Preparing a neuropediatric upper limb exergame rehabilitation system for home-use: a feasibility study
Identifieur interne : 000109 ( Main/Exploration ); précédent : 000108; suivant : 000110Preparing a neuropediatric upper limb exergame rehabilitation system for home-use: a feasibility study
Auteurs : Corinna N. Gerber [Suisse] ; Bettina Kunz [Suisse] ; Hubertus J. A. Van Hedel [Suisse]Source :
- Journal of NeuroEngineering and Rehabilitation [ 1743-0003 ] ; 2016.
Abstract
Home-based, computer-enhanced therapy of hand and arm function can complement conventional interventions and increase the amount and intensity of training, without interfering too much with family routines. The objective of the present study was to investigate the feasibility and usability of the new portable version of the YouGrabber® system (YouRehab AG, Zurich, Switzerland) in the home setting.
Fifteen families of children (7 girls, mean age: 11.3y) with neuromotor disorders and affected upper limbs participated. They received instructions and took the system home to train for 2 weeks. After returning it, they answered questions about usability, motivation, and their general opinion of the system (Visual Analogue Scale; 0 indicating worst score, 100 indicating best score; ≤30 not satisfied, 31–69 average, ≥70 satisfied). Furthermore, total pure playtime and number of training sessions were quantified. To prove the usability of the system, number and sort of support requests were logged.
The usability of the system was considered average to satisfying (mean 60.1–93.1). The lowest score was given for the occurrence of technical errors. Parents had to motivate their children to start (mean 66.5) and continue (mean 68.5) with the training. But in general, parents estimated the therapeutic benefit as high (mean 73.1) and the whole system as very good (mean 87.4). Children played on average 7 times during the 2 weeks; total pure playtime was 185 ± 45 min. Especially at the beginning of the trial, systems were very error-prone. Fortunately, we, or the company, solved most problems before the patients took the systems home. Nevertheless, 10 of 15 families contacted us at least once because of technical problems.
Despite that the YouGrabber® is a promising and highly accepted training tool for home-use, currently, it is still error-prone, and the requested support exceeds the support that can be provided by clinical therapists. A technically more robust system, combined with additional attractive games, likely results in higher patient motivation and better compliance. This would reduce the need for parents to motivate their children extrinsically and allow for clinical trials to investigate the effectiveness of the system.
ClinicalTrials.gov
The online version of this article (doi:10.1186/s12984-016-0141-x) contains supplementary material, which is available to authorized users.
Url:
DOI: 10.1186/s12984-016-0141-x
PubMed: 27008504
PubMed Central: 4806437
Affiliations:
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Gerber</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Pediatric Rehab Research Group, Rehabilitation Center for Children and Adolescents, Mühlebergstrasse 104, CH-8910 Affoltern am Albis, Switzerland</nlm:aff><country xml:lang="fr">Suisse</country><wicri:regionArea>Pediatric Rehab Research Group, Rehabilitation Center for Children and Adolescents, Mühlebergstrasse 104, CH-8910 Affoltern am Albis</wicri:regionArea><wicri:noRegion>CH-8910 Affoltern am Albis</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff2">Department of Health Sciences and Technology, ETH Zurich, Rämistrasse 101, CH-8092 Zurich, Switzerland</nlm:aff><country xml:lang="fr">Suisse</country><wicri:regionArea>Department of Health Sciences and Technology, ETH Zurich, Rämistrasse 101, CH-8092 Zurich</wicri:regionArea><wicri:noRegion>CH-8092 Zurich</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff3">Children’s Research Center, University Children’s Hospital Zurich, Steinwiesstrasse 75, CH-8032 Zürich, Switzerland</nlm:aff><country xml:lang="fr">Suisse</country><wicri:regionArea>Children’s Research Center, University Children’s Hospital Zurich, Steinwiesstrasse 75, CH-8032 Zürich</wicri:regionArea><wicri:noRegion>CH-8032 Zürich</wicri:noRegion></affiliation></author><author><name sortKey="Kunz, Bettina" sort="Kunz, Bettina" uniqKey="Kunz B" first="Bettina" last="Kunz">Bettina Kunz</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Pediatric Rehab Research Group, Rehabilitation Center for Children and Adolescents, Mühlebergstrasse 104, CH-8910 Affoltern am Albis, Switzerland</nlm:aff><country