Feasibility of a second iteration wrist and hand supported training system for self-administered training at home in chronic stroke

Sharon M. Nijenhuis, Gerdienke B. Prange-Lasonder, Farshid Amirabdollahian, Francesco Infarinato, Jaap H. Buurke, Johan S Rietman

Research output: Chapter in Book/Report/Conference proceedingConference contribution

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Abstract

Telerehabilitation allows continued rehabilitation at
home after discharge. The use of rehabilitation technology
supporting wrist and hand movements within a motivational
gaming environment could enable patients to train
independently and ultimately serve as a way to increase the
dosage of practice. This has been previously examined in the
European SCRIPT project using a first prototype, showing
potential feasibility, although several usability issues needed
further attention. The current study examined feasibility and
clinical changes of a second iteration training system, involving
an updated wrist and hand supporting orthosis and larger
variety of games with respect to the first iteration. Nine
chronic stroke patients with impaired arm and hand function
were recruited to use the training system at home for six
weeks. Evaluation of feasibility and arm and hand function
were assessed before and after training. Median weekly
training duration was 113 minutes. Participants accepted the
six weeks of training (median Intrinsic Motivation Inventory =
4.4 points and median System Usability Scale = 73%). After
training, significant improvements were found for the Fugl Meyer
assessment, Action Research Arm Test and self-perceived
amount of arm and hand use in daily life. These
findings indicate that technology-supported arm and hand
training can be a promising tool for self-administered practice
at home after stroke.
Original languageEnglish
Title of host publicationThe Eighth International Conference on eHealth, Telemedicine, and Social Medicine
PublisherIARIA XPS Press
ISBN (Print)978-1-61208-470-1
Publication statusPublished - 24 Apr 2016
EventThe Eighth International Conference on eHealth, Telemedicine, and Social Medicine - Venice, Italy
Duration: 24 Apr 201628 Apr 2016
https://www.iaria.org/conferences2016/eTELEMED16.html

Conference

ConferenceThe Eighth International Conference on eHealth, Telemedicine, and Social Medicine
Abbreviated titleeTELEMED 2016
Country/TerritoryItaly
CityVenice
Period24/04/1628/04/16
Internet address

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