Electromyography-controlled gamified exercise system for the distal upper extremity: a usability assessment in subacute post-stroke patients.

Movement repetition is known to play a key role in promoting functional improvements or maintaining functional levels in post-stroke hemiparetic patients. However, repetitive movements tend to be monotonous, making it challenging for patients to continue. Here, we developed a new gamified system to...

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Publicado en:Disability & Rehabilitation: Assistive Technology Vol. 18; no. 6; pp. 883 - 889
Autores principales: Ito, Kazuki, Uehara, Shintaro, Yuasa, Akiko, Kim, Chang Man, Kitamura, Shin, Ushizawa, Kazuki, Tanabe, Shigeo, Otaka, Yohei
Formato: pictorial research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Aug2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Aug2023
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.1080/17483107.2021.1936663
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        atl: Electromyography-controlled gamified exercise system for the distal upper extremity: a usability assessment in subacute post-stroke patients.
      aug:
        au:
          Ito, Kazuki
          Uehara, Shintaro
          Yuasa, Akiko
          Kim, Chang Man
          Kitamura, Shin
          Ushizawa, Kazuki
          Tanabe, Shigeo
          Otaka, Yohei
        affil: Department of Rehabilitation, Fujita Health University Hospital, Aichi, Japan
      sug:
        subj:
          Electromyography Utilization
          Gamification Utilization
          Upper Extremity Exercises Methods
          Upper Extremity Physiology
          Stroke Patients
          Stroke Rehabilitation
          Human
          Male
          Female
          Middle Age
          Aged
          Aged, 80 and Over
          Usability Study
          Hemiplegia
          Scales
          Questionnaires
          Descriptive Statistics
          Comparative Studies
          Exercise
          Personal Satisfaction
          Motivation
          Psychometrics
          Academic Medical Centers Japan
          Japan
          User-Computer Interface
          Functional Status
          Recovery
          Pleasure
          Patient Satisfaction
          Funding Source
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: Movement repetition is known to play a key role in promoting functional improvements or maintaining functional levels in post-stroke hemiparetic patients. However, repetitive movements tend to be monotonous, making it challenging for patients to continue. Here, we developed a new gamified system to allow patients perform repetitive movements with enjoyment. The present study aimed to examine the usability of the system in subacute stroke patients. The exercise system comprised an electromyography-controlled operating system that enabled users to play a virtual game by repetitive finger and wrist movements on the affected side. A total of 13 patients with upper-limb hemiparesis underwent a single bout of exercise using the system and assessed its usability, satisfactoriness, enjoyability, etc. using the System Usability Scale (SUS), Quebec User Evaluation of Satisfaction with assistive Technology (QUEST)-like questionnaire, and numerical rating scale (NRS). All the participants, who had a wide range of paretic levels, were able to perform the exercise using the system. Participants scored the system a median of 85.0 for SUS and 4.2 for the QUEST-like questionnaire, with an "excellent" in usability and "satisfied" in user satisfaction with the system. The median NRS scores for enjoyability, potential for continuous use, and effectiveness were 8.0, 9.0, and 9.0, respectively, which were greater than the scores for usual rehabilitation training for the upper extremity. The novel electromyography-controlled gamified exercise system may have sufficient usability and enjoyability to motivate patients with a wide range of paretic levels to perform repetitive finger and wrist movements. The electromyography-controlled gamified exercise system had overall positive perspectives on the usability of the system. This exercise system could help motivate patients with a wide range of paretic levels to perform repetitive finger and wrist movements.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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