Problem: The Centers for Disease Control and Prevention indicates that falls are the “leading cause of injury death and the most common cause of nonfatal injuries and hospital admission for trauma among people ages 65 and older.”1 Falls can have significant economic consequences to the individual and payer sources. To address these consequences, telerehabilitation was hypothesized to be a suitable supplement for fall screening efforts. Several sources concluded that support for synchronous telerehab was underdeveloped in the literature. Purpose: The purpose of this study was to explore the acceptability, feasibility, reliability, and validity of telehealth-delivered fall screening among community-dwelling older adults. Procedures: This investigation implemented an experimental, quantitative, cross-sectional design employing both pretest-posttest control group and quasi-experimental static group comparisons using non-probability sampling. This study assembled a panel of experts to provide content validation for a survey tool developed to quantify an older adult’s behavioral intension to use and attitudes towards a telerehabilitation delivery system. Seven fall screening tools were investigated for agreement among remote and face-to-face raters, and for comparison with the face-to-face reference standard (Mini-BEST). Results: All three null hypotheses were rejected. Results indicate that a telerehabilitation delivery system is a reliable and valid method of screening and determining fall risk in community-dwelling older adults. This study produced a content validated, internally consistent survey instrument designed to determine attitudes and beliefs about telerehabilitation. An experimental design was able to demonstrate a positive significant change in 4 of 7 survey constructs among the intervention group after exposure to telerehabilitation as compared to post-test controls. Overall, no significant difference was calculated between face-to-face or telerehab raters, and both environments produced equivalency with scoring, fall risk classification, and ability to discern fallers from non-fallers. Results from the telerehab STEADI fall risk conclusions were calculated to be concurrently valid with the face-to-face reference standard screening tool, the Mini-BEST. Conclusions: This investigation expanded the array of remote healthcare delivery options for clinicians and clients. Further investigation in residential and community settings are recommended.

Bakgrund: KOL är den tredje vanligaste dödsorsaken världen över. Pulmonary rehabilitation är en vanlig del av behandlingen som fysioterapeuter ofta utgår ifrån vid rehabilitering för patienter som lider av KOL. Telerehabilitering är ett alternativ till pulmonary rehabilitation. Forskning som jämför effektiviteten av telerehabilitering hos patienter som lider av KOL är dock begränsad. På senare tid har det på grund av bland annat coronapandemin uppkommit ett ökat behov av att utvärdera hur effektiv telerehabilitering är jämfört med pulmonary rehabilitation eller obehandlad kontrollgrupp.  Syfte: Syftet med denna litteraturstudie var att systematiskt granska vetenskapliga artiklar vad gäller effekten av telerehabiltering på livskvalité samt, kondition och muskelstyrka hos patienter med KOL och att bedöma tillförlitligheten av artiklarnas sammanvägda resultat. Metod: Metoden som valdes var en litteraturstudie. Sökningen genomfördes i Pubmed och CINAHL. Kvalitén av åtta studier från sökningen granskades med PEDro och resultatets tillförlitlighet bedömdes med GRADEstud. Resultat: Kvalitén i de åtta studierna som inkluderades varierade mellan medelgod och hög. För utfallsmåttet livskvalité påvisades att telerehabilitering är lika effektivt som pulmonary rehabilitation och tillförlitligheten bedömdes som måttligt hög (+++). För utfallsmåttet fysisk kapacitet kunde man inte påvisa att telerehabilitering är lika effektivt som pulmonary rehabilitation där tillförlitligheten bedömdes som låg (++). Endast två studier hade med utfallsmåttet muskelstyrka vilket gjorde resultatet svårbedömt.  Konklusion: Telerehabilitering bedömdes vara lika effektivt som pulmonary rehabilitation avseende livskvalité men detsamma kunde inte påvisas för fysisk kapacitet. Mer forskning inom området behövs och framtida forskning bör försöka eftersträva mer likhet i interventionerna. / Background: Chronic obstructive pulmonary disease (COPD) is the third leading cause of death worldwide. Pulmonary rehabilitation is a common part of the treatment that is often used by physical therapists. Telerehabilitation is an alternative to traditional pulmonary rehabilitation, but it has a limited amount of research. Lately, partially because of the Covid-19 pandemic there has been an increased need to evaluate the effects of telerehabilitation.  Objective: The objective of this systematic review was to systematically review scientific studies regarding the effects of telerehabilitation on health-related quality of life, physical capacity and muscle strength among patients suffering from COPD. The aim of this study was also to assess the reliability of the combined results of the studies. Method: A systematic search was conducted in Pubmed and CINAHL. Eight studies were reviewed using PEDro and the reliability of the result was assessed using GRADEstud. Results: The quality of the studies varied between good and excellent. Telerehabilitation was deemed to be equally effective as pulmonary rehabilitation regarding the outcome health related quality of life and the reliability for the result was rated as moderately high (+++). The effectiveness of telerehabilitation for the outcome physical capacity proved not to be certain with a low (++) reliability. Only two studies included the outcome muscle strength which meant it could not be assessed.  Conclusion: Telerehabilitation was deemed to be equally effective as pulmonary rehabilitation for the outcome health related quality of life but not for the outcome physical capacity. More research on the subject is needed and future studies should aim to have the interventions be more similar.

