An Evaluation of the Design and Usability of a Novel Robotic Bilateral Arm Rehabilitation Device for Patients with Stroke
Study designCase series.Evidence levelIV (case series).IntroductionRobot-assisted therapy for upper limb rehabilitation is an emerging research topic and its design process must integrate engineering, neurological pathophysiology, and clinical needs.Purpose of the studyThis study developed/evaluated...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2017-07-01
|
| Series: | Frontiers in Neurorobotics |
| Subjects: | |
| Online Access: | http://journal.frontiersin.org/article/10.3389/fnbot.2017.00036/full |
| _version_ | 1811197920837369856 |
|---|---|
| author | Yu-Cheng Pei Yu-Cheng Pei Yu-Cheng Pei Yu-Cheng Pei Jean-Lon Chen Jean-Lon Chen Alice M. K. Wong Alice M. K. Wong Kevin C. Tseng Kevin C. Tseng Kevin C. Tseng Kevin C. Tseng |
| author_facet | Yu-Cheng Pei Yu-Cheng Pei Yu-Cheng Pei Yu-Cheng Pei Jean-Lon Chen Jean-Lon Chen Alice M. K. Wong Alice M. K. Wong Kevin C. Tseng Kevin C. Tseng Kevin C. Tseng Kevin C. Tseng |
| author_sort | Yu-Cheng Pei |
| collection | DOAJ |
| description | Study designCase series.Evidence levelIV (case series).IntroductionRobot-assisted therapy for upper limb rehabilitation is an emerging research topic and its design process must integrate engineering, neurological pathophysiology, and clinical needs.Purpose of the studyThis study developed/evaluated the usefulness of a novel rehabilitation device, the MirrorPath, designed for the upper limb rehabilitation of patients with hemiplegic stroke.MethodsThe process follows Tseng’s methodology for innovative product design and development, namely two stages, device development and usability assessment. During the development process, the design was guided by patients’ rehabilitation needs as defined by patients and their therapists. The design applied synchronic movement of the bilateral upper limbs, an approach that is compatible with the bilateral movement therapy and proprioceptive neuromuscular facilitation theories. MirrorPath consists of a robotic device that guides upper limb movement linked to a control module containing software controlling the robotic movement.ResultsFive healthy subjects were recruited in the pretest, and 4 patients, 4 caregivers, and 4 therapists were recruited in the formal test for usability. All recruited subjects were allocated to the test group, completed the evaluation, and their data were all analyzed. The total system usability scale score obtained from the patients, caregivers, and therapists was 71.8 ± 11.9, indicating a high level of usability and product acceptance.Discussion and conclusionFollowing a standard development process, we could yield a design that meets clinical needs. This low-cost device provides a feasible platform for carrying out robot-assisted bilateral movement therapy of patients with hemiplegic stroke.Clinical Trial Registrationidentifier NCT02698605. |
| first_indexed | 2024-04-12T01:22:22Z |
| format | Article |
| id | doaj.art-c9abd428e3db4c7fa1dc07207cf8ce04 |
| institution | Directory Open Access Journal |
| issn | 1662-5218 |
| language | English |
| last_indexed | 2024-04-12T01:22:22Z |
| publishDate | 2017-07-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Neurorobotics |
