Technical Feasibility of Supervision of Stretching Exercises by a Humanoid Robot Coach for Chronic Low Back Pain: The R-COOL Randomized Trial.

Adherence to exercise programs for chronic low back pain (CLBP) is a major issue. The R-COOL feasibility study evaluated humanoid robot supervision of exercise for CLBP. Aims are as follows: (1) compare stretching sessions between the robot and a physiotherapist (control), (2) compare clinical outco...

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Publicado en:BioMed Research International pp. 1 - 11
Autores principales: Blanchard, Agathe, Nguyen, Sao Mai, Devanne, Maxime, Simonnet, Mathieu, Le Goff-Pronost, Myriam, Rémy-Néris, Olivier
Formato: pictorial research tables/charts randomized controlled trial Journal Article
Publicado: Wiley-Blackwell 3/9/2022
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 3/9/2022
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1155/2022/5667223
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        atl: Technical Feasibility of Supervision of Stretching Exercises by a Humanoid Robot Coach for Chronic Low Back Pain: The R-COOL Randomized Trial.
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        au:
          Blanchard, Agathe
          Nguyen, Sao Mai
          Devanne, Maxime
          Simonnet, Mathieu
          Le Goff-Pronost, Myriam
          Rémy-Néris, Olivier
        affil: Physical and Rehabilitation Medicine Department, Brest University Hospital, Brest, France
      sug:
        subj:
          Robotics
          Physical Therapists
          Stretching
          Chronic Pain Rehabilitation
          Low Back Pain Rehabilitation
          Treatment Outcomes
          Patient Attitudes Evaluation
          Patient Satisfaction Evaluation
          Human
          Randomized Controlled Trials
          Random Assignment
          Pilot Studies
          Single-Blind Studies
          Rehabilitation Centers
          France
          T-Tests
          Wilcoxon Rank Sum Test
          Descriptive Statistics
          Questionnaires
          Patient Compliance
          Adult
          Middle Age
          Male
          Female
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Adherence to exercise programs for chronic low back pain (CLBP) is a major issue. The R-COOL feasibility study evaluated humanoid robot supervision of exercise for CLBP. Aims are as follows: (1) compare stretching sessions between the robot and a physiotherapist (control), (2) compare clinical outcomes between groups, and (3) evaluate participant perceptions of usability and satisfaction and therapist acceptability of the robot system. Prospective, randomized, controlled, single-blind, 2-centre study comparing a 3-week (3 hours/day, 5 days/week) physical activity program. Stretching sessions (30 minutes/day) were supervised by a physiotherapist (control) or the robot. Primary outcome: daily physical activity time (adherence). Secondary outcomes: lumbar pain, disability and fear and beliefs, participant perception of usability (system usability scale) and satisfaction, and physiotherapist acceptability (technology acceptance model). Clinical outcomes were compared between groups with a Student t -test and perceptions with a Wilcoxon test. Data from 27 participants were analysed (n = 15 control and n = 12 robot group). Daily physical activity time did not differ between groups, but adherence declined (number of movements performed with the robot decreased from 82% in the first week to 72% in the second and 47% in the third). None of the clinical outcomes differed between groups. The median system usability scale score was lower in the robot group: 58 (IQR 11.8) points vs. 87 (IQR 9.4) in the control group at 3 weeks (p < 0.001). Median physiotherapist rating of the technology acceptance model was <3 points, suggesting a negative opinion of the robot. In conclusion, adherence to robot exercise reduced over time; however, lumbar pain, disability, or fear and beliefs did not differ between groups. The results of the participant questionnaires showed that they were willing to use such a system, although several technical issues suggested the KERAAL system could be improved to provide fully autonomous supervision of physical activity sessions.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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