USABILITY AND UTILITY OF THE SNIPTOUCH INNOVATIVE AGILITY TRAINING DEVICE PROTOTYPE IN PATIENTS WITH UPPER EXTREMITY IMPAIRMENTS AFTER STROKE: A MULTIPLE CASE STUDY

Authors

  • Andrejs Snipkis National Rehabilitation Centre "Vaivari" (LV)
  • Guna Semjonova Department of Rehabilitation, Riga Stradins University (LV)
  • Daina Smite Department of Rehabilitation, Riga Stradins University (LV)

DOI:

https://doi.org/10.17770/etr2024vol2.8021

Keywords:

agility training in stroke patients, innovative device prototype, usability, utility

Abstract

Research focus and aim: To investigate the usability and utility of the SnipTouch innovative agility training device prototype in patients with upper extremity impairments after stroke. Research methods used: The study of several case studies was selected by formulating the research phenomenon and proposing two units of analysis- 1) usability and 2) utility of innovative prototype device SnipTouch. The multiple case study involved 7 stroke survivors with impaired upper limb functions who participated in eight physiotherapy sessions adding the SnipTouch intervention. The device operates on a dexterity training principle, where the main task is to quickly touch a lit button. Participants underwent pre-intervention upper extremity assessments using ROM, MMT, NRS, MAS, FMA-UE, 9HPT, BBT, and RTT. After the eighth session of physical therapy, reassessments were conducted with the same tools, supplemented by semi-structured interviews and usability evaluations using UEQ and SUS. The collected data were compiled and analysed using established data analysis methods. Results: Five participants assessed the usability of the equipment in the SUS questionnaire as outstanding (from 87,5 to 97,5 points), one participant as excellent (82,5 points) and one very good (77,5 points).   The UEQ on six scales resulted in the following device evaluation: attractiveness 2.6, perspicuity 2.79, efficiency 2.32, dependability 2.14, stimulation 2.64, novelty 2.43. The UEQ benchmark classifies the innovative prototype device SnipTouch into Excellent category. The results of the upper limb functional tests show improvements in all participants. The main Conclusions and Recommendations: The results of the study demonstrate that the SnipTouch innovative device prototype is usable and the overlap of qualitative and quantitative data confirmed the utility of the device in improving reaction time, range of motion, agility, movement coordination, muscle strength, in addition to conventional rehabilitation therapy methods for stroke patients.

 

 

Downloads

Download data is not yet available.

References

P. Kiper, A. Szczudlik, M. Agostini, J. Opara, R. Nowobilski, L. Ventura, P. Tonin, and A. Turolla, "Virtual Reality for Upper Limb Rehabilitation in Subacute and Chronic Stroke: A Randomized Controlled Trial," Archives of Physical Medicine and Rehabilitation, vol. 99, no. 5, pp. 834-842.e4, May 2018. [Abstract], Available: https://doi.org/10.1016/j.apmr.2018.0023. [Accessed Feb. 25, 2024].

S. Guillén-Climent, A. Garzo, M.N. Muñoz-Alcaraz, "A usability study in patients with stroke using MERLIN, a robotic system based on serious games for upper limb rehabilitation in the home setting," in J. Neuroeng. Rehabil., vol. 18, no. 41, 2021. [Online]. Available: https://doi.org/10.1186/s12984-021-00837-z. [Accessed Feb. 25, 2024].

T. Platz, "Methods for the Development of Healthcare Practice Recommendations Using Systematic Reviews and Meta-Analyses," Front. Neurol., vol. 12, Jul. 2021, Art. no. 699968. [Online]. Available: https://doi.org/10.3389/fneur.2021.699968. [Accessed Feb. 25, 2024].

K. S. Hayward, S. F. Kramer, V. Thijs, J. Ratcliffe, N. S. Ward, L. Churilov, L. Jolliffe, D. Corbett, G. Cloud, T. Kaffenberger, A. Brodtmann, J. Bernhardt, and N. A. Lannin, "A systematic review protocol of timing, efficacy and cost effectiveness of upper limb therapy for motor recovery post-stroke," Systematic Reviews, vol. 8, Article no. 187, Jul. 2019. [Online]. Available: https://doi.org/10.1186/s13643-019-1093-6. [Accessed Feb. 25, 2024].

W.T. Chien, Y.Y. Chong, M.K. Tse, C.W. Chien, and H.Y. Cheng, "Robot-assisted therapy for upper-limb rehabilitation in subacute stroke patients: A systematic review and meta-analysis," Brain Behav., vol. 10, no. 8, Art. no. e01742, Aug. 2020. [Online]. Available: https://doi.org/10.1002/brb3.1742. [Accessed Feb. 25, 2024].

