Task-oriented arm training for stroke patients based on remote handling technology concepts: A feasibility study.

Autor: Elmanowski J; Department of Rehabilitation Medicine, Care and Public Health Research Institute, Maastricht University, Maastricht, The Netherlands.; Adelante Centre of Expertise in Rehabilitation and Audiology, Hoensbroek, The Netherlands.; Adelante Rehabilitation Centre, Hoensbroek, The Netherlands., Kleynen M; Research Centre for Nutrition, Lifestyle and Exercise, Faculty of Health, Zuyd University of Applied Sciences, Heerlen, The Netherlands., Geers RPJ; Adelante Centre of Expertise in Rehabilitation and Audiology, Hoensbroek, The Netherlands., Rovelo-Ruiz G; Expertise Centre for Digital Media, Hasselt University - tUL - Flanders Make, Diepenbeek, Belgium., Geurts E; Expertise Centre for Digital Media, Hasselt University - tUL - Flanders Make, Diepenbeek, Belgium., Coninx K; HCI and eHealth, Faculty of Sciences, Hasselt University, Diepenbeek, Belgium., Verbunt JA; Department of Rehabilitation Medicine, Care and Public Health Research Institute, Maastricht University, Maastricht, The Netherlands.; Adelante Centre of Expertise in Rehabilitation and Audiology, Hoensbroek, The Netherlands., Seelen HAM; Department of Rehabilitation Medicine, Care and Public Health Research Institute, Maastricht University, Maastricht, The Netherlands.; Adelante Centre of Expertise in Rehabilitation and Audiology, Hoensbroek, The Netherlands.
Jazyk: angličtina
Zdroj: Technology and health care : official journal of the European Society for Engineering and Medicine [Technol Health Care] 2023; Vol. 31 (5), pp. 1593-1605.
DOI: 10.3233/THC-220465
Abstrakt: Background: Improving arm-hand skill performance is a major therapeutic target in stroke rehabilitation. Arm-hand rehabilitation may be enriched in content and variation by using technology-assisted training. Especially for people with a severely affected arm, technology-assisted training offers more challenging training possibilities.
Objective: The aim of this study was to explore the feasibility of ReHab-TOAT, a "Remote Handling Based Task-Oriented Arm Training" approach featuring enriched haptic feedback aimed at improving daily activities and participation.
Methods: Five subacute or chronic stroke patients suffering moderate to severe arm-hand impairments and five rehabilitation therapists participated. All participants received 2 ReHab-TOAT sessions. Outcome measure was a bespoke feasibility questionnaire on user experiences and satisfaction regarding 'motivation', 'individualization of training', 'potential training effects', and 'implementation in rehabilitation' of patients and therapists.
Results: Both patients and therapists experienced ReHab-TOAT as being feasible. They found ReHab-TOAT very motivating and challenging. All patients perceived an added value of ReHab-TOAT and would continue the training. Small improvements regarding exercise variability were suggested.
Conclusion: ReHab-TOAT seems to be a feasible and very promising training approach for arm-hand rehabilitation of stroke patients with a moderately or severely affected arm. Further research is necessary to investigate potential training effects of ReHab-TOAT.
Databáze: MEDLINE
Externí odkaz:
Nepřihlášeným uživatelům se plný text nezobrazuje