Feasibility of Wearable Sensing for In-Home Finger Rehabilitation Early After Stroke

Sanders, Quentin; Chan, Vicky; Augsburger, Renee; Cramer, Steven C.; Reinkensmeyer, David J.; An, Hongyu

doi:10.1109/tnsre.2020.2988177

Cited by 29 publications

(52 citation statements)

References 44 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Furthermore, these authors ( Assenza et al, 2020 ), as well as others ( Utidjian and Abramson, 2016 ; Brophy, 2017 ; Tanner et al, 2020 ), reported that the level of experience in technology use could be a significant barrier to telerehabilitation, affecting the client’s satisfaction. Due to the scarcity of existing knowledge on variables affecting parental satisfaction with telerehabilitation services for children with disabilities, several articles reported a high level of parents’ satisfaction whose children received remote therapy intervention ( Hinton et al, 2017 ; Assenza et al, 2020 ; Camden et al, 2020 ; Sanders et al, 2020 ; Tanner et al, 2020 ; Caprì et al, 2021 ). Although the literature in this field is growing, parental satisfaction with physical telerehabilitation services with children with severe developmental disabilities was only rarely explored and, to the authors’ knowledge, only one article explored this variable in parents of children with RTT with an exclusive focus on the quantitative point of view ( Romano et al, 2021 ).…”

Section: Introductionmentioning

confidence: 99%

Skype Supervised, Individualized, Home-Based Rehabilitation Programs for Individuals With Rett Syndrome and Their Families – Parental Satisfaction and Point of View

Lotan

Ippolito²,

Favetta

et al. 2021

Front. Psychol.

View full text Add to dashboard Cite

Individuals with Rett syndrome (RTT) experience impaired gross motor skills limiting their capacity. Therefore, they need support to participate in physical activities, and it is crucial to work with primary caregivers when developing appropriate strategies, thereby leading to an active lifestyle. There is limited evidence supporting the effectiveness of remotely supported physical activity interventions. This project aimed to evaluate the effects of a skype-based, telehealth-delivered physical activity program carried out by participants’ parents at home. This article will focus on parental points of view. A mixed-methods design evaluating parental satisfaction was conducted. Forty participants with a confirmed genetic diagnosis of RTT and their families were recruited. The intervention included a 12-week individualized daily physical activity program carried out by participants’ parents and bi-weekly supervised by expert therapists. Parents’ impressions and feelings related to the program implementation were collected throughout semi-structured interviews, and an ad hoc developed questionnaire and discussed. The current project results suggest that a remote physical rehabilitation program, supported fortnightly by video calls, represents an effective way of conducting a remote physical therapy intervention for this population and that it can be easily carried out at home by primary caregivers, promoting positive functional changes, without bringing feelings of frustration due to the required workload. The strategies that families have learned during the program to support the motor activities of their daughters represent an easily performed set of tools that they can maintain and use in everyday life even after the cessation of the program.

show abstract

Section: Introductionmentioning

confidence: 99%

Skype Supervised, Individualized, Home-Based Rehabilitation Programs for Individuals With Rett Syndrome and Their Families – Parental Satisfaction and Point of View

Lotan

Ippolito²,

Favetta

et al. 2021

Front. Psychol.

View full text Add to dashboard Cite

show abstract

“…However, the use of monitors for the upper limb treatment after stroke are less common. Sanders et al [ 29 ] used a grip sensor integrated with a musical computer game (MusicGlove) to encourage hand use after stroke. Da-Silva et al [ 10 ] showed preliminary results on using a wrist-worn accelerometer which vibrated when arm activity levels were low.…”

Section: Discussionmentioning

confidence: 99%

Virtual Arm Boot Camp (V-ABC): study protocol for a mixed-methods study to increase upper limb recovery after stroke with an intensive program coupled with a grasp count device

