Journal of Rehabilitation and Assistive Technologies Engineering最新文献

{"title":"Prosthesis preferences for those with upper limb loss: Discrete choice study of PULLTY® for use in regulatory decisions.","authors":"Leslie Wilson,&nbsp;Dan Dohan,&nbsp;Matthew Garibaldi,&nbsp;David Szeto,&nbsp;Molly Timmerman,&nbsp;Johnny Matheny","doi":"10.1177/20556683231152418","DOIUrl":"https://doi.org/10.1177/20556683231152418","url":null,"abstract":"<p><strong>Introduction: </strong>The patient's voice in shared decision-making has progressed from physician's office to regulatory decision-making for medical devices with FDA's Patient Preference Initiative. A discrete-choice preference measure for upper limb prosthetic devices was developed to investigate patient's risk/benefit preference choices for regulatory decision making.</p><p><strong>Methods: </strong>Rapid ethnographic procedures were used to design a discrete-choice measure describing risk and benefits of osseointegration with myoelectric control and test in a pilot preference study in adults with upper limb loss. Primary outcome is utility of each choice based conjoint (CBC) attribute using mixed-effects regression. Utilities with and without video, and between genders were compared.</p><p><strong>Results: </strong>Strongest negative preference was for avoiding infection risk (B = -1.77, <i>p</i> < 0.001) and chance of daily pain (B = -1.22, <i>p</i>, 0.001). Strongest positive preference was for attaining complete independence when cooking dinner (B = 1.62, <i>p</i> < 0.001) and smooth grip patterns at all levels (B = 1.62, B = 1.28, B = 1.26, <i>p</i> < 0.001). Trade-offs showed a 1% increase in risk of serious/treatable infection resulted in a 1.77 decrease in relative preference. There were gender differences, and where video was used, preferences were stronger.</p><p><strong>Conclusions: </strong>Strongest preferences were for attributes of functionality and independence versus connectedness and sensation but showed willingness to make risk-benefit trade-offs. Findings provide valuable information for regulatory benefit-risk decisions for prosthetic device innovations.</p><p><strong>Trial registration: </strong>This study is not a clinical trial reporting results of a health care intervention so is not registered.</p>","PeriodicalId":43319,"journal":{"name":"Journal of Rehabilitation and Assistive Technologies Engineering","volume":"10 ","pages":"20556683231152418"},"PeriodicalIF":2.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d1/75/10.1177_20556683231152418.PMC9869218.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10620857","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The design of a family of parametric anatomically-based compliant buttock models to evaluate wheelchair cushion performance.","authors":"Stephen Sprigle,&nbsp;Yogesh Deshpande,&nbsp;Chris Bartlett","doi":"10.1177/20556683231182324","DOIUrl":"https://doi.org/10.1177/20556683231182324","url":null,"abstract":"<p><p>The evaluation of wheelchair cushion performance is of interest to a variety of stakeholders, including standards organizations, cushion manufacturers, clinicians, users and payers. The objective of this project was to develop a family of compliant buttock models that are based upon the anatomical parameters of persons with varying body sizes. The models are parametrically designed so can be scaled to evaluate different sized cushions. This paper will detail the designs, describe the anatomical basis for the design and provide the rationale for the design decisions. The manuscript also serves a secondary purpose to illustrate how anthropometric data can be applied to the design of anatomical phantoms that reflect both soft tissue and skeletal anthropometry. Supplemental material includes greater detail and the full CAD files and model fabrication instructions are available in an open access repository for persons who wish to fabricate the models.</p>","PeriodicalId":43319,"journal":{"name":"Journal of Rehabilitation and Assistive Technologies Engineering","volume":"10 ","pages":"20556683231182324"},"PeriodicalIF":2.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ee/80/10.1177_20556683231182324.PMC10262629.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10302157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A pilot case series for concurrent validation of inertial measurement units to motion capture in individuals who use unilateral lower-limb prostheses.","authors":"M G Finco,&nbsp;Rita M Patterson,&nbsp;Sarah C Moudy","doi":"10.1177/20556683231182322","DOIUrl":"https://doi.org/10.1177/20556683231182322","url":null,"abstract":"<p><strong>Introduction: </strong>Inertial measurement units (IMUs) may be viable options to collect gait data in clinics. This study compared IMU to motion capture data in individuals who use unilateral lower-limb prostheses.</p><p><strong>Methods: </strong>Participants walked with lower-body IMUs and reflective markers in a motion analysis space. Sagittal plane hip, knee, and ankle waveforms were extracted for the entire gait cycle. Discrete points of peak flexion, peak extension, and range of motion were extracted from the waveforms. Stance times were also extracted to assess the IMU software's accuracy at detecting gait events. IMU and motion capture-derived data were compared using absolute differences and root mean square error (RMSE).