Over the last decades, the worldwide increase in cases of neuromotor health issues, due to overall population aging, motivated a growing research interest in improving rehabilitation processes with robotics. The performed studies opened the possibility to include other auxiliary technologies in physical and occupational therapy, like virtual reality and remote interaction between patients and therapists. Although there are verified and potential benefits to rehabilitation provided by these techniques, there are still few attempts towards tooling and methodology standardization, which could lead to faster developments. This work describes the creation of a proposed common computational platform for robotic rehabilitation studies, with support for virtual games and telecommunication. A preceding literature review helped to determine the requirements and development tools for such multipurpose system. Its modular and configurable design aims to allow components reuse and adaptability to different robotic therapy cases, even ones not initially intended, preventing work duplication. Details about the system\'s structure, components and operation are shown, focusing its provided flexibility. Multiplayer games involving position and force control are also created to test the proposed system in real and simulated environment, in order to demonstrate its usability for application and evaluation of robotic rehabilitation strategies. At the end, the results obtained so far are discussed and considerations about missing points and future developments are made. / Nas últimas décadas, o aumento global nos casos de problemas de saúde neuromotores, devido ao envelhecimento da população, motivou um interesse crescente na pesquisa sobre melhoria de processos de rehabilitação utilizando robótica. Os estudos realizados realizados abriram possibilidade de se incluir outras tecnologias auxiliares na terapia física e ocupacional, como realidade virtual e interação remota entre pacientes e terapeutas. Apesar dos benefícios verificados ou potenciais da aplicação dessas técnicas, ainda há poucas iniciativas no sentido de padronizar ferramentas e metodologias para sua implementação e teste, o que poderia catalisar os avanços na área. Esse trabalho descreve a criação de uma plataforma computacional comum para estudos de Reabilitação Robótica, com suporte a utilização de Jogos Sérios e teleoperação. Uma revisão bibliográfica prévia ajudou a definir os requisitos e ferramentas de desenvolvimento adequadas para tal sistema multipropósito. Seu projeto modular e configurável tem o intuito de permitir reutilização de componentes e sua fácil adaptação a diferentes tipos de terapia, mesmo não inicialmente planejadas, evitando duplicação de trabalho. Jogos multijogador envolvendo controle de força e posição são também criados para testar o sistema proposto em situações reais ou simuladas, de modo a demonstrar sua utilidade para aplicação Detalhes de sua estrutura de operação, protocolos de comunicação e componentes são mostrados, destacando-se a flexibilidade oferecida. Testes simples de viabilidade com indivíduos saudáveis são realizados, a fim de demonstrar sua utilidade para aplicação e avaliação de estratégias de reabilitação robótica. Ao fim, os resultados obtidos até então são discutidos, e considerações sobre informações ainda faltantes e trabalhos futuros são feitas.