Simpson

Barclay

Bayley

et al. 2022

Trials

View full text Add to dashboard Cite

Background Encouraging upper limb use and increasing intensity of practice in rehabilitation are two important goals for optimizing upper limb recovery post stroke. Feedback from novel wearable sensors may influence practice behaviour to promote achieving these goals. A wearable sensor can potentially be used in conjunction with a virtually monitored home program for greater patient convenience, or due to restrictions that preclude in-person visits, such as COVID-19. This trial aims to (1) determine the efficacy of a virtual behaviour change program that relies on feedback from a custom wearable sensor to increase use and function of the upper limb post stroke; and (2) explore the experiences and perceptions of using a program coupled with wearable sensors to increase arm use from the perspective of people with stroke. Methods This mixed-methods study will utilize a prospective controlled trial with random allocation to immediate or 3-week delayed entry to determine the efficacy of a 3-week behaviour change program with a nested qualitative description study. The intervention, the Virtual Arm Boot Camp (V-ABC) features feedback from a wearable device, which is intended to increase upper limb use post stroke, as well as 6 virtual sessions with a therapist. Sixty-four adults within 1-year post stroke onset will be recruited from seven rehabilitation centres. All outcomes will be collected virtually. The primary outcome measure is upper limb use measured by grasp counts over 3 days from the wearable sensor (TENZR) after the 3-week intervention. Secondary outcomes include upper limb function (Arm Capacity and Movement Test) and self-reported function (Hand Function and Strength subscale from the Stroke Impact Scale). Outcome data will be collected at baseline, post-intervention and at 2 months retention. The qualitative component will explore the experiences and acceptability of using a home program with a wearable sensor for increasing arm use from the point of view of individuals with stroke. Semi-structured interviews will be conducted with participants after they have experienced the intervention. Qualitative data will be analysed using content analysis. Discussion This study will provide novel information regarding the efficacy and acceptability of virtually delivered programs to improve upper extremity recovery, and the use of wearable sensors to assist with behaviour change. Trial registration ClinicalTrials.govNCT04232163. January 18, 2020.

show abstract

“…Persons with a stroke engaging in technology-aided home rehabilitation seem to intuit this principle. In a recent study of a wearable sensing glove for practicing finger dexterity, home users tended to select difficulty parameters so that they practiced the game at a high success rate (near 90%) ( 32 ). To achieve this, they adjusted difficulty up and down based on their recent experience of success or failure.…”

Section: Discussionmentioning

confidence: 99%

Using Large-Scale Sensor Data to Test Factors Predictive of Perseverance in Home Movement Rehabilitation: Optimal Challenge and Steady Engagement

et al. 2022

Self Cite

View full text Add to dashboard Cite

Persevering with home rehabilitation exercise is a struggle for millions of people in the US each year. A key factor that may influence motivation to engage with rehabilitation exercise is the challenge level of the assigned exercises, but this hypothesis is currently supported only by subjective, self-report. Here, we studied the relationship between challenge level and perseverance using long-term, self-determined exercise patterns of a large number of individuals (N = 2,581) engaging in home rehabilitation with a sensor-based exercise system without formal supervision. FitMi is comprised of two puck-like sensors and a library of 40 gamified exercises for the hands, arms, trunk, and legs that are designed for people recovering from a stroke. We found that individuals showed the greatest perseverance with the system over a 2-month period if they had (1) a moderate level of motor impairment and (2) high but not perfect success during the 1st week at completing the exercise game. Further, a steady usage pattern (vs. accelerating or decelerating use) was associated with more overall exercise, and declines in exercise amount over time were associated with exponentially declining session initiation probability rather than decreasing amounts of exercise once a session was initiated. These findings confirm that an optimized challenge level and regular initiation of exercise sessions predict achievement of a greater amount of overall rehabilitation exercise in a group of users of commercial home rehabilitation technology and suggest how home rehabilitation programs and exercise technologies can be optimized to promote perseverance.

show abstract

Feasibility of Wearable Sensing for In-Home Finger Rehabilitation Early After Stroke

Cited by 29 publications

References 44 publications

Skype Supervised, Individualized, Home-Based Rehabilitation Programs for Individuals With Rett Syndrome and Their Families – Parental Satisfaction and Point of View

Skype Supervised, Individualized, Home-Based Rehabilitation Programs for Individuals With Rett Syndrome and Their Families – Parental Satisfaction and Point of View

Virtual Arm Boot Camp (V-ABC): study protocol for a mixed-methods study to increase upper limb recovery after stroke with an intensive program coupled with a grasp count device

Using Large-Scale Sensor Data to Test Factors Predictive of Perseverance in Home Movement Rehabilitation: Optimal Challenge and Steady Engagement

Contact Info

Product

Resources

About