Motivating Stroke Rehabilitation Through Music

Abstract

How to motivate and support behaviour change through design is becoming of increasing interest to the CHI community. In this paper, we present our experiences of building systems that motivate people to engage in upper limb rehabilitation exercise after stroke. We report on participatory design work with four stroke survivors to develop a holistic understanding of their motivation and rehabilitation needs, and to construct and deploy engaging interactive systems that satisfy these. We reflect on the limits of motivational theories in trying to design for the lived experience of motivation and highlight lessons learnt around: helping people articulate what motivates them; balancing work, duty, fun; supporting motivation over time; and understanding the wider social context. From these we identify design guidelines that can inform a toolkit approach to support both scalability and personalisability.

Home-based technologies for stroke rehabilitation: A systematic review

“…The included articles were published between 2004 and 2017. They represented 25 projects: 14 [22][23][24][25][26][27][28][29][30][31][32][33][34][35][36] conducted in the United States, 12 [37][38][39][40][41][42][43][44][45][46][47][48][49][50][51][52][53] in Europe (including the United Kingdom, Sweden, Italy, Switzerland, the Netherland), 1 54 in New Zealand, and 1 55 in China. The following types of technologies emerge in the articles: games (14 projects), telerehabilitation (8 projects), robotic devices (7 projects), virtual reality (6 projects), wearable sensors (4 projects), and tablets (2 projects).…”

“…Tablets 38,39 mainly refer to mobile devices such as tablet PCs and iPads. Digital Music Instruments 37 leverages an iPad app to sync users' performance when using the digital drum pads to exercise the hand and the arm.…”

“…Digital Music Instruments 37 leverages an iPad app to sync users' performance when using the digital drum pads to exercise the hand and the arm. In Rehab Reader 39 , a tablet PC was used to help patients conduct exercises while reading novels; and the Ball Funnel 38 system used a tablet PC to display the exercises to patients. Tablets provide a commercially available and relatively affordable form of technology that allows users to directly interact with and connect with sensors 57 .…”

“…Two studies adopted a qualitative design to evaluate the subjective feedback of the systems 24,32,39 . A mixed methods design that combines both quantitative and qualitative evaluation was used in 10 projects 23,26,[28][29][30]38,43,46,49,50…”

“…Overall, the quantitative and qualitative findings of the studies show that home-based technologies offered unique opportunities and benefits to deliver rehabilitation to patients at home. First, some studies found that users had improved motor skills after the intervention 24,[27][28][29][30][33][34][35][37][38][39][40]46,48,53,54 and that home-based rehabilitation technologies offer equivalent quality as conventional therapies 55 . In the 12-week study by Chen et al 55 , both the home based telerehabilitation and conventional rehabilitation groups demonstrated significant effects within groups with three time points in increasing Modified Barthel Index, Berg Balance Scale.…”