Syftet med studien var att undersöka och beskriva patienters upplevelse av telerehabilitering, närmare bestämt fysioterapeutisk intervention genom distanskontakt via videolänk. Den valda metoden var en kvalitativ litteraturstudie. Studiernas evidens graderades med metod beskriven av SBU. En beskrivande innehållsanalys av de inkluderade studiernas resultat gjordes, enligt anvisningar av Friberg. Som resultat framträdde ett övergripande tema med fem kategorier. Temat var Videomöte en möjlighet när den utgår från individens behov. Kategorierna var: Kompetent och erfaren fysioterapeut tillgänglig, Behandling tillgänglig i hemmet, Egen resursökning ger ökad empowerment, Relationer på distans, Teknisk utrustning. Slutsatsen visar att både positiva och negativa upplevelser finns beskrivna. Telerehabilitering möjliggör en professionell behandling där patientens empowerment kan öka. Individuellt anpassat stöd är viktigt, både vad det gäller den fysioterapeutiska behandlingen och hur tekniken används. Teknik som fallerar kan ge en negativ upplevelse. Telerehabilitatering har begränsningar både i fysioterapeutens möjligheter till undersökning och begränsningar i vad som syns på videon. Det är viktigt att ta hänsyn till aspekter gällande personlig integritet. / The aim of this study was to explore and describe patients experiences of telerehabilitation, more specific physical therapy modalities by distance in real-time video communication. The chosen method was performing a qualitative literature study. The studies were graded regarding evidens with a method described by Swedish Agency for Health Technology Assessment and Assessment of Social Services. A descriptive content analysis of the included studies result was performed, according to instructions by Friberg. In the result one theme with five underlying categories emerged. The theme was: Videomeeting is a possibility when it takes ground from the individuals needs. The five categories were: Competent and experienced physical therapist is available, Treatment available at home, Increased personal resources leads to increased empowerment, Relations at distance, Technical equipment. Conclusion shows that both positive and negative experiences are described. Telerehabilitation can make it possible to give a professional treatment where the patients empowerment may increase. Individual support is important, both according to the physical therapy modality and to the usage of technology. Technology that fails can give a negative experience. Telerehabilitation has its limitations both in the physiotherapist’s possibilities for examination and in what is visible in the video. It is important to take notice to personal integrity aspects.

High quality health services are often difficult to access in rural and remote areas of Australia. This is due to a shortage of health care professionals and specialists, inadequate and poorly distributed resources, and the tyranny of distance. The result is a reduced level of health and a higher mortality rate than seen in urban communities. Telemedicine, which is the use of various technologies to deliver a range of health care services over a distance, has the potential to increase equity and access to health care in rural and remote areas. To date there has been a poor uptake of telemedicine technology within the profession of physiotherapy. This undoubtedly stems from the perceived, and indeed, real difficulty of performing what is traditionally ‘hands on’ therapy, via an electronic medium. Added to this is a paucity of rigorous clinical outcome studies to demonstrate the efficacy of performing successful treatment via this delivery method. The aim of this thesis was to establish the efficacy of telemedicine as a clinical tool for physiotherapists. To achieve this, the first major undertaking was the development of a telemedicine system to meet the unique needs of clinical physiotherapists and their patients. A series of studies was then performed to calibrate the system and establish its validity and reliability as a clinical assessment tool. Finally, a randomised controlled trial was conducted to assess the treatment efficacy of the telemedicine system. The telemedicine system was constructed using a human systems development approach, with close consultation with senior clinical physiotherapists and potential users of the system. The personal computer-based system was designed to connect patients in their home with physiotherapists in the hospital, via low-speed and low-cost communications. The system incorporated real-time videoconferencing and physical measurement tools to enable the remote assessment of patients. The validity and reliability of the telemedicine physical measurement tools were established through a series of five studies. The results demonstrated these measurements to be accurate and reliable, under various measurement conditions, when compared to reference instruments. A prospective randomised controlled trial was conducted to assess the treatment efficacy of the telemedicine system. The research model chosen for this study was the rehabilitation of subjects who had undergone total knee replacement surgery. Block randomisation was used to assign 65 participants to either a traditional face-to-face therapy group or a telemedicine rehabilitation group. Participants in both groups received treatment over a six week period. Data analysis focussed on comparing physical and functional rehabilitation outcomes achieved in each treatment group. The results of this study demonstrated that the rehabilitation outcomes produced via the telemedicine system were similar to those achieved in the traditional manner. Additionally, the telemedicine therapy was found to produce greater improvements in a number of functional outcome measurements. A high level of satisfaction was expressed by participants who received treatment via the telemedicine method. This thesis provides evidence of the efficacy of telemedicine as a clinical tool for physiotherapists. Furthermore, the work detailed in this thesis represents one of the first randomised control trials in telerehabilitation and makes a significant contribution towards the knowledge of low-bandwidth telemedicine in general. This thesis provides a framework upon which further research and telemedicine applications may be developed, with the ultimate goal of improving equity and access to high quality health services in rural and remote areas.

