRISMA were adopted. Literature searches were conducted up to April 2021 in the Web of Sicence, Pubmed, Cochrane, Embase and Scopus databases. The search query was: (("game*" OR "exergame*") AND ("rehabilitation") AND ("remote" OR "telerehabilitation" OR "telemedicine")). We have selected a total of fourteen studies. We found five types of frameworks: Client-Server, Web-Based, Layers, Cloud Based and Multi users. We identified that it may be advantageous to mix the features of these frameworks to have a cheaper home-based system and prevent the patient from having to purchase more powerful computers. In addition, there are some challenges that need to be studied that will also help reduce costs for the patient: 1) Reduce the need for high processing of exergames on the patient's computer; 2) Prevent the patient from having to purchase expensive external devices for motion tracking.
Highlights
Telehealth technologies has a fundamental role in the field of medical and enable the remote monitoring and rehabilitation (Amorim et al, 2020)
The basic principle of remote therapies of home-based telehabilitation is communication between two computers: a computer that will be installed in the patient's home (Client computer) and another that will be installed in a hospital or rehabilitation center (Server computer) (Bamidis et al, 2015)
We presented a review of the types of home based telerehabilitation frameworks that have already been developed
Summary
Telehealth technologies has a fundamental role in the field of medical and enable the remote monitoring and rehabilitation (Amorim et al, 2020). According to (Mantovani et al, 2020), telerehabilitation approaches have been shown to be effective in patient rehabilitation. This remote rehabilitation allows therapists to perform a remote treatment with a large number of patients from their home, regardless of how far they are from a rehabilitation center. Telerehabilitation systems facilitate the monitoring of patients' performance with the evaluation of the medical professional. This makes it easier for therapists to customize rehabilitation exercises for each patient. Due to the COVID-19 pandemic, the health system needs telemedicine technologies to enable rehabilitation therapies without patients leaving home (Silva et al, 2021)
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