Home rehabilitation supported by a wearable soft-robotic device for improving hand function in older adults: A pilot randomized controlled trial

Autor: Gerdienke B. Prange-Lasonder, Bob Radder, Alejandro Melendez-Calderon, Thomas J. Meyer, Kristin Sletta, A.I.R. Kottink, Manon van Dijk, Johan S. Rietman, J. Holmberg, Jaap H. Buurke
Přispěvatelé: Biomechanical Engineering
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Male
Aging
030506 rehabilitation
Activities of daily living
Wearable computer
Hands
Pilot Projects
law.invention
Grip strength
Elderly
0302 clinical medicine
Randomized controlled trial
law
Activities of Daily Living
Medicine and Health Sciences
Medicine
Biomechanics
Musculoskeletal System
Aged
80 and over
Multidisciplinary
Hand Strength
System usability scale
Rehabilitation
Robotics
Middle Aged
Exercise Therapy
Test (assessment)
Arms
Engineering and Technology
Female
Anatomy
0305 other medical science
Research Article
Biotechnology
medicine.medical_specialty
Science
Bioengineering
Pinch Strength
Fingers
Wearable Electronic Devices
03 medical and health sciences
Physical medicine and rehabilitation
Complementary and Alternative Medicine
Hand strength
Humans
Aged
business.industry
Mechanical Engineering
Biology and Life Sciences
Self-Help Devices
Health Care
Age Groups
Body Limbs
People and Places
Quality of Life
Population Groupings
Medical Devices and Equipment
business
030217 neurology & neurosurgery
Zdroj: PLoS ONE, Vol 14, Iss 8, p e0220544 (2019)
PLoS ONE
PLoS ONE, 14(8):e0220544. Public Library of Science
ISSN: 1932-6203
Popis: BackgroundNew developments, based on the concept of wearable soft-robotic devices, make it possible to support impaired hand function during the performance of daily activities and intensive task-specific training. The wearable soft-robotic ironHand glove is such a system that supports grip strength during the performance of daily activities and hand training exercises at home.DesignThis pilot randomized controlled clinical study explored the effect of prolonged use of the assistive ironHand glove during daily activities at home, in comparison to its use as a trainings tool at home, on functional performance of the hand.MethodsIn total, 91 older adults with self-perceived decline of hand function participated in this study. They were randomly assigned to a 4-weeks intervention of either assistive or therapeutic ironHand use, or control group (received no additional exercise or treatment). All participants performed a maximal pinch grip test, Box and Blocks test (BBT), Jebsen-Taylor Hand Function Test (JTHFT) at baseline and after 4-weeks of intervention. Only participants of the assistive and therapeutic group completed the System Usability Scale (SUS) after the intervention period.ResultsParticipants of the assistive and therapeutic group reported high scores on the SUS (mean = 73, SEM = 2). The therapeutic group showed improvements in unsupported handgrip strength (mean Δ = 3) and pinch strength (mean Δ = 0.5) after 4 weeks of ironHand use (p≤0.039). Scores on the BBT and JTHFT improved not only after 4 weeks of ironHand use (assistive and therapeutic), but also in the control group. Only handgrip strength improved more in the therapeutic group compared to the assistive and control group. No significant correlations were found between changes in performance and assistive or therapeutic ironHand use (p≥0.062).ConclusionThis study showed that support of the wearable soft-robotic ironHand system either as assistive device or as training tool may be a promising way to counter functional hand function decline associated with ageing.
Databáze: OpenAIRE
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