Envisioning the use of in-situ arm movement data in stroke rehabilitation: Stroke survivors' and occupational therapists' perspectives.
Envisioning the use of in-situ arm movement data in stroke rehabilitation: Stroke survivors' and occupational therapists' perspectives.
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设想在中风康复中使用原位手臂运动数据：中风幸存者和职业治疗师的观点。
DOI：
10.1371/journal.pone.0274142
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发表时间：
2022
期刊：
影响因子：
3.7
通讯作者：
Choe, Eun Kyoung
中科院分区：
文献类型：
--
作者：
Jung, Hee-Tae;Kim, Yoojung;Lee, Juhyeon;Lee, Sunghoon Ivan;Choe, Eun Kyoung
脑卒中上肢康复成功的关键在于根据患者的功能能力和表现水平进行个性化的治疗干预。然而，由于缺乏关于中风幸存者如何在诊所外使用受中风影响的手臂的信息，治疗师在支持个性化康复方面经常遇到挑战。可穿戴技术被认为是一种有效、客观的解决方案，可以监测患者在自然环境中的手臂使用模式。然而，这些技术仍然是概念验证，尚未被采用为主流治疗产品，我们缺乏对关键利益相关者如何看待可穿戴技术在其实践中的使用的理解。我们的目标是了解中风幸存者和治疗师如何感知和设想在实际环境中使用可穿戴传感器和手臂活动数据，以及我们如何设计一个基于可穿戴的性能监测系统，以更好地支持利益相关者的需求。我们对4名中风幸存者和15名职业治疗师（OTs）进行了半结构化访谈，访谈基于我们为情境化而收集的真实手臂使用数据。为了定位我们的参与者，我们利用一对手指佩戴的加速度计来收集中风幸存者在现实环境中的手臂使用数据，我们分别使用这些数据为中风幸存者和OTs创建研究探针。访谈数据采用专题方法进行分析。我们的研究揭示了(1)中风幸存者和门诊医生对在临床实践中使用可穿戴传感器的接受程度，(2)门诊医生利用患者产生的传感器数据为患者提供个性化治疗方案的设想策略，以及(3)将可穿戴系统加速整合到他们的实践中的实际挑战和设计考虑。这些发现为可穿戴解决方案的设计提供了有希望的方向，支持OTs为中风幸存者开发个性化的治疗方案，以改善他们受影响的手臂使用。
The key for successful stroke upper-limb rehabilitation includes the personalization of therapeutic interventions based on patients’ functional ability and performance level. However, therapists often encounter challenges in supporting personalized rehabilitation due to the lack of information about how stroke survivors use their stroke-affected arm outside the clinic. Wearable technologies have been considered as an effective, objective solution to monitor patients’ arm use patterns in their naturalistic environments. However, these technologies have remained a proof of concept and have not been adopted as mainstream therapeutic products, and we lack understanding of how key stakeholders perceive the use of wearable technologies in their practice. We aim to understand how stroke survivors and therapists perceive and envision the use of wearable sensors and arm activity data in practical settings and how we could design a wearable-based performance monitoring system to better support the needs of the stakeholders. We conducted semi-structured interviews with four stroke survivors and 15 occupational therapists (OTs) based on real-world arm use data that we collected for contextualization. To situate our participants, we leveraged a pair of finger-worn accelerometers to collect stroke survivors’ arm use data in real-world settings, which we used to create study probes for stroke survivors and OTs, respectively. The interview data was analyzed using the thematic approach. Our study unveiled a detailed account of (1) the receptiveness of stroke survivors and OTs for using wearable sensors in clinical practice, (2) OTs’ envisioned strategies to utilize patient-generated sensor data in the light of providing patients with personalized therapy programs, and (3) practical challenges and design considerations to address for the accelerated integration of wearable systems into their practice. These findings offer promising directions for the design of a wearable solution that supports OTs to develop individually-tailored therapy programs for stroke survivors to improve their affected arm use.
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