Pei Yu-Cheng, Chen Jean-Lon, Wong Alice M K, Tseng Kevin C
Department of Physical Medicine and Rehabilitation, Chang Gung Memorial Hospital at Taoyuan, Taoyuan, Taiwan.
School of Medicine, Chang Gung University, Taoyuan, Taiwan.
Front Neurorobot. 2017 Jul 28;11:36. doi: 10.3389/fnbot.2017.00036. eCollection 2017.
Case series.
IV (case series).
Robot-assisted therapy for upper limb rehabilitation is an emerging research topic and its design process must integrate engineering, neurological pathophysiology, and clinical needs.
This study developed/evaluated the usefulness of a novel rehabilitation device, the , designed for the upper limb rehabilitation of patients with hemiplegic stroke.
The 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. consists of a robotic device that guides upper limb movement linked to a control module containing software controlling the robotic movement.
Five 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.
Following 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.
identifier NCT02698605.
病例系列。
IV级（病例系列）。
机器人辅助上肢康复治疗是一个新兴的研究课题，其设计过程必须整合工程学、神经病理生理学和临床需求。
本研究开发/评估了一种新型康复设备—— ，专为偏瘫性中风患者的上肢康复而设计。
该过程遵循曾氏创新产品设计与开发方法，即分为两个阶段，设备开发和可用性评估。在开发过程中，设计以患者及其治疗师所定义的患者康复需求为导向。该设计应用了双侧上肢的同步运动，这是一种与双侧运动疗法和本体感觉神经肌肉促进理论相兼容的方法。 由一个引导上肢运动的机器人设备与一个包含控制机器人运动软件的控制模块相连组成。
预试验招募了5名健康受试者，正式试验招募了4名患者、4名护理人员和4名治疗师进行可用性测试。所有招募的受试者均被分配到测试组，完成评估，并对他们的数据进行了分析。患者、护理人员和治疗师获得的系统可用性量表总分是71.8±11.9，表明可用性和产品接受度较高。
遵循标准的开发过程，我们能够得出满足临床需求的设计。这种低成本设备为开展偏瘫性中风患者的机器人辅助双侧运动治疗提供了一个可行的平台。
标识符NCT02698605。
