Show simple item record

dc.contributor.authorNijenhuis, S.M.*
dc.contributor.authorPrange, G.B.*
dc.contributor.authorAmirabdollahian, F.*
dc.contributor.authorSale, P.*
dc.contributor.authorInfarinato, F.*
dc.contributor.authorNasr, N.*
dc.contributor.authorMountain, Gail*
dc.contributor.authorHermens, H.J.*
dc.contributor.authorStienen, A.H.A.*
dc.contributor.authorBuurke, J.H.*
dc.contributor.authorRietman, J.S.*
dc.date.accessioned2016-12-21T12:04:41Z
dc.date.available2016-12-21T12:04:41Z
dc.date.issued2015-10-09
dc.identifier.citationNijenhuis SM, Prange GB, Amirabdollahian F et al (2015) Feasibility study into selfadministered training at home using an arm and hand device with motivational gaming environment in chronic state. Journal of NeuroEngineering and Rehabilitation. 12(1): 89.en_US
dc.identifier.urihttp://hdl.handle.net/10454/11020
dc.descriptionYesen_US
dc.description.abstractBackground: Assistive and robotic training devices are increasingly used for rehabilitation of the hemiparetic arm after stroke, although applications for the wrist and hand are trailing behind. Furthermore, applying a training device in domestic settings may enable an increased training dose of functional arm and hand training. The objective of this study was to assess the feasibility and potential clinical changes associated with a technology-supported arm and hand training system at home for patients with chronic stroke. Methods: A dynamic wrist and hand orthosis was combined with a remotely monitored user interface with motivational gaming environment for self-administered training at home. Twenty-four chronic stroke patients with impaired arm/hand function were recruited to use the training system at home for six weeks. Evaluation of feasibility involved training duration, usability and motivation. Clinical outcomes on arm/hand function, activity and participation were assessed before and after six weeks of training and at two-month follow-up. Results: Mean System Usability Scale score was 69 % (SD 17 %), mean Intrinsic Motivation Inventory score was 5.2 (SD 0.9) points, and mean training duration per week was 105 (SD 66) minutes. Median Fugl-Meyer score improved from 37 (IQR 30) pre-training to 41 (IQR 32) post-training and was sustained at two-month follow-up (40 (IQR 32)). The Stroke Impact Scale improved from 56.3 (SD 13.2) pre-training to 60.0 (SD 13.9) post-training, with a trend at follow-up (59.8 (SD 15.2)). No significant improvements were found on the Action Research Arm Test and Motor Activity Log. Conclusions: Remotely monitored post-stroke training at home applying gaming exercises while physically supporting the wrist and hand showed to be feasible: participants were able and motivated to use the training system independently at home. Usability shows potential, although several usability issues need further attention. Upper extremity function and quality of life improved after training, although dexterity did not. These findings indicate that home-based arm and hand training with physical support from a dynamic orthosis is a feasible tool to enable self-administered practice at home. Such an approach enables practice without dependence on therapist availability, allowing an increase in training dose with respect to treatment in supervised settings.en_US
dc.description.sponsorshipThe SCRIPT (Supervised Care & Rehabilitation Involving Personal Telerobotics) project was partly funded by the European Commission Seventh Framework Program under grant agreement no. FP7-ICT-288698.en_US
dc.language.isoenen_US
dc.relation.isreferencedbyhttp://dx.doi.org/10.1186/s12984-015-0080-yen_US
dc.rights© 2015 Nijenhuis et al. Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.en_US
dc.subjectStroke; Dynamic orthotic device; Upper extremity; Telemedicine; Home training; Rehabilitation gamesen_US
dc.titleFeasibility study into self-administered training at home using an arm and hand device with motivational gaming environment in chronic strokeen_US
dc.status.refereedYesen_US
dc.date.Accepted2015-09-28
dc.typeArticleen_US
dc.type.versionPublished versionen_US
refterms.dateFOA2018-07-27T02:06:54Z


Item file(s)

Thumbnail
Name:
Mountain_Journal_of_Neuroengin ...
Size:
2.486Mb
Format:
PDF

This item appears in the following Collection(s)

Show simple item record