High quality health services are often difficult to access in rural and remote areas of Australia. This is due to a shortage of health care professionals and specialists, inadequate and poorly distributed resources, and the tyranny of distance. The result is a reduced level of health and a higher mortality rate than seen in urban communities. Telemedicine, which is the use of various technologies to deliver a range of health care services over a distance, has the potential to increase equity and access to health care in rural and remote areas. To date there has been a poor uptake of telemedicine technology within the profession of physiotherapy. This undoubtedly stems from the perceived, and indeed, real difficulty of performing what is traditionally ‘hands on’ therapy, via an electronic medium. Added to this is a paucity of rigorous clinical outcome studies to demonstrate the efficacy of performing successful treatment via this delivery method. The aim of this thesis was to establish the efficacy of telemedicine as a clinical tool for physiotherapists. To achieve this, the first major undertaking was the development of a telemedicine system to meet the unique needs of clinical physiotherapists and their patients. A series of studies was then performed to calibrate the system and establish its validity and reliability as a clinical assessment tool. Finally, a randomised controlled trial was conducted to assess the treatment efficacy of the telemedicine system. The telemedicine system was constructed using a human systems development approach, with close consultation with senior clinical physiotherapists and potential users of the system. The personal computer-based system was designed to connect patients in their home with physiotherapists in the hospital, via low-speed and low-cost communications. The system incorporated real-time videoconferencing and physical measurement tools to enable the remote assessment of patients. The validity and reliability of the telemedicine physical measurement tools were established through a series of five studies. The results demonstrated these measurements to be accurate and reliable, under various measurement conditions, when compared to reference instruments. A prospective randomised controlled trial was conducted to assess the treatment efficacy of the telemedicine system. The research model chosen for this study was the rehabilitation of subjects who had undergone total knee replacement surgery. Block randomisation was used to assign 65 participants to either a traditional face-to-face therapy group or a telemedicine rehabilitation group. Participants in both groups received treatment over a six week period. Data analysis focussed on comparing physical and functional rehabilitation outcomes achieved in each treatment group. The results of this study demonstrated that the rehabilitation outcomes produced via the telemedicine system were similar to those achieved in the traditional manner. Additionally, the telemedicine therapy was found to produce greater improvements in a number of functional outcome measurements. A high level of satisfaction was expressed by participants who received treatment via the telemedicine method. This thesis provides evidence of the efficacy of telemedicine as a clinical tool for physiotherapists. Furthermore, the work detailed in this thesis represents one of the first randomised control trials in telerehabilitation and makes a significant contribution towards the knowledge of low-bandwidth telemedicine in general. This thesis provides a framework upon which further research and telemedicine applications may be developed, with the ultimate goal of improving equity and access to high quality health services in rural and remote areas.

High quality health services are often difficult to access in rural and remote areas of Australia. This is due to a shortage of health care professionals and specialists, inadequate and poorly distributed resources, and the tyranny of distance. The result is a reduced level of health and a higher mortality rate than seen in urban communities. Telemedicine, which is the use of various technologies to deliver a range of health care services over a distance, has the potential to increase equity and access to health care in rural and remote areas. To date there has been a poor uptake of telemedicine technology within the profession of physiotherapy. This undoubtedly stems from the perceived, and indeed, real difficulty of performing what is traditionally ‘hands on’ therapy, via an electronic medium. Added to this is a paucity of rigorous clinical outcome studies to demonstrate the efficacy of performing successful treatment via this delivery method. The aim of this thesis was to establish the efficacy of telemedicine as a clinical tool for physiotherapists. To achieve this, the first major undertaking was the development of a telemedicine system to meet the unique needs of clinical physiotherapists and their patients. A series of studies was then performed to calibrate the system and establish its validity and reliability as a clinical assessment tool. Finally, a randomised controlled trial was conducted to assess the treatment efficacy of the telemedicine system. The telemedicine system was constructed using a human systems development approach, with close consultation with senior clinical physiotherapists and potential users of the system. The personal computer-based system was designed to connect patients in their home with physiotherapists in the hospital, via low-speed and low-cost communications. The system incorporated real-time videoconferencing and physical measurement tools to enable the remote assessment of patients. The validity and reliability of the telemedicine physical measurement tools were established through a series of five studies. The results demonstrated these measurements to be accurate and reliable, under various measurement conditions, when compared to reference instruments. A prospective randomised controlled trial was conducted to assess the treatment efficacy of the telemedicine system. The research model chosen for this study was the rehabilitation of subjects who had undergone total knee replacement surgery. Block randomisation was used to assign 65 participants to either a traditional face-to-face therapy group or a telemedicine rehabilitation group. Participants in both groups received treatment over a six week period. Data analysis focussed on comparing physical and functional rehabilitation outcomes achieved in each treatment group. The results of this study demonstrated that the rehabilitation outcomes produced via the telemedicine system were similar to those achieved in the traditional manner. Additionally, the telemedicine therapy was found to produce greater improvements in a number of functional outcome measurements. A high level of satisfaction was expressed by participants who received treatment via the telemedicine method. This thesis provides evidence of the efficacy of telemedicine as a clinical tool for physiotherapists. Furthermore, the work detailed in this thesis represents one of the first randomised control trials in telerehabilitation and makes a significant contribution towards the knowledge of low-bandwidth telemedicine in general. This thesis provides a framework upon which further research and telemedicine applications may be developed, with the ultimate goal of improving equity and access to high quality health services in rural and remote areas.