R. Bertani, C. Melegari, M. C. De Cola, A. Bramanti, P. Bramanti, and R. S. Calabrò, "Effects of robot-assisted upper limb rehabilitation in stroke patients: a systematic review with meta-analysis," Neurological Sciences, vol. 38, pp. 1561-1569, 2017. [Abstract]. Available: https://doi.org/10.1007/s10072-017-2995-5 [Accessed Feb. 25, 2024].

S. Ikbali Afsar, I. Mirzayev, O. Umit Yemisci, and S. N. Cosar Saracgil, "Virtual Reality in Upper Extremity Rehabilitation of Stroke Patients: A Randomized Controlled Trial," Journal of Stroke and Cerebrovascular Diseases, vol. 27, no. 12, Sep. 2018. [Abstract]. Available: https://doi.org/10.1016/j.jstrokecerebrovasdis.2018.08.007. [Accessed Feb. 25, 2024].

C. A. Aguilar-Lazcano, E. J. Rechy-Ramirez, H. Hu, H. V. Rios-Figueroa, and A. Marin Hernandez, "Interaction Modalities Used on Serious Games for Upper Limb Rehabilitation: A Systematic Review," in Games for Health Journal, 2019. [Online]. Available: https://doi.org/10.1089/g4h.2018.0129. [Accessed Feb. 25, 2024].

Y. Wong, L. Ada, R. Wang, G. Månum, un B. Langhammer, "Self-administered, home-based, upper limb practice in stroke patients: A systematic review," Journal of Rehabilitation Medicine, vol. 52, no. 10, art. jrm00118, 2020. [Online]. Available: https://doi.org/10.2340/16501977-2738. [Accessed Feb. 25, 2024].

R. Karamians, R. Proffitt, D. Kline, un L. V. Gauthier, "Effectiveness of Virtual Reality- and Gaming-Based Interventions for Upper Extremity Rehabilitation Poststroke: A Meta-analysis," Archives of Physical Medicine and Rehabilitation, vol. 101, no. 5, pp. 885–896, 2020. [Abstract]. Available: https://doi.org/10.1016/j.apmr.2019.10.195. [Accessed Feb. 25, 2024].

A. Ezhov, A. Zakharova, un D. Kachalov, "Modern Light Sport Training Systems: Critical Analysis of Their Construction and Performance Features," in Proceedings of the 9th International Conference on Sport Sciences Research and Technology Support, vol. 1, pp. 123-129, 2021. [Abstract]. Available: https://doi.org/10.5220/0010677900003059. [Accessed Feb. 25, 2024].

L. A. de-Oliveira, M. V. Matos, I. Fernandes, D. A. Nascimento, un M. E. da Silva Grigoletto, "Test-Retest Reliability of a Visual-Cognitive Technology (BlazePod™) to Measure Response Time," Journal of Sports Science & Medicine, vol. 20, no. 1, pp. 179–180, 2021. [Online]. Available: https://doi.org/10.52082/jssm.2021.179. [Accessed Feb. 25, 2024].

A. Voinescu, J. Sui, un D. Stanton Fraser, "Virtual Reality in Neurorehabilitation: An Umbrella Review of Meta-Analyses," Journal of Clinical Medicine, vol. 10, no. 7, art. 1478, 2021. [Online]. Available: https://doi.org/10.3390/jcm10071478. [Accessed Feb. 25, 2024].

R.K. Yin, Case Study Research and Applications: Design and Methods, 6th ed., Sage, Los Angeles, 2018 (Original work published 1984).

M. F. Folstein, S. E. Folstein, un P. R. McHugh, "Mini-mental state: A practical method for grading the cognitive state of patients for the clinician," Journal of Psychiatric Research, vol. 12, no. 3, pp. 189–198, 1975. [Abstract]. Available: https://doi.org/10.1016/0022-3956(75)90026-6. [Accessed Feb. 25, 2024].

J. H. Carr, R. B. Shepherd, L. Nordholm, un D. Lynne, "Investigation of a new motor assessment scale for stroke patients," Physical Therapy, vol. 65, no. 2, pp. 175–180, 1985. [Abstract]. Available: https://doi.org/10.1093/ptj/65.2.175. [Accessed Feb. 25, 2024].

R. L. Gajdosik un R. W. Bohannon, "Clinical measurement of range of motion: Review of goniometry emphasizing reliability and validity," Physical Therapy, vol. 67, no. 12, pp. 1867–1872, 1987. [Abstract]. Available: https://doi.org/10.1093/ptj/67.12.1867. [Accessed Feb. 25, 2024].