</p><p><strong>Results: </strong>Five individuals (<i>n</i> = 3 transtibial; <i>n</i> = 2 transfemoral) participated. IMU prosthetic limb data was similar to motion capture (RMSE: waveform ≤4.65°; discrete point ≤9.04°; stance ≤0.03s). However, one transfemoral participant had larger differences at the microprocessor knee joint (RMSE: waveform ≤15.64°; discrete ≤29.21°) from IMU magnetometer interference. Intact limbs tended to have minimal differences between IMU and motion capture data (RMSE: waveform ≤6.33°; discrete ≤9.87°; stance ≤0.04s).</p><p><strong>Conclusion: </strong>Findings from this pilot study suggest IMUs have the potential to collect data similar to motion capture systems in sagittal plane kinematics and stance time.</p>","PeriodicalId":43319,"journal":{"name":"Journal of Rehabilitation and Assistive Technologies Engineering","volume":"10 ","pages":"20556683231182322"},"PeriodicalIF":2.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/10/d4/10.1177_20556683231182322.PMC10334000.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10665295","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Inclusive design in electrical stimulation technologies and neurorehabilitation for clinician and patient end users.","authors":"Tamsyn Street","doi":"10.1177/20556683231200181","DOIUrl":"https://doi.org/10.1177/20556683231200181","url":null,"abstract":"<p><p>Dr. Tamsyn Street is an interdisciplinary researcher working for the National Health Service (NHS) in the UK with a background in motor neurorehabilitation. In the last couple of decades there has been a rapid advancement in assistive technology solutions using electrical stimulation for neurorehabilitation. This editorial examines whether these advancements have translated into good inclusive design performance for clinician and patient end users. Suggestions for overcoming some of the existing challenges are proposed.</p>","PeriodicalId":43319,"journal":{"name":"Journal of Rehabilitation and Assistive Technologies Engineering","volume":"10 ","pages":"20556683231200181"},"PeriodicalIF":2.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c1/96/10.1177_20556683231200181.PMC10475221.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10305781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Electrically-evoked referred sensations induce embodiment of rubber limb.","authors":"Anthony Nguyen,&nbsp;Brooke Draggoo,&nbsp;Brooklyn Tobias,&nbsp;Payton DuBose,&nbsp;Katharine Polasek","doi":"10.1177/20556683231183633","DOIUrl":"https://doi.org/10.1177/20556683231183633","url":null,"abstract":"<p><strong>Introduction: </strong>Electrical stimulation is increasingly relevant in a variety of medical treatments. In this study, the quality of referred sensations evoked using surface electrical stimulation was evaluated using the rubber hand and foot illusions.</p><p><strong>Methods: </strong>The rubber hand and foot illusions were attempted under 4 conditions: (1) multi-location tapping; (2) one-location tapping; (3) electrical stimulation of sensation referred to the hand or foot; (4) asynchronous control. The strength of each illusion was quantified using a questionnaire and proprioceptive drift, where a stronger response suggested embodiment of the rubber limb.</p><p><strong>Results: </strong>45 able-bodied individuals and two individuals with amputations participated in this study. Overall, the illusion evoked by nerve stimulation was not as strong as illusions evoked by physically tapping but stronger than the control illusion.</p><p><strong>Conclusion: </strong>This study has found that the rubber hand and foot illusion can be performed without touching the distal limb of the participant. Electrical stimulation that produced referred sensation in the distal extremity was realistic enough to partially incorporate the rubber limb into a person's body image.</p>","PeriodicalId":43319,"journal":{"name":"Journal of Rehabilitation and Assistive Technologies Engineering","volume":"10 ","pages":"20556683231183633"},"PeriodicalIF":2.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/bb/23/10.1177_20556683231183633.PMC10328156.