Persistent Identifier
|
doi:10.34894/MBABRA |
Publication Date
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2021-03-18 |
Title
| hoMEcare aRm rehabiLItatioN (MERLIN): Telerehabilitation using an unactuated device based on serious games improves the upper limb function in chronic stroke |
Alternative Title
| MERLIN |
Author
| S.G. Rozevink (University Medical Center Groningen) - ORCID: 0000-0002-4992-1578
C.K. van der Sluis (University Medical Center Groningen) - ORCID: 0000-0003-2141-8214
T. Keller (Neurorehabilitation area, Health Division of TECNALIA, Basque Research and Technology Alliance (BRTA), San Sebastian, Spain) - ORCID: 0000-0003-4000-958X
A. Garzo (Neurorehabilitation area, Health Division of TECNALIA, Basque Research and Technology Alliance (BRTA), San Sebastian, Spain) - ORCID: 0000-0002-0391-2879
J.M. Hijmans (University Medical Center Groningen) - ORCID: 0000-0003-3968-9602 |
Point of Contact
|
Use email button above to contact.
Groningen Digital Competence Centre (University of Groningen) |
Description
| Background: HoMEcare aRm rehabiLItatioN (MERLIN) is an unactuated version of the robotic device ArmAssist combined with a telecare platform. Stroke patients are able to train the upper limb function using serious games at home. The aim of this study is to investigate the effect of MERLIN training on the upper limb function of patients with unilateral upper limb paresis in the chronic phase of stroke (> 6 months post stroke). Methods: Patients trained task specific serious games for three hours per week during six weeks using an unactuated version of a robotic device. Progress was monitored and game settings were tailored through telerehabilitation. Measurements were performed six weeks pre-intervention (T0), at the start (T1), end (T2), six weeks post-intervention (T3) and six months post-intervention (T4). Primary outcome was the Wolf Motor Function Test (WMFT). Secondary outcomes were Fugl-Meyer Assessment-Upper Extremity (FMA-UE), Action Research Arm Test (ARAT), quality of life (EQ-5D). User satisfaction was measured using the System Usability Scale (SUS) and Dutch- Quebec User Evaluation of Satisfaction with assistive Technology (D-Quest), and motivation was assessed using the Intrinsic motivation inventory (IMI). Results: Twelve patients were included, ten completed the training. From start of the intervention to six weeks follow up, WMFT improved significantly with 3.8 points (p = .006), which is also clinically relevant. No significant changes in quality of life were observed. Patients were overall satisfied with the usability of the device. Comfort and the robustness of the system need further improvements. Follow-up revealed significant improvement in FMA-UE scores six months after the intervention compared to baseline values. An overall decreasing trend was also visible in the arm/hand function. Conclusion: Patients in the chronic phase of stroke significantly improved their upper limb function with the MERLIN training at home. Trial registration This study is registered at the Netherlands Trial Register (NL7535). Registered 18-02-2019, https://www.trialregister.nl/trial/7535 . Keywords: Hand; Home training; Rehabilitation; Stroke; Task specific; Telerehabilitation; Training device; Upper limb. |
Subject
| Medicine, Health and Life Sciences |
Keyword
| Hand (MeSH) https://www.ncbi.nlm.nih.gov/mesh/68006225
Home training
Rehabilitation (MeSH) https://www.ncbi.nlm.nih.gov/mesh/68012046
Stroke (MeSH) https://www.ncbi.nlm.nih.gov/mesh/68020521
Task Specific
Telerehabilitation (MeSH) https://www.ncbi.nlm.nih.gov/mesh/2009969
Training Device
Upper Limb (MeSH) https://www.ncbi.nlm.nih.gov/mesh/68034941
Serious games |
Related Publication
| Rozevink SG, van der Sluis CK, Garzo A, Keller T, Hijmans JM. HoMEcare aRm rehabiLItatioN (MERLIN): telerehabilitation using an unactuated device based on serious games improves the upper limb function in chronic stroke. J Neuroeng Rehabil. 2021 Mar 16;18(1):48. doi: 10.1186/s12984-021-00841-3. PMID: 33726801; PMCID: PMC7961165. doi: 10.1186/s12984-021-00841-3 https://doi.org/10.1186/s12984-021-00841-3
Rozevink, S.G., van der Sluis, C.K. & Hijmans, J.M. HoMEcare aRm rehabiLItatioN (MERLIN): preliminary evidence of long term effects of telerehabilitation using an unactuated training device on upper limb function after stroke. J NeuroEngineering Rehabil 18, 141 (2021). https://doi.org/10.1186/s12984-021-00934-z doi: 10.1186/s12984-021-00934-z https://doi.org/10.1186/s12984-021-00934-z
Spits, A. H. et al. Assistive Technology Stroke survivors’ experiences with home-based telerehabilitation using an assistive device to improve upper limb function: a qualitative study. Disabil. Rehabil. Assist. Technol. 1–9 (2022). doi.org/10.1080/17483107.2022.2120641 https://doi.org/10.1080/17483107.2022.2120641
Rozevink, S. G., Horstink, K. A., van der Sluis, C. K., Hijmans, J. M., & Murgia, A. (2023). Application of the Coupling Angle to Investigate Upper Limb Interjoint Coordination After Stroke. IRBM, 44(4), 100769. doi.org/10.1016/j.irbm.2023.100769 https://doi.org/10.1016/j.irbm.2023.100769 |
Language
| English |
Producer
| University Medical Center Groningen (UMCG) https://www.umcg.nl/ |
Funding Information
| EIT Health: 19094
Stichting Beatrixoord Noord-Nederland: 210.183 |
Distribution Date
| 2021-03-16 |
Depositor
| S.G. Rozevink |
Deposit Date
| 2020-12-10 |
Time Period
| Start: 2019-08-01 ; End: 2020-10-01 |
Date of Collection
| Start: 2019-08-01 ; End: 2020-10-01 |
Data Type
| Clinical data; Survey data; In-depth interviews; Motion capture |
Software
| SPSS, Version: 23
Redcap
Atlas.TI, Version: 9
Matlab |