Wearable myoelectric interface enables high-dose, home-based training in severely impaired chronic stroke survivors.
Ann Clin Transl Neurol
; 8(9): 1895-1905, 2021 09.
Article
in En
| MEDLINE
| ID: mdl-34415114
ABSTRACT
BACKGROUND:
High-intensity occupational therapy can improve arm function after stroke, but many people lack access to such therapy. Home-based therapies could address this need, but they don't typically address abnormal muscle co-activation, an important aspect of arm impairment. An earlier study using lab-based, myoelectric computer interface game training enabled chronic stroke survivors to reduce abnormal co-activation and improve arm function. Here, we assess feasibility of doing this training at home using a novel, wearable, myoelectric interface for neurorehabilitation training (MINT) paradigm.OBJECTIVE:
Assess tolerability and feasibility of home-based, high-dose MINT therapy in severely impaired chronic stroke survivors.METHODS:
Twenty-three participants were instructed to train with the MINT and game for 90 min/day, 36 days over 6 weeks. We assessed feasibility using amount of time trained and game performance. We assessed tolerability (enjoyment and effort) using a customized version of the Intrinsic Motivation Inventory at the conclusion of training.RESULTS:
Participants displayed high adherence to near-daily therapy at home (mean of 82 min/day of training; 96% trained at least 60 min/day) and enjoyed the therapy. Training performance improved and co-activation decreased with training. Although a substantial number of participants stopped training, most dropouts were due to reasons unrelated to the training paradigm itself.INTERPRETATION:
Home-based therapy with MINT is feasible and tolerable in severely impaired stroke survivors. This affordable, enjoyable, and mobile health paradigm has potential to improve recovery from stroke in a variety of settings. Clinicaltrials.gov NCT03401762.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Outcome and Process Assessment, Health Care
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Stroke
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Stroke Rehabilitation
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Wearable Electronic Devices
/
Exergaming
Limits:
Adult
/
Aged
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Female
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Humans
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Male
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Middle aged
Language:
En
Journal:
Ann Clin Transl Neurol
Year:
2021
Type:
Article
Affiliation country:
United States