Automated Movement Feedback for Recovering Independence in the Sit-to-Stand Movement in an Older Population: A Pilot Randomised Controlled Trial of a Novel System

Ho, Siu Fai; Thomson, Avril; Moylan, Tricia; McGuckin, Julie; Kerr, Andrew

doi:10.21926/obm.geriatr.1904089

Cited by 3 publications

(1 citation statement)

References 30 publications

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“…The intervention was developed from our previous work [ 15 , 17 - 19 ] and feedback from a pilot with chronic stroke survivors (n=5; mean age 51.6, SD 12.1 years; mean 19.6, SD 9.32 months post stroke; 2 females; 2 with aphasia). The small pilot sample size and limited attendance (twice weekly) were related to COVID-19 restrictions in place at the time.…”

Section: Methodsmentioning

confidence: 99%

An Intensive Exercise Program Using a Technology-Enriched Rehabilitation Gym for the Recovery of Function in People With Chronic Stroke: Usability Study

Kerr¹,

Keogh²,

Slachetka³

et al. 2023

JMIR Rehabil Assist Technol

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Background Rehabilitation improves poststroke recovery with greater effect for many when applied intensively within enriched environments. The failure of health care providers to achieve minimum recommendations for rehabilitation motivated the development of a technology-enriched rehabilitation gym (TERG) that enables individuals under supervision to perform high-intensity self-managed exercises safely in an enriched environment. Objective This study aimed to assess the feasibility of the TERG approach and gather preliminary evidence of its effect for future research. Methods This feasibility study recruited people well enough to exercise but living with motor impairment following a stroke at least 12 months previously. Following assessment, an 8-week exercise program using a TERG (eg, virtual reality treadmills, power-assisted equipment, balance trainers, and upper limb training systems) was structured in partnership with participants. The feasibility was assessed through recruitment, retention, and adherence rates along with participant interviews. Effect sizes were calculated from the mean change in standard outcome measures. Results In total, 70 individuals registered interest, the first 50 were invited for assessment, 39 attended, and 31 were eligible and consented. Following a pilot study (n=5), 26 individuals (mean age 60.4, SD 13.3 years; mean 39.0, SD 29.2 months post stroke; n=17 males; n=10 with aphasia) were recruited to a feasibility study, which 25 individuals completed. Participants attended an average of 18.7 (SD 6.2) sessions with an 82% attendance rate. Reasons for nonattendance related to personal life, illness, weather, care, and transport. In total, 19 adverse events were reported: muscle or joint pain, fatigue, dizziness, and viral illness, all resolved within a week. Participants found the TERG program to be a positive experience with the equipment highly usable albeit with some need for individual tailoring to accommodate body shape and impairment. The inclusion of performance feedback and gamification was well received. Mean improvements in outcome measures were recorded across all domains with low to medium effect sizes. Conclusions This study assessed the feasibility of a holistic technology-based solution to the gap between stroke rehabilitation recommendations and provision. The results clearly demonstrate a rehabilitation program delivered through a TERG is feasible in terms of recruitment, retention, adherence, and user acceptability and may lead to considerable improvement in function, even in a chronic stroke population. International Registered Report Identifier (IRRID) RR2-doi.org/10.3389/fresc.2021.820929

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Section: Methodsmentioning

confidence: 99%

An Intensive Exercise Program Using a Technology-Enriched Rehabilitation Gym for the Recovery of Function in People With Chronic Stroke: Usability Study

Kerr¹,

Keogh²,

Slachetka³

et al. 2023

JMIR Rehabil Assist Technol

View full text Add to dashboard Cite

show abstract

An Intensive Exercise Program Using a Technology-Enriched Rehabilitation Gym for the Recovery of Function in People With Chronic Stroke: Usability Study (Preprint)

