scholarly journals Haptic-Enabled Hand Rehabilitation in Stroke Patients: A Scoping Review

2021 ◽  
Vol 11 (8) ◽  
pp. 3712
Author(s):  
Mohamed-Amine Choukou ◽  
Sophia Mbabaali ◽  
Jasem Bani Hani ◽  
Carol Cooke
Keyword(s):  
Scoping Review ◽  
Research Question ◽  
Therapeutic Approaches ◽  
Hand Rehabilitation ◽  
Hand Therapy ◽  
Upper Limb Rehabilitation ◽  
Effective Interventions ◽  
Study Selection ◽  
Multifaceted Interventions ◽  
Limb Rehabilitation

There is a plethora of technology-assisted interventions for hand therapy, however, less is known about the effectiveness of these interventions. This scoping review aims to explore studies about technology-assisted interventions targeting hand rehabilitation to identify the most effective interventions. It is expected that multifaceted interventions targeting hand rehabilitation are more efficient therapeutic approaches than mono-interventions. The scoping review will aim to map the existing haptic-enabled interventions for upper limb rehabilitation and investigates their effects on motor and functional recovery in patients with stroke. The methodology used in this review is based on the Arksey and O’Malley framework, which includes the following stages: identifying the research question, identifying relevant studies, study selection, charting the data, and collating, summarizing, and reporting the results. Results show that using three or four different technologies was more positive than using two technologies (one technology + haptics). In particular, when standardized as a percentage of outcomes, the combination of three technologies showed better results than the combination of haptics with one technology or with three other technologies. To conclude, this study portrayed haptic-enabled rehabilitation approaches that could help therapists decide which technology-enabled hand therapy approach is best suited to their needs. Those seeking to undertake research and development anticipate further opportunities to develop haptic-enabled hand telerehabilitation platforms.

Sensor-based technology for upper limb rehabilitation in patients with multiple sclerosis: A randomized controlled trial

2020 ◽  
Vol 38 (4) ◽  
pp. 333-341
Author(s):  
Marco Tramontano ◽  
Giovanni Morone ◽  
Sara De Angelis ◽  
Laura Casagrande Conti ◽  
Giovanni Galeoto ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Upper Limb ◽  
Controlled Trial ◽  
Control Group ◽  
Hand Rehabilitation ◽  
Upper Limb Rehabilitation ◽  
Rehabilitation Programs ◽  
Scale Scores ◽  
Limb Rehabilitation ◽  
Experimental Group

Background: Sensor-based technological therapy devices may be good candidates for neuromotor rehabilitation of people with Multiple Sclerosis (MS), especially for treating upper extremities function limitations. The sensor-based device rehabilitation is characterized by interactive therapy games with audio-visual feedback that allows training the movement of shoulders, elbows, and wrist, measuring the strength and the active range of motion of upper limb, registering data in an electronic database to quantitatively monitoring measures and therapy progress. Objective: This study aimed to investigate the effects of sensor-based motor rehabilitation in add-on to the conventional neurorehabilitation, on increasing the upper limb functions of patients with MS. Methods: Thirty patients were enrolled in the study and randomly assigned to the experimental group and the control group. The training consisting of twelve sessions of upper limb training was compared with twelve sessions of upper limb sensory-motor training, without robotic support. Both rehabilitation programs were performed for 40 minutes three times a week, for 4 weeks, in addition to conventional therapy. All patients were evaluated at the baseline (T0) and after 4 weeks of training (T1). Results: The within-subject analysis showed a statistically significant improvement in both groups, in the Modified Barthel Index and in the Rivermead Mobility Index scores and a significant improvement in Multiple Sclerosis Quality of Life-54 in the experimental. The analysis of effectiveness revealed that, compared with baseline (T0), the improvement percentage in all clinical scale scores was greater in the experimental group than the control group. Conclusions: Proposed training provides an intensive and functional-oriented rehabilitation that objectively evaluates achieved progress through exercises. Therefore, it can represent a good complementary strategy for hand rehabilitation in MS patients.

scholarly journals Psychosocial and quality of life impact of scars in the surgical, traumatic and burn populations: a scoping review protocol

BMJ Open ◽  
2019 ◽  
Vol 9 (6) ◽  
pp. e021289
Author(s):  
Natalia Ziolkowski ◽  
Simon C Kitto ◽  
Dahn Jeong ◽  
Jennifer Zuccaro ◽  
Thomasin Adams-Webber ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Scoping Review ◽  
Research Question ◽  
Grey Literature ◽  
Psychosocial Health ◽  
Emotional Disturbances ◽  
Study Selection ◽  
Life Impact ◽  
Methodological Considerations