High quality health services are often difficult to access in rural and remote areas of Australia. This is due to a shortage of health care professionals and specialists, inadequate and poorly distributed resources, and the tyranny of distance. The result is a reduced level of health and a higher mortality rate than seen in urban communities. Telemedicine, which is the use of various technologies to deliver a range of health care services over a distance, has the potential to increase equity and access to health care in rural and remote areas. To date there has been a poor uptake of telemedicine technology within the profession of physiotherapy. This undoubtedly stems from the perceived, and indeed, real difficulty of performing what is traditionally ‘hands on’ therapy, via an electronic medium. Added to this is a paucity of rigorous clinical outcome studies to demonstrate the efficacy of performing successful treatment via this delivery method. The aim of this thesis was to establish the efficacy of telemedicine as a clinical tool for physiotherapists. To achieve this, the first major undertaking was the development of a telemedicine system to meet the unique needs of clinical physiotherapists and their patients. A series of studies was then performed to calibrate the system and establish its validity and reliability as a clinical assessment tool. Finally, a randomised controlled trial was conducted to assess the treatment efficacy of the telemedicine system. The telemedicine system was constructed using a human systems development approach, with close consultation with senior clinical physiotherapists and potential users of the system. The personal computer-based system was designed to connect patients in their home with physiotherapists in the hospital, via low-speed and low-cost communications. The system incorporated real-time videoconferencing and physical measurement tools to enable the remote assessment of patients. The validity and reliability of the telemedicine physical measurement tools were established through a series of five studies. The results demonstrated these measurements to be accurate and reliable, under various measurement conditions, when compared to reference instruments. A prospective randomised controlled trial was conducted to assess the treatment efficacy of the telemedicine system. The research model chosen for this study was the rehabilitation of subjects who had undergone total knee replacement surgery. Block randomisation was used to assign 65 participants to either a traditional face-to-face therapy group or a telemedicine rehabilitation group. Participants in both groups received treatment over a six week period. Data analysis focussed on comparing physical and functional rehabilitation outcomes achieved in each treatment group. The results of this study demonstrated that the rehabilitation outcomes produced via the telemedicine system were similar to those achieved in the traditional manner. Additionally, the telemedicine therapy was found to produce greater improvements in a number of functional outcome measurements. A high level of satisfaction was expressed by participants who received treatment via the telemedicine method. This thesis provides evidence of the efficacy of telemedicine as a clinical tool for physiotherapists. Furthermore, the work detailed in this thesis represents one of the first randomised control trials in telerehabilitation and makes a significant contribution towards the knowledge of low-bandwidth telemedicine in general. This thesis provides a framework upon which further research and telemedicine applications may be developed, with the ultimate goal of improving equity and access to high quality health services in rural and remote areas.

