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Do people with multiple sclerosis perceive upper limb improvements from robotic-mediated therapy? A mixed methods study

Published:September 05, 2022DOI:https://doi.org/10.1016/j.msard.2022.104159

      Highlights

      • Experiences of rehabilitation technology using mixed methods have been rarely explored in people with multiple sclerosis.
      • Robot-mediated upper limb therapy resulted in positive experiences on upper limb impairments for people with multiple sclerosis.
      • Expectations of participants were rather low at baseline but increased with observed functional benefits.
      • Long-term rehabilitation programs involving rehabilitation technology should be considered for people with multiple sclerosis.

      Abstract

      Background

      Robot-mediated training is increasingly considered as a rehabilitation intervention targeting upper limb disability. However, experiences of such an intervention have been rarely explored in the multiple sclerosis population. This mixed methods study sought to explore the impact of an eight week upper limb robotic intervention on experiences of people with multiple sclerosis.

      Methods

      Eleven participants (Median EDSS- score: 6.5) with moderate to severe upper limb impairment, performed eight week robot- mediated training of the most affected arm. The training involved a virtual learning platform called I-TRAVLE with duration of 30 min per training session, twice to three times per week. Two subjective questionnaires with items from the Intrinsic Motivation Inventory (IMI) and Credibility and Expectancy Questionnaire (CEQ) were collected bi-weekly during the intervention. Approximately one month after completing the training, three focus groups were conducted. Main themes were identified using thematic analysis.

      Results

      Results from the IMI and CEQ indicated high patient satisfaction and expectation that the intervention will be beneficial for them. Two main themes were identified: (1) Effect of the intervention on impairment and activity in that participants felt that there was a positive impact of the training on strength, endurance and during activities of daily living and that it met their expectations; (2) Experiences based on system usage from the system in that participants expressed feelings of motivation and self-improvement. The participants also perceived the training as enjoyable and concluded that the use of games instigated a competitive spirit between the participants.

      Conclusions

      Robot-mediated training could have a motivating effect and induce a general positive experience while reducing disabilities of people with multiple sclerosis.

      Keywords

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