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10352542","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A non-volitional skeletal muscle endurance test measures functional changes associated with impaired blood flow.","authors":"Kyle J Brandenberger,&nbsp;Chris L Rawdon,&nbsp;Erica Armstrong,&nbsp;Jacob Lonowski,&nbsp;Lakee'dra Cooper","doi":"10.1177/20556683231164339","DOIUrl":"https://doi.org/10.1177/20556683231164339","url":null,"abstract":"<p><p><b>Introduction:</b> An electrically stimulated intermittent fatigue test using mechanomyography was recently proposed as a possible tool for detecting clinically relevant changes in muscle function. This study was designed to determine whether the proposed test can detect additional fatigue when it should be present. <b>Methods:</b> Subjects (<i>n</i> = 10) underwent two trials each (occluded and normal blood flow) with a standardized fatigue protocol on the Ankle Dorsiflexors (AD) and Wrist Extensors (WE) using a clinical electrical stimulator. <b>Results:</b> Mean normalized twitch acceleration was strongly predictive of mean normalized torque (<i>R</i> ² = 0.828). The WE experienced lower twitch magnitudes throughout the tourniquet trial (10.81 ± 1.25 m/s²) compared to normal blood flow (18.05 ± 1.06 m/s²). The AD twitches were overall reduced in the tourniquet trial (3.87 ± 0.48 m/s²) compared with the control trial (8.57 ± 0.91 m/s²). <b>Conclusion:</b> Occluding blood flow to a muscle should cause greater muscle fatigue. The ability to detect reduced contraction magnitudes during an electrically stimulated fatigue protocol resulting from low blood flow suggests the proposed test may be capable of detecting clinically relevant muscle deficits.</p>","PeriodicalId":43319,"journal":{"name":"Journal of Rehabilitation and Assistive Technologies Engineering","volume":"10 ","pages":"20556683231164339"},"PeriodicalIF":2.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/49/3f/10.1177_20556683231164339.PMC10074637.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9628012","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"User-centered development process of an operating interface to couple a robotic glove with a virtual environment to optimize hand rehabilitation following a stroke.","authors":"C E Proulx,&nbsp;J Higgins,&nbsp;C Vincent,&nbsp;T Vaughan,&nbsp;M Hewko,&nbsp;D H Gagnon","doi":"10.1177/20556683231166574","DOIUrl":"https://doi.org/10.1177/20556683231166574","url":null,"abstract":"<p><strong>Introduction: </strong>Task-specific neurorehabilitation is crucial to optimize hand recovery shortly after a stroke, but intensive neurorehabilitation remains limited in resource-constrained healthcare systems. This has led to a growing interest in the use of robotic gloves as an adjunct intervention to intensify hand-specific neurorehabilitation. This study aims to develop and assess the usability of an operating interface supporting such a technology coupled with a virtual environment through a user-centered design approach.</p><p><strong>Methods: </strong>Fourteen participants with hand hemiparesis following a stroke were invited to don the robotic glove before browsing through the operating interface and its functionalities, and perform two mobility exercises in a virtual environment. Feedback was collected for improving technology usability. Participants completed the System Usability Scale and ABILHAND questionnaires and their recommendations were gathered and prioritized in a Pugh Matrix.</p><p><strong>Results: </strong>The System Usability Scale (SUS) score for the operating interface was excellent (M = 87.0 SD = 11.6). A total of 74 recommendations to improve the user interface, calibration process, and exercise usability were identified.</p><p><strong>Conclusion: </strong>The application of a full cycle of user-centred design approach confirms the high level of usability of the system which is perceived by end users as acceptable and useful for intensifying neurorehabilitation.</p>","PeriodicalId":43319,"journal":{"name":"Journal of Rehabilitation and Assistive Technologies Engineering","volume":"10 ","pages":"20556683231166574"},"PeriodicalIF":2.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/2f/31/10.1177_20556683231166574.PMC10107379.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9737937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and evaluation of an efficient training program to facilitate the adoption of a novel neurorehabilitation device.","authors":"Laura M Judy,&nbsp;Corey Morrow,&nbsp;Na Jin Seo","doi":"10.1177/20556683231158552","DOIUrl":"https://doi.org/10.1177/20556683231158552","url":null,"abstract":"<p><p>Many rehabilitation devices are not adopted by therapists in practice. One major barrier is therapists' limited time and resources to get training. The objective of this study was to develop/evaluate an efficient training program for a novel rehabilitation device. The program was developed based on structured interviews with seven therapists for training preference and composed of asynchronous and in-person trainings following efficient teaching methods. The training program was evaluated for six occupational therapy doctoral students and six licensed therapists in neurorehabilitation practice. Training effectiveness was evaluated in a simulated treatment session in which 3 trainees shifted their roles among therapist applying the device, client, and peer assessor. In results, 11 of the 12 trainees passed the assessment of using the device in simulated treatment sessions. One trainee did not pass because s/he did not plug in the device to charge at the end. The in-person training fit within 1-h lunch break. All trainees perceived that they could effectively use the device in their practice and both asynchronous and in-person training easily fit into their schedule. This project serves as an example for development of an efficient and effective training program for a novel rehabilitation device to facilitate clinical adoption.