IntroductionDespite the fact that millions of scars affect individuals annually, little is known about their psychosocial impact and overall quality of life (QOL) on individuals. Scars from multiple aetiologies may cause psychiatric and emotional disturbances, can limit physical functioning and increase costs to the healthcare system. The purpose of this protocol is to describe the methodological considerations that will guide the completion of a scoping review that will summarise the extent, range and nature of psychosocial health outcomes and QOL of scars of all aetiologies.Methods and analysisA modified Arksey and O’Malley (2005) framework will be completed, namely having ongoing consultation between experts from the beginning of the process, then (1) identifying the research question/s, (2) identifying the relevant studies from electronic databases and grey literature, with (3) study selection and (4) charting of data by two independent coders, and (5) collating, summarising and reporting data. Experts will include a health information specialist (TAW), scar expert (JSF), scoping review consultant (SCK), as well as at least two independent coders (NZ, AM).Ethics and disseminationEthics approval will not be sought for this scoping review. We plan to disseminate this research through publications, presentations and meetings with relevant stakeholders.

scholarly journals Implementation of evidence-based parenting programs under real-world conditions: Protocol for a scoping review

PLoS ONE ◽  
2021 ◽  
Vol 16 (8) ◽  
pp. e0256392
Author(s):  
Rita Pinto ◽  
Catarina Canário ◽  
Orlanda Cruz ◽  
Maria José Rodrigo
Keyword(s):  
Scoping Review ◽  
Real World ◽  
Research Question ◽  
Parenting Programs ◽  
Evidence Based ◽  
Study Selection ◽  
Scoping Reviews ◽  
Research Questions ◽  
Meta Analyses ◽  
Evidence Based Programs

Protecting children is recognized as a public health priority and supporting parents through the implementation of evidence-based programs is a well-known strategy to achieve this. However, researchers highlight that these programs remain insufficiently implemented in real-world contexts. A knowledge gap exists between the intended implementation of evidence-based parenting programs and their actual implementation on real-world dynamics. This scoping review aims to provide a comprehensive understanding of how evidence-based parenting programs have been implemented under real-world conditions by providing a map of available evidence and identifying knowledge gaps. The overall research question is: "How have evidence-based parenting programs been implemented under real-world conditions?". The proposed scoping review follows the framework originally described by Arksey and O’Malley, Levac and colleagues, and the Joanna Briggs Institute: (1) identifying the research questions; (2) identifying the relevant studies; (3) study selection; (4) charting the data; (5) collating, summarizing, and reporting the results; (6) consultation. The Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) will inform the search strategy. The results will be described in relation to the research questions and in the context of the purpose of the review. This scoping review will help to bridge the implementation gap between research evidence and its translation into practice.

Design and Development of Fun Lean Augmented and Virtual Reality Prototypes for Hand and Upper Limb Rehabilitation

2020 ◽  
Author(s):  
Chien-Sing Lee ◽  
Pei-Yee Tan ◽  
Hong-Wei Wong
Keyword(s):  
Virtual Reality ◽  
Augmented Reality ◽  
Occupational Therapy ◽  
Activity Level ◽  
Leap Motion ◽  
Hand Rehabilitation ◽  
Cognitive Health ◽  
Upper Limb Rehabilitation ◽  
Limb Rehabilitation ◽  
Rehabilitation Exercise

Lack of motivation to carry out rehabilitation exercise from a hand injury or stroke is one of the most challenging aspects faced by Occupational Therapy (OT) and Certified Occupational Therapy Assistants (COTA). Some patients refuse to exercise due to behavioral, psychological, or cognitive reasons. We hypothesize that recovery to their former activity level and strength can be quickened if we develop Augmented Reality (AR)/Virtual Reality (VR) games which add fun into rehabilitative hand exercises. A physical card game for hand rehabilitation, which contains puzzle pieces and rehabilitative exercise instructions, is designed and developed to trigger the display of an Augmented Reality virtual reward upon completion of the puzzle. User testing results are promising. Users find it easy to use, supportive, efficient, exciting and interesting; suitable for either individual or collaborative play. Being object-oriented, it is also scalable, extensible and easily portable. An extended Leap-Motion-enhanced AR environment for limb rehabilitation is being developed. We hope that both will improve physical, mental and socio-cognitive health.

scholarly journals A scoping review protocol to map the evidence on interventions to prevent overweight and obesity in children