xml:lang="fr">Suisse</country><wicri:regionArea>Pediatric Rehab Research Group, Rehabilitation Center for Children and Adolescents, Mühlebergstrasse 104, CH-8910 Affoltern am Albis</wicri:regionArea><wicri:noRegion>CH-8910 Affoltern am Albis</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff2">Department of Health Sciences and Technology, ETH Zurich, Rämistrasse 101, CH-8092 Zurich, Switzerland</nlm:aff><country xml:lang="fr">Suisse</country><wicri:regionArea>Department of Health Sciences and Technology, ETH Zurich, Rämistrasse 101, CH-8092 Zurich</wicri:regionArea><wicri:noRegion>CH-8092 Zurich</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff3">Children’s Research Center, University Children’s Hospital Zurich, Steinwiesstrasse 75, CH-8032 Zürich, Switzerland</nlm:aff><country xml:lang="fr">Suisse</country><wicri:regionArea>Children’s Research Center, University Children’s Hospital Zurich, Steinwiesstrasse 75, CH-8032 Zürich</wicri:regionArea><wicri:noRegion>CH-8032 Zürich</wicri:noRegion></affiliation></author><author><name sortKey="Van Hedel, Hubertus J A" sort="Van Hedel, Hubertus J A" uniqKey="Van Hedel H" first="Hubertus J. 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Gerber</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Pediatric Rehab Research Group, Rehabilitation Center for Children and Adolescents, Mühlebergstrasse 104, CH-8910 Affoltern am Albis, Switzerland</nlm:aff><country xml:lang="fr">Suisse</country><wicri:regionArea>Pediatric Rehab Research Group, Rehabilitation Center for Children and Adolescents, Mühlebergstrasse 104, CH-8910 Affoltern am Albis</wicri:regionArea><wicri:noRegion>CH-8910 Affoltern am Albis</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff2">Department of Health Sciences and Technology, ETH Zurich, Rämistrasse 101, CH-8092 Zurich, Switzerland</nlm:aff><country xml:lang="fr">Suisse</country><wicri:regionArea>Department of Health Sciences and Technology, ETH Zurich, Rämistrasse 101, CH-8092 Zurich</wicri:regionArea><wicri:noRegion>CH-8092 Zurich</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff3">Children’s Research Center, University Children’s Hospital Zurich, Steinwiesstrasse 75, CH-8032 Zürich, Switzerland</nlm:aff><country xml:lang="fr">Suisse</country><wicri:regionArea>Children’s Research Center, University Children’s Hospital Zurich, Steinwiesstrasse 75, CH-8032 Zürich</wicri:regionArea><wicri:noRegion>CH-8032 Zürich</wicri:noRegion></affiliation></author><author><name sortKey="Kunz, Bettina" sort="Kunz, Bettina" uniqKey="Kunz B" first="Bettina" last="Kunz">Bettina Kunz</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Pediatric Rehab Research Group, Rehabilitation Center for Children and Adolescents, Mühlebergstrasse 104, CH-8910 Affoltern am Albis, Switzerland</nlm:aff><country xml:lang="fr">Suisse</country><wicri:regionArea>Pediatric Rehab Research Group, Rehabilitation Center for Children and Adolescents, Mühlebergstrasse 104, CH-8910 Affoltern am Albis</wicri:regionArea><wicri:noRegion>CH-8910 Affoltern am Albis</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff2">Department of Health Sciences and Technology, ETH Zurich, Rämistrasse 101, CH-8092 Zurich, Switzerland</nlm:aff><country xml:lang="fr">Suisse</country><wicri:regionArea>Department of Health Sciences and Technology, ETH Zurich, Rämistrasse 101, CH-8092 Zurich</wicri:regionArea><wicri:noRegion>CH-8092 Zurich</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff3">Children’s Research Center, University Children’s Hospital Zurich, Steinwiesstrasse 75, CH-8032 Zürich, Switzerland</nlm:aff><country xml:lang="fr">Suisse</country><wicri:regionArea>Children’s Research Center, University Children’s Hospital Zurich, Steinwiesstrasse 75, CH-8032 Zürich</wicri:regionArea><wicri:noRegion>CH-8032 Zürich</wicri:noRegion></affiliation></author><author><name sortKey="Van Hedel, Hubertus J A" sort="Van Hedel, Hubertus J A" uniqKey="Van Hedel H" first="Hubertus J. A." last="Van Hedel">Hubertus J. A. Van Hedel</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Pediatric Rehab Research Group, Rehabilitation Center for Children and Adolescents, Mühlebergstrasse 104, CH-8910 Affoltern am Albis, Switzerland</nlm:aff><country xml:lang="fr">Suisse</country><wicri:regionArea>Pediatric Rehab Research Group, Rehabilitation Center for Children and Adolescents, Mühlebergstrasse 104, CH-8910 Affoltern am Albis</wicri:regionArea><wicri:noRegion>CH-8910 Affoltern am Albis</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="Aff3">Children’s Research Center, University Children’s Hospital Zurich, Steinwiesstrasse 75, CH-8032 Zürich, Switzerland</nlm:aff><country