Investigating the feasibility and acceptability of real-time visual feedback in reducing compensatory motions during self-administered stroke rehabilitation exercises: A pilot study with chronic stroke survivors.
Graded Repetitive Arm Supplementary Program
Stroke rehabilitation
self-administered rehabilitation exercise
upper limb exercises
visual feedback
Journal
Journal of rehabilitation and assistive technologies engineering
ISSN: 2055-6683
Titre abrégé: J Rehabil Assist Technol Eng
Pays: England
ID NLM: 101671667
Informations de publication
Date de publication:
Historique:
received:
08
10
2018
accepted:
22
01
2019
entrez:
28
6
2019
pubmed:
28
6
2019
medline:
28
6
2019
Statut:
epublish
Résumé
Homework-based rehabilitation programs can help stroke survivors restore upper extremity function. However, compensatory motions can develop without therapist supervision, leading to sub-optimal recovery. We developed a visual feedback system using a live video feed or an avatar reflecting users' movements so users are aware of compensations. This pilot study aimed to evaluate validity (how well the avatar characterizes different types of compensations) and acceptability of the system. Ten participants with chronic stroke performed upper-extremity exercises under three feedback conditions: none, video, and avatar. Validity was evaluated by comparing agreement on compensations annotated using video and avatar images. A usability survey was administered to participants after the experiment to obtain information on acceptability. There was substantial agreement between video and avatar images for shoulder elevation and hip extension (Cohen's κ: 0.6-0.8) and almost perfect agreement for trunk rotation and flexion (κ: 0.80-1). Acceptability was low due to lack of corrective prompts and occasional noise with the avatar display. Most participants suggested that an automatic compensation detection feature with visual and auditory cuing would improve the system. The avatar characterized four types of compensations well. Future work will involve increasing sensitivity for shoulder elevation and implementing a method to detect compensations.
Identifiants
pubmed: 31245031
doi: 10.1177/2055668319831631
pii: 10.1177_2055668319831631
pmc: PMC6582280
doi:
Types de publication
Journal Article
Langues
eng
Pagination
2055668319831631Déclaration de conflit d'intérêts
The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Références
Arch Phys Med Rehabil. 2002 Jul;83(7):952-9
pubmed: 12098155
Biochem Med (Zagreb). 2012;22(3):276-82
pubmed: 23092060
Stroke. 2004 Aug;35(8):1914-9
pubmed: 15192250
J Neurol Sci. 2009 Dec 15;287(1-2):89-93
pubmed: 19733860
Front Hum Neurosci. 2016 Sep 13;10:442
pubmed: 27679565
Arch Phys Med Rehabil. 1996 May;77(5):425-30
pubmed: 8629916
Stroke Res Treat. 2013;2013:128641
pubmed: 23738231
J Neuroeng Rehabil. 2011 Apr 23;8:21
pubmed: 21513561
Neurorehabil Neural Repair. 2009 Oct;23(8):792-9
pubmed: 19465507
Lancet Neurol. 2009 Aug;8(8):741-54
pubmed: 19608100
Neurorehabil Neural Repair. 2012 Mar-Apr;26(3):247-55
pubmed: 21903975
Phys Ther. 2015 Mar;95(3):441-8
pubmed: 25343960
Gait Posture. 2010 May;32(1):72-7
pubmed: 20378351
Disabil Rehabil. 2006 Jul 15-30;28(13-14):831-40
pubmed: 16777770
Neurorehabil Neural Repair. 2009 May;23(4):313-9
pubmed: 19118128
Disabil Rehabil. 2019 Sep;41(18):2119-2134
pubmed: 29644897
Cochrane Database Syst Rev. 2013 Dec 16;(12):CD010255
pubmed: 24338496
Phys Ther. 2015 Mar;95(3):415-25
pubmed: 25212522
Cochrane Database Syst Rev. 2014 Nov 12;(11):CD010820
pubmed: 25387001
Psychon Bull Rev. 2013 Feb;20(1):21-53
pubmed: 23132605
Stroke. 2003 Sep;34(9):2181-6
pubmed: 12907818
Top Stroke Rehabil. 2018 Mar;25(2):96-113
pubmed: 29078743
J Healthc Eng. 2017;2017:9840273
pubmed: 29230275
JAMA. 2006 Nov 1;296(17):2095-104
pubmed: 17077374
Acad Emerg Med. 1997 Feb;4(2):144-7
pubmed: 9043544
Disabil Rehabil. 2010;32(22):1799-809
pubmed: 20345249
Phys Ther. 2014 May;94(5):632-43
pubmed: 24505098
Med Biol Eng Comput. 2011 Oct;49(10):1103-18
pubmed: 21773806
J Neurol Phys Ther. 2010 Sep;34(3):138-44
pubmed: 20716988
Arch Phys Med Rehabil. 2015 Mar;96(3 Suppl):S71-8
pubmed: 25721550
Neurorehabil Neural Repair. 2013 Nov-Dec;27(9):844-53
pubmed: 23764883
Int J Stroke. 2016 Jun;11(4):459-84
pubmed: 27079654
Restor Neurol Neurosci. 2016;34(2):297-311
pubmed: 26923616
Eur J Phys Rehabil Med. 2015 Aug;51(4):497-506
pubmed: 26158918
Nat Rev Neurosci. 2017 May;18(5):267-280
pubmed: 28331232
Stroke. 2010 Apr;41(4):745-50
pubmed: 20167916
Cochrane Database Syst Rev. 2012 May 16;(5):CD006755
pubmed: 22592715
Brain. 2000 May;123 ( Pt 5):940-53
pubmed: 10775539
IEEE Trans Neural Syst Rehabil Eng. 2010 Oct;18(5):531-41
pubmed: 20934938
Gait Posture. 2008 Jan;27(1):120-7
pubmed: 17459709
Stroke. 2011 May;42(5):1380-6
pubmed: 21474804
Disabil Rehabil Assist Technol. 2016;11(5):413-22
pubmed: 25391221
Stroke. 2009 Jun;40(6):2123-8
pubmed: 19359633