Kerr¹,

Keogh²,

Slachetka³

et al. 2023

Preprint

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BACKGROUND Rehabilitation improves post-stroke recovery, with greater effect for many when applied intensively within enriched environments. The failure of healthcare providers to achieve minimum recommendations for rehabilitation motivated the development of a technology enriched rehabilitation gym (TERG) that enables individuals, under supervision, to perform high intensity, self-managed, exercises safely in an enriched environment. OBJECTIVE This study aimed to assess feasibility of the TERG approach and gather preliminary evidence of effect for future research. METHODS This feasibility study recruited people well enough to exercise but living with motor impairment following a stroke at least 12 months previously. Following assessment an 8-week exercise programme, using the TERG (e.g. virtual reality treadmills, power assisted equipment, balance trainers and upper limb training systems), was structured in partnership with participants. Feasibility was assessed through recruitment, retention, and adherence rates along with participant interviews. Effect sizes were calculated from mean change in standard outcome measures. RESULTS Seventy individuals registered interest, the first 50 were invited for assessment, 39 attended and 31 were eligible and consented. Following a pilot study (n=5), 26 individuals (aged 60.4 ±13.3 years, 39.0 ± 29.2 months post-stroke, 17 males, 10 with aphasia) were recruited to a feasibility study with 25 completing. Participants attended an average of 18.7±6.2 sessions with a 82% attendance rate. Reasons for non-attendance related to personal life, illness, weather, care and transport. Nineteen adverse events were reported; muscle/joint pain, fatigue, dizziness and viral illness, all resolved within a week. Participants found the TERG programme to be a positive experience with the equipment highly usable albeit with some need for individual tailoring to accommodate body shape and impairment. The inclusion of performance feedback and gamification was well received. Mean improvements in outcome measures were recorded across all domains with low to medium effect sizes. CONCLUSIONS This study assessed feasibility of a holistic, technology-based solution to the gap between stroke rehabilitation recommendations and provision. The results clearly demonstrate a rehabilitation programme delivered through a TERG is feasible, in terms of recruitment, retention, adherence and user acceptability and may lead to considerable improvement in function, even in a chronic stroke population INTERNATIONAL REGISTERED REPORT RR2-doi.org/10.3389/fresc.2021.820929

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A Symmetry Evaluation Method, Using Elevation Angle, for Lower Limb Movement Patterns during Sitting-to-Standing

Nakamura

Saga

2022

Applied Sciences

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In this paper, we propose a method that uses the femoral and tibial elevation angles to quantitatively evaluate the symmetry of lower limb movement during the transition from a sitting position to a standing position. In kinematic analysis of the transition from sitting to standing, the angles of the three joints of the lower limb are often measured. However, due to the large number of variables, it is difficult to evaluate the symmetry of the lower limb movement by comparing data from the six joints of the left and right lower limbs. In this study, therefore, we measured the femoral and tibial elevation angles of healthy participants and rehabilitation patients and visually and numerically evaluated the symmetry and asymmetry of the movement of the left and right lower limbs. We were able to identify the kinematically major lower limbs in the transition from sitting to standing and quantify the symmetry of the movement patterns of the left and right lower limbs. Furthermore, we examined the possibility that the method could be effectively used in the rehabilitation field to evaluate the motor co-ordination that constitutes the lower limb movement pattern in the transition from the sitting to standing position, such as the gait plane rule.

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Automated Movement Feedback for Recovering Independence in the Sit-to-Stand Movement in an Older Population: A Pilot Randomised Controlled Trial of a Novel System

Cited by 3 publications

References 30 publications

An Intensive Exercise Program Using a Technology-Enriched Rehabilitation Gym for the Recovery of Function in People With Chronic Stroke: Usability Study

An Intensive Exercise Program Using a Technology-Enriched Rehabilitation Gym for the Recovery of Function in People With Chronic Stroke: Usability Study

An Intensive Exercise Program Using a Technology-Enriched Rehabilitation Gym for the Recovery of Function in People With Chronic Stroke: Usability Study (Preprint)

A Symmetry Evaluation Method, Using Elevation Angle, for Lower Limb Movement Patterns during Sitting-to-Standing

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