F. P. Kendall un F. P. Kendall, Muscles: Testing and Function with Posture and Pain. Baltimore, MD: Lippincott Williams & Wilkins, 2005.

M. McCaffery un A. Beebe, Pain: Clinical Manual for Nursing Practice. St. Louis, MO: Mosby, 1989.

R. W. Bohannon un M. B. Smith, "Interrater reliability of a modified Ashworth scale of muscle spasticity," Physical Therapy, vol. 67, no. 2, pp. 206–207, 1987. [Abstract]. Available: https://doi.org/10.1093/ptj/67.2.206. [Accessed Feb. 25, 2024].

A. R. Fugl-Meyer, L. Jääskö, I. Leyman, S. Olsson, un S. Steglind, "The post-stroke hemiplegic patient. 1. a method for evaluation of physical performance," Scandinavian Journal of Rehabilitation Medicine, vol. 7, no. 1, pp. 13–31, 1975. PMID:1135616.

A. Heller, D. T. Wade, V. A. Wood, A. Sunderland, R. L. Hewer, un E. Ward, "Arm function after stroke: measurement and recovery over the first three months," Journal of Neurology, Neurosurgery, and Psychiatry, vol. 50, no. 6, pp. 714–719, 1987. [Online]. Available: https://doi.org/10.1136/jnnp.50.6.714. [Accessed Feb. 25, 2024].

V. Mathiowetz, G. Volland, N. Kashman, and K. Weber, "Adult norms for the Box and Block Test of manual dexterity," The American Journal of Occupational Therapy: Official Publication of the American Occupational Therapy Association, vol. 39, no. 6, pp. 386–391, 1985. [Abstract]. Available: https://doi.org/10.5014/ajot.39.6.386. [Accessed Feb. 25, 2024].

A. Jain, R. Bansal, A. Kumar, and K.D. Singh, "A comparative study of visual and auditory reaction times on the basis of gender and physical activity levels of medical first year students," International Journal of Applied and Basic Medical Research, vol. 5, no. 2, pp. 124–127, 2015. [Abstract]. Available: https://doi.org/10.4103/2229-516X.157168. [Accessed Feb. 25, 2024].

B.E. Hilbig, "Reaction time effects in lab- versus Web-based research: Experimental evidence," Behavior Research Methods, vol. 48, no. 4, pp. 1718–1724, 2016. [Online]. Available: https://doi.org/10.3758/s13428-015-0678-9. [Accessed Feb. 25, 2024].

E. Brenner and J. Smeets, "How can you best measure reaction times?" Journal of Motor Behavior, vol. 51, no. 5, pp. 486–495, 2019. [Online]. Available: https://doi.org/10.1080/00222895.2018.1518311. [Accessed Feb. 25, 2024].

"UEQ: User Experience Questionnaire," 2018. Available: [Online]. Available: https://www.ueq-online.org/. [Accessed Feb. 25, 2024].

A. Bangor, P. Kortum, and J. Miller, "Determining What Individual SUS Scores Mean: Adding an Adjective Rating Scale," Journal of Usability Studies, vol. 4, no. 3, pp. 114-123, 2009. Available: [Online]. Available: https://uxpajournal.org/determining-what-individual-sus-scores-mean-adding-an-adjective-rating-scale/. [Accessed Feb. 25, 2024].

J. Brooke, "SUS: A Retrospective," Journal of Usability Studies, vol. 8, no. 2, pp. 29-40, 2013. Available: [Online]. Available: https://uxpajournal.org/sus-a-retrospective/

WMA, "DECLARATION OF HELSINKI 1964," 1964. Available: [Online]. Available: https://www.wma.net/what-we-do/medical-ethics/declaration-of-helsinki/doh-jun1964/. [Accessed Feb. 25, 2024].

Y. C. Liu, Y. R. Yang, Y. A. Tsai, and R. Y. Wang, "Cognitive and motor dual task gait training improve dual task gait performance after stroke - A randomized controlled pilot trial," Scientific Reports, vol. 7, no. 1, art. 4070, 2017. [Online]. Available: https://doi.org/10.1038/s41598-017-04165-y. [Accessed Feb. 25, 2024].

N. Hugues, C. Pellegrino, C. Rivera, E. Berton, C. Pin-Barre, and J. Laurin, "Is High-Intensity Interval Training Suitable to Promote Neuroplasticity and Cognitive Functions after Stroke?" International Journal of Molecular Sciences, vol. 22, no. 6, art. 3003, 2021. [Online]. Available: https://doi.org/10.3390/ijms22063003. [Accessed Feb. 25, 2024].