xml:lang="fr">Suisse</country><wicri:regionArea>Children’s Research Center, University Children’s Hospital Zurich, Steinwiesstrasse 75, CH-8032 Zürich</wicri:regionArea><wicri:noRegion>CH-8032 Zürich</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of NeuroEngineering and Rehabilitation</title><idno type="eISSN">1743-0003</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Home-based, computer-enhanced therapy of hand and arm function can complement conventional interventions and increase the amount and intensity of training, without interfering too much with family routines. The objective of the present study was to investigate the feasibility and usability of the new portable version of the YouGrabber® system (YouRehab AG, Zurich, Switzerland) in the home setting.</p></sec><sec><title>Methods</title><p>Fifteen families of children (7 girls, mean age: 11.3y) with neuromotor disorders and affected upper limbs participated. They received instructions and took the system home to train for 2 weeks. After returning it, they answered questions about usability, motivation, and their general opinion of the system (Visual Analogue Scale; 0 indicating worst score, 100 indicating best score; ≤30 not satisfied, 31–69 average, ≥70 satisfied). Furthermore, total pure playtime and number of training sessions were quantified. To prove the usability of the system, number and sort of support requests were logged.</p></sec><sec><title>Results</title><p>The usability of the system was considered average to satisfying (mean 60.1–93.1). The lowest score was given for the occurrence of technical errors. Parents had to motivate their children to start (mean 66.5) and continue (mean 68.5) with the training. But in general, parents estimated the therapeutic benefit as high (mean 73.1) and the whole system as very good (mean 87.4). Children played on average 7 times during the 2 weeks; total pure playtime was 185 ± 45 min. Especially at the beginning of the trial, systems were very error-prone. Fortunately, we, or the company, solved most problems before the patients took the systems home. Nevertheless, 10 of 15 families contacted us at least once because of technical problems.</p></sec><sec><title>Conclusions</title><p>Despite that the YouGrabber® is a promising and highly accepted training tool for home-use, currently, it is still error-prone, and the requested support exceeds the support that can be provided by clinical therapists. A technically more robust system, combined with additional attractive games, likely results in higher patient motivation and better compliance. This would reduce the need for parents to motivate their children extrinsically and allow for clinical trials to investigate the effectiveness of the system.</p></sec><sec><title>Trial registration</title><p>ClinicalTrials.gov <ext-link ext-link-type="uri" xlink:href="https://clinicaltrials.gov/ct2/show/NCT02368223">NCT02368223</ext-link></p></sec><sec><title>Electronic supplementary material</title><p>The online version of this article (doi:10.1186/s12984-016-0141-x) contains supplementary material, which is available to authorized users.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Sellier, E" uniqKey="Sellier E">E Sellier</name></author><author><name sortKey="Platt, Mj" uniqKey="Platt M">MJ Platt</name></author><author><name sortKey="Andersen, Gl" uniqKey="Andersen G">GL Andersen</name></author><author><name sortKey="Kr Geloh Mann, I" uniqKey="Kr Geloh Mann I">I Krägeloh-Mann</name></author><author><name sortKey="De La 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Gerber</name></noRegion><name sortKey="Gerber, Corinna N" sort="Gerber, Corinna N" uniqKey="Gerber C" first="Corinna N." last="Gerber">Corinna N. Gerber</name><name sortKey="Gerber, Corinna N" sort="Gerber, Corinna N" uniqKey="Gerber C" first="Corinna N." last="Gerber">Corinna N. Gerber</name><name sortKey="Kunz, Bettina" sort="Kunz, Bettina" uniqKey="Kunz B" first="Bettina" last="Kunz">Bettina Kunz</name><name sortKey="Kunz, Bettina" sort="Kunz, Bettina" uniqKey="Kunz B" first="Bettina" last="Kunz">Bettina Kunz</name><name sortKey="Kunz, Bettina" sort="Kunz, Bettina" uniqKey="Kunz B" first="Bettina" last="Kunz">Bettina Kunz</name><name sortKey="Van Hedel, Hubertus J A" sort="Van Hedel, Hubertus J A" uniqKey="Van Hedel H" first="Hubertus J. A." last="Van Hedel">Hubertus J. A. Van Hedel</name><name sortKey="Van Hedel, Hubertus J A" sort="Van Hedel, Hubertus J A" uniqKey="Van Hedel H" first="Hubertus J. A." last="Van Hedel">Hubertus J. A. Van Hedel</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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