| spelling | doaj.art-c9abd428e3db4c7fa1dc07207cf8ce042022-12-22T03:53:46ZengFrontiers Media S.A.Frontiers in Neurorobotics1662-52182017-07-011110.3389/fnbot.2017.00036260122An Evaluation of the Design and Usability of a Novel Robotic Bilateral Arm Rehabilitation Device for Patients with StrokeYu-Cheng Pei0Yu-Cheng Pei1Yu-Cheng Pei2Yu-Cheng Pei3Jean-Lon Chen4Jean-Lon Chen5Alice M. K. Wong6Alice M. K. Wong7Kevin C. Tseng8Kevin C. Tseng9Kevin C. Tseng10Kevin C. Tseng11Department of Physical Medicine and Rehabilitation, Chang Gung Memorial Hospital at Taoyuan, Taoyuan, TaiwanSchool of Medicine, Chang Gung University, Taoyuan, TaiwanHealthy Aging Research Center, Chang Gung University, Taoyuan, TaiwanCenter for Vascularized Composite Allotransplantation, Chang Gung Memorial Hospital at Linkou, Taoyuan, TaiwanDepartment of Physical Medicine and Rehabilitation, Chang Gung Memorial Hospital at Taoyuan, Taoyuan, TaiwanSchool of Medicine, Chang Gung University, Taoyuan, TaiwanDepartment of Physical Medicine and Rehabilitation, Chang Gung Memorial Hospital at Taoyuan, Taoyuan, TaiwanSchool of Medicine, Chang Gung University, Taoyuan, TaiwanDepartment of Physical Medicine and Rehabilitation, Chang Gung Memorial Hospital at Taoyuan, Taoyuan, TaiwanHealthy Aging Research Center, Chang Gung University, Taoyuan, TaiwanProduct Design and Development Laboratory, Department of Industrial Design, College of Management, Chang Gung University, Taoyuan, TaiwanDepartment of Design, National Taiwan Normal University, Taipei City, TaiwanStudy designCase series.Evidence levelIV (case series).IntroductionRobot-assisted therapy for upper limb rehabilitation is an emerging research topic and its design process must integrate engineering, neurological pathophysiology, and clinical needs.Purpose of the studyThis study developed/evaluated the usefulness of a novel rehabilitation device, the MirrorPath, designed for the upper limb rehabilitation of patients with hemiplegic stroke.MethodsThe process follows Tseng’s methodology for innovative product design and development, namely two stages, device development and usability assessment. During the development process, the design was guided by patients’ rehabilitation needs as defined by patients and their therapists. The design applied synchronic movement of the bilateral upper limbs, an approach that is compatible with the bilateral movement therapy and proprioceptive neuromuscular facilitation theories. MirrorPath consists of a robotic device that guides upper limb movement linked to a control module containing software controlling the robotic movement.ResultsFive healthy subjects were recruited in the pretest, and 4 patients, 4 caregivers, and 4 therapists were recruited in the formal test for usability. All recruited subjects were allocated to the test group, completed the evaluation, and their data were all analyzed. The total system usability scale score obtained from the patients, caregivers, and therapists was 71.8 ± 11.9, indicating a high level of usability and product acceptance.Discussion and conclusionFollowing a standard development process, we could yield a design that meets clinical needs. This low-cost device provides a feasible platform for carrying out robot-assisted bilateral movement therapy of patients with hemiplegic stroke.Clinical Trial Registrationidentifier NCT02698605.http://journal.frontiersin.org/article/10.3389/fnbot.2017.00036/fullupper limb rehabilitationstrokerehabilitation deviceusabilitybilateral movement therapy |
| spellingShingle | Yu-Cheng Pei Yu-Cheng Pei Yu-Cheng Pei Yu-Cheng Pei Jean-Lon Chen Jean-Lon Chen Alice M. K. Wong Alice M. K. Wong Kevin C. Tseng Kevin C. Tseng Kevin C. Tseng Kevin C. Tseng An Evaluation of the Design and Usability of a Novel Robotic Bilateral Arm Rehabilitation Device for Patients with Stroke Frontiers in Neurorobotics upper limb rehabilitation stroke rehabilitation device usability bilateral movement therapy |
| title | An Evaluation of the Design and Usability of a Novel Robotic Bilateral Arm Rehabilitation Device for Patients with Stroke |