</p>","PeriodicalId":43319,"journal":{"name":"Journal of Rehabilitation and Assistive Technologies Engineering","volume":"10 ","pages":"20556683231158552"},"PeriodicalIF":2.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ee/bc/10.1177_20556683231158552.PMC9932764.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10826154","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of robot-assisted arm exercise on arm and hand function in stroke survivors - A systematic review and meta-analysis.","authors":"Truls Johansen,&nbsp;Linda Sørensen,&nbsp;Knut K Kolskår,&nbsp;Vegard Strøm,&nbsp;Matthijs F Wouda","doi":"10.1177/20556683231183639","DOIUrl":"https://doi.org/10.1177/20556683231183639","url":null,"abstract":"<p><p><b>Objective:</b> To examine the treatment effect of commercially available robotic-assisted devices, compared to traditional occupational- and physiotherapy on arm and hand function in persons with stroke. <b>Methods:</b> A systematic literature search was conducted in Medline, EMBASE, CINAHL and Cochrane Central Register of Controlled Trials up to January 2022. Randomized controlled trials (RCT's) involving persons with stroke of all ages and robot-assisted exercise as method for arm and hand function, compared to traditional therapy methods were included. Three authors performed the selection independently. The quality of evidence across studies was assessed using GRADE. <b>Results:</b> Eighteen RCT's were included in the study. A random effects meta-analysis showed a statistically significantly higher treatment effect in the robotic-assisted exercise group (p=<0.0001) compared to the traditional treatment group, with a total effect size of 0.44 (CI = 0.22-0.65). Heterogeneity was high, measured with I² of 65%). Subgroup analyses showed no significant effects of the type of robotic device, treatment frequency or duration of intervention. <b>Discussion and conclusion:</b> Even though the analysis showed significant improvement in arm and hand function in favor of the robotic-assisted exercise group, the results in this systematic review should be interpreted with caution. This is due to high heterogeneity among the studies included and the presence of possible publication bias. Results of this study highlight the need for larger and more methodological robust RCT's, with a focus on reporting training intensity during robotic exercise.</p>","PeriodicalId":43319,"journal":{"name":"Journal of Rehabilitation and Assistive Technologies Engineering","volume":"10 ","pages":"20556683231183639"},"PeriodicalIF":2.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f0/66/10.1177_20556683231183639.PMC10327418.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10352541","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Customized gaming system engages young children in reaching and balance training.","authors":"Sundari Parise,&nbsp;Katharine Lee,&nbsp;Joshua Park,&nbsp;Cari Sullivan,&nbsp;Rebecca Schlesinger,&nbsp;Maggie Li,&nbsp;Samiksha Ramesh,&nbsp;Nicholas Maritato,&nbsp;Teya Bergamaschi,&nbsp;Akaash Sanyal,&nbsp;Nayo Hill,&nbsp;Amy Bastian,&nbsp;Jennifer Keller","doi":"10.1177/20556683231160675","DOIUrl":"https://doi.org/10.1177/20556683231160675","url":null,"abstract":"<p><strong>Purpose: </strong>Trunk stability, an important prerequisite for many activities of daily living, can be impaired in children with movement disorders. Current treatment options can be costly and fail to fully engage young participants. We developed an affordable, smart screen-based intervention and tested if it engages young children in physical therapy goal driven exercises.</p><p><strong>Methods: </strong>Here we describe the ADAPT system, Aiding Distanced and Accessible Physical Therapy, which is a large touch-interactive device with customizable games. One such game, \"Bubble Popper,\" encourages high repetitions of weight shifts, reaching, and balance training as the participant pops bubbles in sitting, kneeling, or standing positions.</p><p><strong>Results: </strong>Sixteen participants aged 2-18 years were tested during physical therapy sessions. The number of screen touches and length of game play indicate high participant engagement. In trials lasting less than 3 min, on average, older participants (12-18 years) made 159 screen touches per trial while the younger participants (2-7 years) made 97. In a 30-min session, on average, older participants actively played the game for 12.49 min while younger participants played for 11.22 min.</p><p><strong>Conclusion: </strong>The ADAPT system is a feasible means to engage young participants in reaching and balance training during physical therapy.</p>","PeriodicalId":43319,"journal":{"name":"Journal of Rehabilitation and Assistive Technologies Engineering","volume":"10 ","pages":"20556683231160675"},"PeriodicalIF":2.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/4b/1b/10.1177_20556683231160675.PMC9969433.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10824074","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}