K. Thomson, A. Pollock, C. Bugge, and M. Brady, "Commercial gaming devices for stroke upper limb rehabilitation: a systematic review," International Journal of Stroke, vol. 9, no. 4, pp. 479–488, 2014. [Abstract]. Available: https://doi.org/10.1111/ijs.12263. [Accessed Feb. 25, 2024].

M. H. Chen, L. L. Huang, and C. H. Wang, "Developing a Digital Game for Stroke Patients’ Upper Extremity Rehabilitation – Design, Usability and Effectiveness Assessment," Procedia Manufacturing, vol. 3, pp. 6-12, 2015. [Online]. Available: https://doi.org/10.1016/j.promfg.2015.07.101. [Accessed Feb. 25, 2024].

P. Wang, G. C. H. Koh, C. G. Boucharenc, and C. C. Yen, "Designing Two-player Competitive Games for the Rehabilitation of Upper-Limb Motor Function after Stroke," Proceedings of the 2017 CHI Conference Extended Abstracts on Human Factors in Computing Systems, pp. 2201-2209, 2017. [Abstract]. Available: https://doi.org/10.1145/3027063.3053069. [Accessed Feb. 25, 2024].

S. E. Farmer, V. Durairaj, I. Swain, and A. D. Pandyan, "Assistive technologies: can they contribute to rehabilitation of the upper limb after stroke?" Archives of Physical Medicine and Rehabilitation, vol. 95, no. 5, pp. 968–985, 2014. [Abstract]. Available: https://doi.org/10.1016/j.apmr.2013.12.020. [Accessed Feb. 25, 2024].

B. Zhang, D. Li, Y. Liu, J. Wang, and Q. Xiao, "Virtual reality for limb motor function, balance, gait, cognition and daily function of stroke patients: A systematic review and meta-analysis," Journal of Advanced Nursing, vol. 77, no. 8, pp. 3255–3273, 2021. [Online]. Available: https://doi.org/10.1111/jan.14800. [Accessed Feb. 25, 2024].

A. Basteris, S. M. Nijenhuis, A. H. Stienen, J. H. Buurke, G. B. Prange, and F. Amirabdollahian, "Training modalities in robot-mediated upper limb rehabilitation in stroke: a framework for classification based on a systematic review," Journal of Neuroengineering and Rehabilitation, vol. 11, art. 111, 2014. [Online]. Available: https://doi.org/10.1186/1743-0003-11-111. [Accessed Feb. 25, 2024].

L. Myers, "The Test-Retest Reliability and Minimal Detectable Change of the FitLight Trainer™," Masters of Education in Human Movement, Sport, and Leisure Studies Graduate Projects, no. 88, 2021. [Online]. Available: https://scholarworks.bgsu.edu/hmsls_mastersprojects/88/. [Accessed Feb. 25, 2024].

A. D. H. Al-Selmi and M. S. Hosen, "The Effect of Using Fit Light Exercise in Some Physiological Indicators and Smash Shot for Badminton’s Players," International Journal of Psychosocial Rehabilitation, vol. 24, no. 3, pp. 4172-4177, Mar. 2020. [Online]. Available: https://doi.org/10.13140/RG.2.2.33641.31843. [Accessed Feb. 25, 2024].

M.A. Rogozhnikov, A.E. Baturin, Yu.V. Yakovlev, A.E. Kuritsyna, "‘FITLIGHT’ Training System Benefits for Neuromuscular Control Training in Basketball," in Theory and Practice of Physical Culture, no. 9, pp. 10-12, 2020. [Online]. Available: https://cyberleninka.ru/article/n/fitlight-training-system-benefits-for-neuromuscular-control-training-in-basketball. [Accessed Feb. 25, 2024].

N.V. Chepanov, "Improvement of reaction speed of karate teens with the use of the simulator «Blazepod»," Physical Culture. Sport. Tourism. Motor Recreation, vol. 6, no. 3, pp. 39-45, 2021. [Abstract]. Available: https://doi.org/10.47475/2500-0365-2021-16306. [Accessed Feb. 25, 2024].

Downloads

Published

2024-06-22

How to Cite

[1]
A. Snipkis, G. Semjonova, and D. Smite, “USABILITY AND UTILITY OF THE SNIPTOUCH INNOVATIVE AGILITY TRAINING DEVICE PROTOTYPE IN PATIENTS WITH UPPER EXTREMITY IMPAIRMENTS AFTER STROKE: A MULTIPLE CASE STUDY”, ETR, vol. 2, pp. 273–280, Jun. 2024, doi: 10.17770/etr2024vol2.8021.