BMJ Open ◽  
2018 ◽  
Vol 8 (2) ◽  
pp. e019311 ◽  
Author(s):  
Peer-Benedikt Vincent Bussiek ◽  
Chiara De Poli ◽  
Gwyn Bevan
Keyword(s):  
Scoping Review ◽  
Selection Process ◽  
Research Question ◽  
Scientific Journal ◽  
Overweight And Obesity ◽  
Eligibility Criteria ◽  
Study Selection ◽  
Ethical Approval ◽  
Definition Of ◽  
Obesity In Children

IntroductionObesity has become one of the biggest public health problems of the 21st century. Prevalence of obesity in children and adolescents has increased dramatically worldwide over the last 20 years, and this trend is expected to continue. Obesity in childhood is concerning as it predicts obesity in adulthood, a common risk factor for a wide array of chronic diseases and poor health outcomes. Obesity is preventable and a vast but fragmented body of evidence on preventative interventions is now available. This article outlines the protocol for a scoping review of published literature reviews on interventions to prevent obesity in children. The scoping review addresses the broad research question ‘What is the evidence on interventions to prevent childhood obesity?’. It aims to give an overview of the various interventions available, understand those which are effective and identify barriers and facilitators to their effectiveness.Methods and analysisThe six-staged Arksey and O’Malley methodology framework is used to guide the scoping review process: following the definition of the research questions (stage 1); the eligibility criteria and search strategy are defined (stage 2); the study selection process based on the eligibility criteria identified will follow (stage 3); a framework developed for this review will then inform the extraction and charting of data from the included reviews (stage 4); results will be aggregated and summarised with criteria relevant for health professionals and policy-makers (stage 5); and the optional consultation (stage 6) exercise is not planned.Ethics and disseminationSince the scoping review methodology aims at synthetising information from available publications, this study does not require ethical approval. An article reporting the results of the scoping review will be submitted for publication to a scientific journal, presented at relevant conferences and disseminated as part of future workshops with professionals involved in obesity prevention.

Flexibility in Upper Limb Rehabilitation With the Use of 1-DOF Fourbar Linkages

2018 ◽  
Author(s):  
Sabit Kurmashev ◽  
Sayat Ospanov ◽  
Aryslan Malik ◽  
Evagoras Xydas ◽  
Andreas Mueller
Keyword(s):  
Hand Rehabilitation ◽  
Upper Limb Rehabilitation ◽  
Kinematic Chains ◽  
Minimum Jerk ◽  
Community Based Rehabilitation ◽  
Straight Line ◽  
It Support ◽  
Temporal And Spatial Characteristics ◽  
Limb Rehabilitation ◽  
Four Bar Linkage

In robotic rehabilitation the interaction is usually implemented by means of robots based on multi-Degree of Freedom (DOF) open kinematic chains. Despite their inherent flexibility these machines are expensive, complex and require routine maintenance and IT support. In contrast, mechanisms based on closed kinematic chains and especially 1-DOF four- and six bar linkages are simple, yet capable of generating paths with complex kinematic characteristics. These mechanisms are preferable when simplicity and cost are the major criteria, for example in the case of community-based rehabilitation in developing countries. On the other hand, rehabilitation using 1-DOF limits flexibility and potentially impairs the exercise effectiveness, since the patient does not have access to a variety of kinematic challenges. Nevertheless, by careful ergonomic design and by considering varying time constraints, link rotation ranges and varying link lengths this limitation can be overcome. This work aims to demonstrate the potential of 1-DOF four-bar linkages to provide flexibility in therapy by considering a Hoeken’s straight line four-bar linkage. After the mechanism is dimensioned, a previously developed method is employed for establishing a final prototype design which accounts for significant neurophysiological models such as Minimum Jerk Model, Fitts’s Law and Just Noticeable Differences. Given the mechanism characteristics, its potential for generation of exercises that vary with respect to temporal and spatial characteristics is demonstrated.

scholarly journals Practice Forum-Defining Dexterity in Hand Therapy

2019 ◽  
Author(s):  
Joshua Yong ◽  
Joy C. Macdermid ◽  
Tara Packham
Keyword(s):  
Upper Limb ◽  
Clinical Assessment ◽  
Hand Therapy ◽  
Upper Limb Rehabilitation ◽  
Definition Of ◽  
Limb Rehabilitation

The authors propose a definition of dexterity to improve the clarity of the concept: dexterity, in communication and its application to clinical assessment in hand and upper limb rehabilitation.

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