Effectiveness of Everyday Technology Use in Upper-Extremity Stroke Rehabilitation

Kaminsky, Tatiana; Oldham, Dillon; Ferree, Claire; Robert, Amanda; Yee, Alana; Tomlin, George

doi:10.5014/ajot.2019.73s1-po7019

Cited by 1 publication

(2 citation statements)

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“…However, stroke survivors and their families indicated that this would be an ideal time to trial sEMG technology, when frustration and fear about return of muscle function is most prevalent and sEMG may detect muscle activity that is not visible or palpable. This early technology intervention is also supported in the literature, and capitalizes on the principles of neuroplasticity routinely cited as drivers of clinical practice in current stroke rehabilitation (43,44). Further, given that detectable sEMG activity has been 10 "You'd put electrodes on your arm and then they actually gave me a laptop that had like a game on it.…”

Section: Discussionmentioning

confidence: 92%

“…However, stroke survivors and their families indicated that this would be an ideal time to trial sEMG technology, when frustration and fear about return of muscle function is most prevalent and sEMG may detect muscle activity that is not visible or palpable. This early technology intervention is also supported in the literature, and capitalizes on the principles of neuroplasticity routinely cited as drivers of clinical practice in current stroke rehabilitation ( 43 , 44 ). Further, given that detectable sEMG activity has been seen in flaccid limbs of stroke survivors days after stroke and prior to onset of voluntary muscle contraction, having this resource more readily available in acute recovery phases could serve to build hope and motivation for stroke survivors, in addition to providing information to the medical team about neural pathway integrity ( 45 ).…”

Section: Discussionmentioning

confidence: 94%

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“It's All Sort of Cool and Interesting…but What Do I Do With It?” A Qualitative Study of Stroke Survivors' Perceptions of Surface Electromyography

et al. 2020

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Background: Stroke is one of the most common neurologic injuries worldwide. Over decades, evidence-based neurorehabilitation research and advancements in wireless, wearable sensor design have supported the deployment of technologies to facilitate recovery after stroke. Surface electromyography (sEMG) is one such technology, however, clinical application remains limited. To understand this translational practice gap and improve clinical uptake, it is essential to include stakeholder voices in an analysis of neurorehabilitation practice, the acceptability of current sEMG technologies, and facilitators and barriers to sEMG use in the clinic and the community. The purpose of this study was to foreground the perspectives of stroke survivors to gain a better understanding of their experiences in neurorehabilitation, the technologies they have used during their recovery, and their opinions of lab-designed and commercially-available sEMG systems. Methods: A qualitative, phenomenological study was completed. In-depth, semi-structured interviews were conducted with eight stroke survivors (age range 49-78 years, 6 months to 12 years post-stroke) and two caregivers from a large metropolitan region. A demonstration of four sEMG systems was provided to gather perceptions of sensor design, features and function, and user interface. Interviews were audio-recorded, transcribed verbatim, and coded for analysis using constant comparison until data saturation was reached. Results: Three themes emerged from the data: (1) "Surface EMG has potential….but…" highlights the recognition of sEMG as a valuable tool but reveals a lack of understanding and need for clear meaning from the data; (2) "Tracking incremental progress over days or years is important" highlights the persistence of hope and potential benefit of sEMG in detecting small changes that may inform neurorehabilitation practice and policy; and (3) "Neurorehabilitation technology is cumbersome" highlights the tension between optimizing therapy time and trying new technologies, managing cost, logistics and setup , and desired technology features. Feldner et al. Stroke Survivor Perceptions of sEMG Conclusion: Further translation of sEMG technology for neurorehabilitation holds promise for stroke survivors, but sEMG system design and user interface needs refinement. The process of using sEMG technology and products must be simple and provide meaningful insight to recovery. Including stroke survivors directly in translational efforts is essential to improve uptake in clinical environments.

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Section: Discussionmentioning

confidence: 92%

“…However, stroke survivors and their families indicated that this would be an ideal time to trial sEMG technology, when frustration and fear about return of muscle function is most prevalent and sEMG may detect muscle activity that is not visible or palpable. This early technology intervention is also supported in the literature, and capitalizes on the principles of neuroplasticity routinely cited as drivers of clinical practice in current stroke rehabilitation ( 43 , 44 ). Further, given that detectable sEMG activity has been seen in flaccid limbs of stroke survivors days after stroke and prior to onset of voluntary muscle contraction, having this resource more readily available in acute recovery phases could serve to build hope and motivation for stroke survivors, in addition to providing information to the medical team about neural pathway integrity ( 45 ).…”

Section: Discussionmentioning

confidence: 94%