Movement Reminders to Encourage Arm Use During Daily Life in Stroke Patients

Mayrhuber, Laura; Lestoille, Mathilde; Andres, Sebastian D.; Held, Jeremia P. O.; Luft, Andreas R.; Ryser, Franziska; Gassert, Roger; Easthope, Chris Awai; Lambercy, Olivier

doi:10.1109/icorr58425.2023.10304727

Cited by 4 publications

(2 citation statements)

References 26 publications

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“…Furthermore, we did not provide specific recommendations on how much to train with the device, in an attempt to evaluate the real willingness to engage in unsupervised therapy. It could be expected that the achieved dose of unsupervised robot-assisted therapy could be further increased by setting daily targets and providing feedback or reminders when targets are not reached [ 35 ].…”

Section: Discussionmentioning

confidence: 99%

Unsupervised robot-assisted rehabilitation after stroke: feasibility, effect on therapy dose, and user experience

Devittori,

Dinacci,

Romiti

et al. 2024

J NeuroEngineering Rehabil

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Background Unsupervised robot-assisted rehabilitation is a promising approach to increase the dose of therapy after stroke, which may help promote sensorimotor recovery without requiring significant additional resources and manpower. However, the unsupervised use of robotic technologies is not yet a standard, as rehabilitation robots often show low usability or are considered unsafe to be used by patients independently. In this paper we explore the feasibility of unsupervised therapy with an upper limb rehabilitation robot in a clinical setting, evaluate the effect on the overall therapy dose, and assess user experience during unsupervised use of the robot and its usability. Methods Subacute stroke patients underwent a four-week protocol composed of daily 45 min-sessions of robot-assisted therapy. The first week consisted of supervised therapy, where a therapist explained how to interact with the device. The second week was minimally supervised, i.e., the therapist was present but intervened only if needed. After this phase, if participants learnt how to use the device, they proceeded to two weeks of fully unsupervised training. Feasibility, dose of robot-assisted therapy achieved during unsupervised use, user experience, and usability of the device were evaluated. Questionnaires to evaluate usability and user experience were performed after the minimally supervised week and at the end of the study, to evaluate the impact of therapists’ absence. Results Unsupervised robot-assisted therapy was found to be feasible, as 12 out of the 13 recruited participants could progress to unsupervised training. During the two weeks of unsupervised therapy participants on average performed an additional 360 min of robot-assisted rehabilitation. Participants were satisfied with the device usability (mean System Usability Scale scores > 79), and no adverse events or device deficiencies occurred. Conclusions We demonstrated that unsupervised robot-assisted therapy in a clinical setting with an actuated device for the upper limb was feasible and can lead to a meaningful increase in therapy dose. These results support the application of unsupervised robot-assisted therapy as a complement to usual care in clinical settings and pave the way to its application in home settings. Trial registration Registered on 13.05.2020 on clinicaltrials.gov (NCT04388891).

show abstract

Section: Discussionmentioning

confidence: 99%

Unsupervised robot-assisted rehabilitation after stroke: feasibility, effect on therapy dose, and user experience

Devittori,

Dinacci,

Romiti

et al. 2024

J NeuroEngineering Rehabil

View full text Add to dashboard Cite

show abstract

“…Furthermore, we did not provide speci c recommendations on how much to train with the device, in an attempt to evaluate the real willingness to engage in unsupervised therapy. It could be expected that the achieved dose of unsupervised robot-assisted therapy could be further increased by setting daily targets and providing feedback or reminders when targets are not reached (35).…”

Section: Unsupervised Robot-assisted Rehabilitationmentioning

confidence: 99%

Unsupervised robot-assisted rehabilitation after stroke: feasibility, effect on therapy dose, and user experience

Devittori,

Dinacci,

Romiti

et al. 2023

Preprint

Self Cite

View full text Add to dashboard Cite

Background Unsupervised robot-assisted rehabilitation is a promising approach to increase the dose of therapy after stroke, which may help promote sensorimotor recovery without requiring significant additional resources and manpower. However, the unsupervised use of robotic technologies is not yet a standard, as rehabilitation robots often show low usability or are considered unsafe to be used by patients independently. In this paper we explore the feasibility of unsupervised therapy with an upper limb rehabilitation robot in a clinical setting, evaluate the effect on the overall therapy dose, and assess user experience during unsupervised use of the robot and its usability. Methods Subacute stroke patients underwent a four-week protocol composed of daily 45 minutes-sessions of robot-assisted therapy. The first week consisted of supervised therapy, where a therapist explained how to interact with the device. The second week was minimally supervised, i.e., the therapist was present but intervened only if needed. After this phase, if participants learnt how to use the device, they proceeded to two weeks of fully unsupervised training. Feasibility, dose of robot-assisted therapy achieved during unsupervised use, user experience, and usability of the device were the primary outcome measures. Questionnaires to evaluate usability and user experience were performed after the minimally supervised week and at the end of the study, to evaluate the impact of therapists’ absence. Results Unsupervised robot-assisted therapy was found to be feasible, as 12 out of the 13 recruited participants could progress to unsupervised training. During the two weeks of unsupervised therapy participants on average performed an additional 360 minutes of robot-assisted rehabilitation. Participants were satisfied with the device usability (mean System Usability Scale scores > 79), and no adverse events or device deficiencies occurred. Conclusions We demonstrated that unsupervised robot-assisted therapy in a clinical setting with an actuated device for the upper limb was feasible and can lead to a meaningful increase in therapy dose. Trial registration Registered on 13.05.2020 on clinicaltrials.gov (NCT04388891).

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Encouraging arm use in stroke survivors: the impact of smart reminders during a home-based intervention

Mayrhuber,

Andres,

Legrand

et al. 2024

J NeuroEngineering Rehabil

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Movement Reminders to Encourage Arm Use During Daily Life in Stroke Patients

Cited by 4 publications

References 26 publications

Unsupervised robot-assisted rehabilitation after stroke: feasibility, effect on therapy dose, and user experience

Unsupervised robot-assisted rehabilitation after stroke: feasibility, effect on therapy dose, and user experience

Unsupervised robot-assisted rehabilitation after stroke: feasibility, effect on therapy dose, and user experience

Encouraging arm use in stroke survivors: the impact of smart reminders during a home-based intervention

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