Yes / Changes in world-wide population trends have provided new demands for new technologies in areas
such as care and rehabilitation. Recent developments in the the field of robotics for neurorehabilitation
have shown a range of evidence regarding usefulness of these technologies as a tool to augment
traditional physiotherapy. Part of the appeal for these technologies is the possibility to place a
rehabilitative tool in one’s home, providing a chance for more frequent and accessible technologies
for empowering individuals to be in charge of their therapy.
this manuscript introduces the Supervised Care and Rehabilitation Involving Personal
Tele-robotics (SCRIPT) project. The main goal is to demonstrate design and development steps
involved in a complex intervention, while examining feasibility of using an instrumented orthotic
device for home-based rehabilitation after stroke.
Methods: the project uses a user-centred design methodology to develop a hand/wrist
rehabilitation device for home-based therapy after stroke. The patient benefits from a dedicated
user interface that allows them to receive feedback on exercise as well as communicating with
the health-care professional. The health-care professional is able to use a dedicated interface
to send/receive communications and remote-manage patient’s exercise routine using provided
performance benchmarks. Patients were involved in a feasibility study (n=23) and were instructed to
use the device and its interactive games for 180 min per week, around 30 min per day, for a period of
6 weeks, with a 2-months follow up. At the time of this study, only 12 of these patients have finished
their 6 weeks trial plus 2 months follow up evaluation.
Results: with the “use feasibility” as objective, our results indicate 2 patients dropping out due
to technical difficulty or lack of personal interests to continue. Our frequency of use results indicate
that on average, patients used the SCRIPT1 device around 14 min of self-administered therapy a day.
The group average for the system usability scale was around 69% supporting system usability.
Conclusions: based on the preliminary results, it is evident that stroke patients were able to use the
system in their homes. An average of 14 min a day engagement mediated via three interactive games
is promising, given the chronic stage of stroke. During the 2nd year of the project, 6 additional games
with more functional relevance in their interaction have been designed to allow for a more variant context for interaction with the system, thus hoping to positively influence the exercise duration.
The system usability was tested and provided supporting evidence for this parameter. Additional
improvements to the system are planned based on formative feedback throughout the project and
during the evaluations. These include a new orthosis that allows a more active control of the amount
of assistance and resistance provided, thus aiming to provide a more challenging interaction. / This work has been partially funded under Grant FP7-ICT-288698(SCRIPT) of the European Community Seventh Framework Programme.
| Identifer | oai:union.ndltd.org:BRADFORD/oai:bradscholars.brad.ac.uk:10454/11009 |
| Date | 23 September 2014 |
| Creators | Amirabdollahian, F., Ates, S., Basteris, A., Cesario, A., Buurke, J.H., Hermens, H.J., Hofs, D., Johansson, E., Mountain, Gail, Nasr, N., Nijenhuis, S.M., Prange, G.B., Rahman, N., Sale, P., Schatzlein, F., van Schooten, B., Stienen, A.H.A. |
| Source Sets | Bradford Scholars |
| Language | English |
| Detected Language | English |
| Type | Article, Published version |
| Rights | © Cambridge University Press 2014. This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/3.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited. |
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