Centre for Interdisciplinary Research in Rehabilitation and Social Integration, Centre intégré universitaire de santé et de services sociaux de la Capitale-Nationale, Institut de réadaptation en déficience physique de Québec, Quebec City, QC, Canada.
Department of Rehabilitation, Université Laval, Quebec City, QC, Canada.
Assist Technol. 2021 Sep 3;33(5):271-277. doi: 10.1080/10400435.2019.1629124. Epub 2019 Jul 11.
Dynamic arm supports can be used to increase the autonomy of people with upper limb disabilities, but their usability is often poorly documented. The objective of this study is to evaluate the usability of an actuated arm support (AAS), namely the Gowing power-assisted arm support. Nine participants with neurological disorders restricting their upper limb capacities (DASH = 63.51 ± 7.72) completed various tasks (Upper Extremity Performance Test for the Elderly (TEMPA)) with and without the AAS. Users' satisfaction (Quebec User Evaluation of Satisfaction with assistive Technology (QUEST)) and perceived benefits of the device (semi-structured interviews) were assessed. Large (effect size ≥ 1.15) and statistically significant ( < .05) improvements were found in the TEMPA functional rating, range of motion, strength, precision of gross movements and prehension patterns subscales while using the AAS. Two third of the participants were quite or very satisfied with the arm support (QUEST > 4/5) and interviews were positive about its usefulness in daily living activities. Our study demonstrated that the use of an AAS could result in significant improvements in the autonomy of people with upper limb disabilities.
动态手臂支撑器可用于提高上肢残疾人士的自主性,但它们的可用性通常记录不佳。本研究的目的是评估一种电动手臂支撑器(AAS)的可用性,即 Gowing 助力手臂支撑器。9 名患有神经障碍限制上肢能力的参与者(DASH=63.51±7.72)在使用和不使用 AAS 的情况下完成了各种任务(老年人上肢功能测试(TEMPA))。评估了用户满意度(魁北克用户对辅助技术的满意度评估(QUEST))和对设备的感知益处(半结构化访谈)。使用 AAS 时,TEMPA 功能评定、运动范围、力量、粗大运动精度和抓握模式子量表的得分均有显著提高(效应大小≥1.15,<0.05)。三分之二的参与者对手臂支撑器非常满意或满意(QUEST>4/5),访谈也对其在日常生活活动中的有用性持积极态度。我们的研究表明,使用 AAS 可以显著提高上肢残疾人士的自主性。