High quality health services are often difficult to access in rural and remote areas of Australia. This is due to a shortage of health care professionals and specialists, inadequate and poorly distributed resources, and the tyranny of distance. The result is a reduced level of health and a higher mortality rate than seen in urban communities. Telemedicine, which is the use of various technologies to deliver a range of health care services over a distance, has the potential to increase equity and access to health care in rural and remote areas. To date there has been a poor uptake of telemedicine technology within the profession of physiotherapy. This undoubtedly stems from the perceived, and indeed, real difficulty of performing what is traditionally ‘hands on’ therapy, via an electronic medium. Added to this is a paucity of rigorous clinical outcome studies to demonstrate the efficacy of performing successful treatment via this delivery method. The aim of this thesis was to establish the efficacy of telemedicine as a clinical tool for physiotherapists. To achieve this, the first major undertaking was the development of a telemedicine system to meet the unique needs of clinical physiotherapists and their patients. A series of studies was then performed to calibrate the system and establish its validity and reliability as a clinical assessment tool. Finally, a randomised controlled trial was conducted to assess the treatment efficacy of the telemedicine system. The telemedicine system was constructed using a human systems development approach, with close consultation with senior clinical physiotherapists and potential users of the system. The personal computer-based system was designed to connect patients in their home with physiotherapists in the hospital, via low-speed and low-cost communications. The system incorporated real-time videoconferencing and physical measurement tools to enable the remote assessment of patients. The validity and reliability of the telemedicine physical measurement tools were established through a series of five studies. The results demonstrated these measurements to be accurate and reliable, under various measurement conditions, when compared to reference instruments. A prospective randomised controlled trial was conducted to assess the treatment efficacy of the telemedicine system. The research model chosen for this study was the rehabilitation of subjects who had undergone total knee replacement surgery. Block randomisation was used to assign 65 participants to either a traditional face-to-face therapy group or a telemedicine rehabilitation group. Participants in both groups received treatment over a six week period. Data analysis focussed on comparing physical and functional rehabilitation outcomes achieved in each treatment group. The results of this study demonstrated that the rehabilitation outcomes produced via the telemedicine system were similar to those achieved in the traditional manner. Additionally, the telemedicine therapy was found to produce greater improvements in a number of functional outcome measurements. A high level of satisfaction was expressed by participants who received treatment via the telemedicine method. This thesis provides evidence of the efficacy of telemedicine as a clinical tool for physiotherapists. Furthermore, the work detailed in this thesis represents one of the first randomised control trials in telerehabilitation and makes a significant contribution towards the knowledge of low-bandwidth telemedicine in general. This thesis provides a framework upon which further research and telemedicine applications may be developed, with the ultimate goal of improving equity and access to high quality health services in rural and remote areas.

Over the last decades, the worldwide increase in cases of neuromotor health issues, due to overall population aging, motivated a growing research interest in improving rehabilitation processes with robotics. The performed studies opened the possibility to include other auxiliary technologies in physical and occupational therapy, like virtual reality and remote interaction between patients and therapists. Although there are verified and potential benefits to rehabilitation provided by these techniques, there are still few attempts towards tooling and methodology standardization, which could lead to faster developments. This work describes the creation of a proposed common computational platform for robotic rehabilitation studies, with support for virtual games and telecommunication. A preceding literature review helped to determine the requirements and development tools for such multipurpose system. Its modular and configurable design aims to allow components reuse and adaptability to different robotic therapy cases, even ones not initially intended, preventing work duplication. Details about the system\'s structure, components and operation are shown, focusing its provided flexibility. Multiplayer games involving position and force control are also created to test the proposed system in real and simulated environment, in order to demonstrate its usability for application and evaluation of robotic rehabilitation strategies. At the end, the results obtained so far are discussed and considerations about missing points and future developments are made. / Nas últimas décadas, o aumento global nos casos de problemas de saúde neuromotores, devido ao envelhecimento da população, motivou um interesse crescente na pesquisa sobre melhoria de processos de rehabilitação utilizando robótica. Os estudos realizados realizados abriram possibilidade de se incluir outras tecnologias auxiliares na terapia física e ocupacional, como realidade virtual e interação remota entre pacientes e terapeutas. Apesar dos benefícios verificados ou potenciais da aplicação dessas técnicas, ainda há poucas iniciativas no sentido de padronizar ferramentas e metodologias para sua implementação e teste, o que poderia catalisar os avanços na área. Esse trabalho descreve a criação de uma plataforma computacional comum para estudos de Reabilitação Robótica, com suporte a utilização de Jogos Sérios e teleoperação. Uma revisão bibliográfica prévia ajudou a definir os requisitos e ferramentas de desenvolvimento adequadas para tal sistema multipropósito. Seu projeto modular e configurável tem o intuito de permitir reutilização de componentes e sua fácil adaptação a diferentes tipos de terapia, mesmo não inicialmente planejadas, evitando duplicação de trabalho. Jogos multijogador envolvendo controle de força e posição são também criados para testar o sistema proposto em situações reais ou simuladas, de modo a demonstrar sua utilidade para aplicação Detalhes de sua estrutura de operação, protocolos de comunicação e componentes são mostrados, destacando-se a flexibilidade oferecida. Testes simples de viabilidade com indivíduos saudáveis são realizados, a fim de demonstrar sua utilidade para aplicação e avaliação de estratégias de reabilitação robótica. Ao fim, os resultados obtidos até então são discutidos, e considerações sobre informações ainda faltantes e trabalhos futuros são feitas.