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Design, development and deployment of a hand/wrist exoskeleton for home-based rehabilitation after stroke - SCRIPT project

Published online by Cambridge University Press:  23 September 2014

F. Amirabdollahian ,
S. Ates ,
A. Basteris ,
A. Cesario ,
J. Buurke ,
H. Hermens ,
D. Hofs ,
E. Johansson ,
G. Mountain  and
N. Nasr
...Show all authors
F. Amirabdollahian*
Affiliation:
University of Hertfordshire, United Kingdom
S. Ates
Affiliation:
University of Twente, the Netherlands
A. Basteris
Affiliation:
University of Hertfordshire, United Kingdom
A. Cesario
Affiliation:
San Raffaele Pisana, Italy
J. Buurke
Affiliation:
Roessingh Research and Development, the Netherlands
H. Hermens
Affiliation:
Roessingh Research and Development, the Netherlands
D. Hofs
Affiliation:
Roessingh Research and Development, the Netherlands
E. Johansson
Affiliation:
User Interface Design, Germany
G. Mountain
Affiliation:
University of Sheffield, Sheffield, UK
N. Nasr
Affiliation:
University of Sheffield, Sheffield, UK
S. Nijenhuis
Affiliation:
Roessingh Research and Development, the Netherlands
G. Prange
Affiliation:
Roessingh Research and Development, the Netherlands
N. Rahman
Affiliation:
University of Hertfordshire, United Kingdom
P. Sale
Affiliation:
San Raffaele Pisana, Italy
F. Schätzlein
Affiliation:
University of Sheffield, Sheffield, UK
B. van Schooten
Affiliation:
Roessingh Research and Development, the Netherlands
A. Stienen
Affiliation:
University of Twente, the Netherlands
*
*Corresponding author. E-mail: f.amirabdollahian2@herts.ac.uk
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Summary

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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.

Objective: 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.

Keywords

Rehabilitation TechnologyHome-based therapy systemsStroke rehabilitationAdaptive systems
Type
Articles
Information
Robotica , Volume 32 , Issue 8: Rehabilitation Robotics and Human-Robot Interaction , December 2014 , pp. 1331 - 1346
Creative Commons
Creative Common License - CCCreative Common License - BY
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.
Copyright
Copyright © Cambridge University Press 2014

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