| title_full | An Evaluation of the Design and Usability of a Novel Robotic Bilateral Arm Rehabilitation Device for Patients with Stroke |
| title_fullStr | An Evaluation of the Design and Usability of a Novel Robotic Bilateral Arm Rehabilitation Device for Patients with Stroke |
| title_full_unstemmed | An Evaluation of the Design and Usability of a Novel Robotic Bilateral Arm Rehabilitation Device for Patients with Stroke |
| title_short | An Evaluation of the Design and Usability of a Novel Robotic Bilateral Arm Rehabilitation Device for Patients with Stroke |
| title_sort | evaluation of the design and usability of a novel robotic bilateral arm rehabilitation device for patients with stroke |
| topic | upper limb rehabilitation stroke rehabilitation device usability bilateral movement therapy |
| url | http://journal.frontiersin.org/article/10.3389/fnbot.2017.00036/full |
| work_keys_str_mv | AT yuchengpei anevaluationofthedesignandusabilityofanovelroboticbilateralarmrehabilitationdeviceforpatientswithstroke AT yuchengpei anevaluationofthedesignandusabilityofanovelroboticbilateralarmrehabilitationdeviceforpatientswithstroke AT yuchengpei anevaluationofthedesignandusabilityofanovelroboticbilateralarmrehabilitationdeviceforpatientswithstroke AT yuchengpei anevaluationofthedesignandusabilityofanovelroboticbilateralarmrehabilitationdeviceforpatientswithstroke AT jeanlonchen anevaluationofthedesignandusabilityofanovelroboticbilateralarmrehabilitationdeviceforpatientswithstroke AT jeanlonchen anevaluationofthedesignandusabilityofanovelroboticbilateralarmrehabilitationdeviceforpatientswithstroke AT alicemkwong anevaluationofthedesignandusabilityofanovelroboticbilateralarmrehabilitationdeviceforpatientswithstroke AT alicemkwong anevaluationofthedesignandusabilityofanovelroboticbilateralarmrehabilitationdeviceforpatientswithstroke AT kevinctseng anevaluationofthedesignandusabilityofanovelroboticbilateralarmrehabilitationdeviceforpatientswithstroke AT kevinctseng anevaluationofthedesignandusabilityofanovelroboticbilateralarmrehabilitationdeviceforpatientswithstroke AT kevinctseng anevaluationofthedesignandusabilityofanovelroboticbilateralarmrehabilitationdeviceforpatientswithstroke AT kevinctseng anevaluationofthedesignandusabilityofanovelroboticbilateralarmrehabilitationdeviceforpatientswithstroke AT yuchengpei evaluationofthedesignandusabilityofanovelroboticbilateralarmrehabilitationdeviceforpatientswithstroke AT yuchengpei evaluationofthedesignandusabilityofanovelroboticbilateralarmrehabilitationdeviceforpatientswithstroke AT yuchengpei evaluationofthedesignandusabilityofanovelroboticbilateralarmrehabilitationdeviceforpatientswithstroke AT yuchengpei evaluationofthedesignandusabilityofanovelroboticbilateralarmrehabilitationdeviceforpatientswithstroke AT jeanlonchen evaluationofthedesignandusabilityofanovelroboticbilateralarmrehabilitationdeviceforpatientswithstroke AT jeanlonchen evaluationofthedesignandusabilityofanovelroboticbilateralarmrehabilitationdeviceforpatientswithstroke AT alicemkwong evaluationofthedesignandusabilityofanovelroboticbilateralarmrehabilitationdeviceforpatientswithstroke AT alicemkwong evaluationofthedesignandusabilityofanovelroboticbilateralarmrehabilitationdeviceforpatientswithstroke AT kevinctseng evaluationofthedesignandusabilityofanovelroboticbilateralarmrehabilitationdeviceforpatientswithstroke AT kevinctseng evaluationofthedesignandusabilityofanovelroboticbilateralarmrehabilitationdeviceforpatientswithstroke AT kevinctseng evaluationofthedesignandusabilityofanovelroboticbilateralarmrehabilitationdeviceforpatientswithstroke AT kevinctseng evaluationofthedesignandusabilityofanovelroboticbilateralarmrehabilitationdeviceforpatientswithstroke |