Smart training aids rehabilitation

Seventy-year-old Mr Lau has been experiencing difficulty walking ever since he suffered a stroke last year. After having another stroke earlier this year, he is currently participating in the Pok Oi Hospital “Jockey Club Smart Geriatric Day Hospital Project”, which enables patients to undergo physiotherapy and occupational therapy at home or in their residential care homes for the elderly as part of their rehabilitation.

Making progress: Mr Lau does therapeutic exercises twice a day at the care home to accelerate his recovery after suffering from strokes last year and this year. Image source: www.news.gov.hk

“I do exercises in the morning and afternoon,” he said. “I am quite hardworking because I want to recover soon. I have made progress with some of the activities, such as the dressing exercise, which trains my hand to lift higher. I used to feel pain when moving my right hand, but now I do not.”

He was also enthusiastic about a hiking routine that has enhanced his mobility. “At first, I needed to rest partway through, but now I can complete the entire route at once.”

Greater convenience

The programme allows elderly residents to undergo rehabilitation in familiar surroundings without the need for lengthy and tiring hospital trips. Lydia Au, a manager at the care home where Mr Lau resides, said the initiative helps residents to stay active and engaged during recovery.

“With the tablet provided by the hospital, they can now do the exercises any time they want and complete them on their own, which builds their confidence and sense of achievement. The programme was launched after an assessment confirmed our care home environment was suitable.”

More convenient: Lydia Au, a manager at the care home where Mr Lau resides, explains that tele‑rehabilitation reduces the need for care home residents to undertake lengthy and tiring trips to hospital. Image source: www.news.gov.hk

Smart technologies

Pok Oi Hospital launched the “Jockey Club Smart Geriatric Day Hospital Project” with $14 million in funding from the Hong Kong Jockey Club Charities Trust, after being included on the Chief Executive’s Community Project List.

The funding supports the adoption of a smart training model that incorporates virtual reality, augmented reality and tele-rehabilitation technologies at the facility’s geriatric day hospital. The approach allows patients to train remotely without the need for frequent hospital visits.

Patients’ performance data are uploaded to a digital platform, enabling healthcare professionals to monitor progress and design personalised rehabilitation plans. Since the project was launched last year, approximately 350 patients have benefited, with the number of patients treated increasing by more than 20% year on year.

Accelerated recovery: Pok Oi Hospital Chief of Service of Department of Medicine & Geriatrics Dr Tony Chan believes the programme can improve various functions in elderly patients and restore their ability to carry out daily activities. Image source: www.news.gov.hk

Fewer visits

Pok Oi Hospital Chief of Service of Department of Medicine & Geriatrics Dr Tony Chan said the programme mainly benefits elderly patients who experience mobility issues after hospitalisation.

“Our target patients include those recovering from stroke, hip fracture or dementia because they all require very intensive training.”

Previously, patients would undergo on-site training twice weekly for eight weeks, for a total of 16 hospital sessions. Under the new arrangement, they now only need to visit the hospital once a week from the fifth week onwards.

“Through these exercises, we hope to help them improve their mobility and cardiopulmonary function, as well as restore their ability to carry out daily activities independently.”

To make rehabilitation more enjoyable, cultural elements have been integrated into the exercises. “For example, some games feature mahjong or cartoon backgrounds of the Big Buddha on Lantau Island and the Tsing Ma Bridge to make the training sessions more interesting and engaging for elderly participants.”

Performance analysis: Lingnan University School of Graduates Studies Senior Lecturer Chloe Siu says the smart training model achieves better results than traditional rehabilitation methods in several aspects. Image source: www.news.gov.hk

Positive results

To evaluate the programme’s effectiveness, Pok Oi Hospital has collaborated with Lingnan University on a comprehensive study. Explaining its findings, Lingnan University School of Graduates Studies Senior Lecturer Chloe Siu said innovative tele-rehabilitation training achieves better results than traditional methods in several aspects.

“Older adults who joined the six-metre walking test walked significantly faster than those undergoing conventional therapy,” she said. In occupational therapy, meanwhile, patients showed clear improvements in hand fine motor functions and cognitive functions, as well as Instrumental Activities of Daily Living.

Interactive technology: The virtual reality system simulates everyday situations, allowing patients to refamiliarise themselves with daily activities in a safe and controlled environment. Image source: www.news.gov.hk

DENVER (AP) — The Colorado Supreme Court has ordered Colorado’s largest provider of gender-affirming care for young people to resume medical treatments like puberty blockers and hormone therapy despite threats that providing the care could lead to losing federal funding.

Children’s Hospital Colorado suspended medical treatments for transgender patients under 18 in January after it said the U.S. Department of Health and Human Services opened an investigation into its treatments following a series of clashes between President Donald Trump's administration and advocates over transgender health care for children.

The hospital said in a statement that it is reviewing Monday's court ruling and considering its next steps. It previously said it would continue to provide mental health treatment for minors and also medical treatment for patients aged 18 to 21.

Four transgender girls, ranging from age 10 to 17, sued the hospital, through their parents, alleging that the hospital was violating the state’s antidiscrimination law by refusing to provide them treatment both because of their gender identity and their disability, gender dysphoria. Gender dysphoria is the distress caused when someone’s gender expression doesn’t match their sex assigned at birth.

The girls said they feared not being able to get medication and monitoring to prevent them from undergoing puberty and developing male traits. And they cited mental health fallout, including depression and suicidal ideation.

The court sided with the girls in a 5-2 ruling, finding that the decision to shutter the services for minors violated a state antidiscrimination law. In the majority opinion, Justice William Wood III said, “We conclude that the actual immediate and irreparable harm to petitioners outweighs the speculative harm CHC may face if the federal government further acts against it.”

In a dissent, Justice Brian Boatright said the hospital didn't make its decision to stop the case because of the gender identity of the patients. Rather, he wrote, “It was a decision driven by the direct threat to the viability of the entire hospital.”

A Kansas judge also sided with transgender minors in a ruling last week.

The Colorado hospital’s TRUE Center, which focuses on gender-affirming care, is one of the largest programs in the country and the only comprehensive care center in the Rocky Mountain region, according to the lawsuit.

Children’s Hospital Colorado said the HHS opened the investigation of the hospital after Health and Human Services Secretary Robert F. Kennedy Jr. issued a declaration that called treatments like puberty blockers, hormone therapy and surgeries unsafe and ineffective for children and adolescents experiencing gender dysphoria, or the distress when someone’s gender expression doesn’t match their sex assigned at birth.

An Oregon-based federal judge ruled in March for Colorado and 20 other states that Kennedy's declaration went too far.

Mulvihill reported from Haddonfield, New Jersey.

FILE - The Ralph Carr Judicial Building, which houses the Colorado Supreme Court and Colorado Court of Appeals, in Denver on Jan. 14, 2026. (AP Photo/David Zalubowski, File)