Wearable vibrotactile stimulation for upper extremity rehabilitation in chronic stroke: clinical feasibility trial using the VTS Glove

Abstract Objective Evaluate the feasibility and potential impacts on hand function using a wearable stimulation device (the VTS Glove) which provides mechanical, vibratory input to the affected limb of chronic stroke survivors. Methods A double-blind, randomized, controlled feasibility study includi...

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Main Authors: Caitlyn E. Seim, Steven L. Wolf, Thad E. Starner
Format: Article
Language:English
Published: BMC 2021-01-01
Series:Journal of NeuroEngineering and Rehabilitation
Subjects:
Online Access:https://doi.org/10.1186/s12984-021-00813-7
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author Caitlyn E. Seim
Steven L. Wolf
Thad E. Starner
author_facet Caitlyn E. Seim
Steven L. Wolf
Thad E. Starner
author_sort Caitlyn E. Seim
collection DOAJ
description Abstract Objective Evaluate the feasibility and potential impacts on hand function using a wearable stimulation device (the VTS Glove) which provides mechanical, vibratory input to the affected limb of chronic stroke survivors. Methods A double-blind, randomized, controlled feasibility study including sixteen chronic stroke survivors (mean age: 54; 1-13 years post-stroke) with diminished movement and tactile perception in their affected hand. Participants were given a wearable device to take home and asked to wear it for three hours daily over eight weeks. The device intervention was either (1) the VTS Glove, which provided vibrotactile stimulation to the hand, or (2) an identical glove with vibration disabled. Participants were randomly assigned to each condition. Hand and arm function were measured weekly at home and in local physical therapy clinics. Results Participants using the VTS Glove showed significantly improved Semmes-Weinstein monofilament exam results, reduction in Modified Ashworth measures in the fingers, and some increased voluntary finger flexion, elbow and shoulder range of motion. Conclusions Vibrotactile stimulation applied to the disabled limb may impact tactile perception, tone and spasticity, and voluntary range of motion. Wearable devices allow extended application and study of stimulation methods outside of a clinical setting.
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spelling doaj.art-88b805ffda434eb08b4a02ff9d8ea08a2022-12-21T23:14:55ZengBMCJournal of NeuroEngineering and Rehabilitation1743-00032021-01-0118111110.1186/s12984-021-00813-7Wearable vibrotactile stimulation for upper extremity rehabilitation in chronic stroke: clinical feasibility trial using the VTS GloveCaitlyn E. Seim0Steven L. Wolf1Thad E. Starner2Department of Mechanical Engineering, Stanford UniversityDepartment of Rehabilitation Medicine, Emory University School of MedicineCollege of Computing, Georgia Institute of TechnologyAbstract Objective Evaluate the feasibility and potential impacts on hand function using a wearable stimulation device (the VTS Glove) which provides mechanical, vibratory input to the affected limb of chronic stroke survivors. Methods A double-blind, randomized, controlled feasibility study including sixteen chronic stroke survivors (mean age: 54; 1-13 years post-stroke) with diminished movement and tactile perception in their affected hand. Participants were given a wearable device to take home and asked to wear it for three hours daily over eight weeks. The device intervention was either (1) the VTS Glove, which provided vibrotactile stimulation to the hand, or (2) an identical glove with vibration disabled. Participants were randomly assigned to each condition. Hand and arm function were measured weekly at home and in local physical therapy clinics. Results Participants using the VTS Glove showed significantly improved Semmes-Weinstein monofilament exam results, reduction in Modified Ashworth measures in the fingers, and some increased voluntary finger flexion, elbow and shoulder range of motion. Conclusions Vibrotactile stimulation applied to the disabled limb may impact tactile perception, tone and spasticity, and voluntary range of motion. Wearable devices allow extended application and study of stimulation methods outside of a clinical setting.https://doi.org/10.1186/s12984-021-00813-7StrokeStimulationUpper extremityVibrotactileSpasticity
spellingShingle Caitlyn E. Seim
Steven L. Wolf
Thad E. Starner
Wearable vibrotactile stimulation for upper extremity rehabilitation in chronic stroke: clinical feasibility trial using the VTS Glove
Journal of NeuroEngineering and Rehabilitation
Stroke
Stimulation
Upper extremity
Vibrotactile
Spasticity
title Wearable vibrotactile stimulation for upper extremity rehabilitation in chronic stroke: clinical feasibility trial using the VTS Glove
title_full Wearable vibrotactile stimulation for upper extremity rehabilitation in chronic stroke: clinical feasibility trial using the VTS Glove
title_fullStr Wearable vibrotactile stimulation for upper extremity rehabilitation in chronic stroke: clinical feasibility trial using the VTS Glove
title_full_unstemmed Wearable vibrotactile stimulation for upper extremity rehabilitation in chronic stroke: clinical feasibility trial using the VTS Glove
title_short Wearable vibrotactile stimulation for upper extremity rehabilitation in chronic stroke: clinical feasibility trial using the VTS Glove
title_sort wearable vibrotactile stimulation for upper extremity rehabilitation in chronic stroke clinical feasibility trial using the vts glove
topic Stroke
Stimulation
Upper extremity
Vibrotactile
Spasticity
url https://doi.org/10.1186/s12984-021-00813-7
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