End-user and clinician perspectives on the viability of wearable functional electrical stimulation garments after stroke and spinal cord injury

Moineau, Bastien; Myers, Matthew; Ali, Saima S.; Popović, Miloš R.; Hitzig, Sander L.

doi:10.1080/17483107.2019.1668974

Cited by 17 publications

(20 citation statements)

References 45 publications

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“…This work identified the need for assistance as a barrier for adherence and use of this device in the home and is consistent with our study that identified the ability to set up and use independently as a critical consideration in the desire to use at home. Moineau [17] introduced a functional electrical stimulation device to clinicians and people with SCI and stroke, though, participants were not able to trial. Their qualitative exploration results were similar in that end-users described the interaction between their own physical and mental characteristics that would influence technology benefit and their willingness to use.…”

Section: Discussionmentioning

confidence: 99%

Developing guiding principles for technology-based rehabilitation program by engaging people with motor incomplete tetraplegia

Bell

Grampurohit

Kains³

et al. 2022

J NeuroEngineering Rehabil

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Background Technology-aided rehabilitation is well established in the field of neurologic rehabilitation. Despite the widespread availability, the development of technology-based interventions that incorporate perspectives of the people who will use them is lacking. Objectives This qualitative study aims to understand how people with chronic motor incomplete cervical spinal cord injury view rehabilitation technology to improve upper extremity function and neuromuscular recovery to inform future intervention development. Methods Seven participants with chronic upper extremity impairment due to spinal cord injury/dysfunction trialed five rehabilitation technology devices. After a 30–45 min trial for each device, participants engaged in a semi-structured interview. Interviews were analyzed using a qualitative approach to explore the experience using and understand features that support motivation to use of rehabilitation technology. Results Qualitative analysis revealed three major themes: (1) devices must be flexible to meet diverse needs; (2) intervention protocols must be individualized to address unique needs and contexts of users; (3) intervention protocols should be developed and updated by a skilled clinician. These themes and subthemes were used to describe guiding principles to inform future intervention design. Conclusion The experiences of people with cervical spinal cord injury can be elicited as part of the intervention design process to systematically develop protocols for future feasibility trials. The findings from this study can be used to inform the development of technology-aided rehabilitation programs to improve upper extremity function in people with chronic motor incomplete tetraplegia. Clinical trials registration number: NCT04000256

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Section: Discussionmentioning

confidence: 99%

Developing guiding principles for technology-based rehabilitation program by engaging people with motor incomplete tetraplegia

Bell

Grampurohit

Kains³

et al. 2022

J NeuroEngineering Rehabil

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“…To minimise the risk appropriate electrode size should be considered to allow for sufficient heat dissipation (for calculations see, Butterwick et al, 2007). These concerns are common concerns reported amongst participants and should be addressed to maximise comfort and participant retention rates (Moineau et al, 2021), as well as to prevent Joule-heating from inducing systematic psychological bias.…”

Section: Safety Thresholdsmentioning

confidence: 99%

Application of facial Neuromuscular Electrical Stimulation (fNMES) in psychophysiological research – practical recommendations based on a systematic review of the literature

Efthimiou¹,

Perusquía-Hernández²,

Elsenaar³

et al. 2022

Preprint

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Facial neuromuscular electrical stimulation (fNMES), which allows for the non-invasive and physiologically sound activation of facial muscles, has great potential for investigating fundamental questions in psychology and neuroscience, such as the role of proprioceptive facial feedback in emotion induction and emotion recognition, as well as for clinical applications, such as alleviating depression symptoms. However, despite illustrious origins in 19th century work of Duchenne de Boulogne, the practical application of fNMES remains largely unknown to researchers in psychology and human physiology. In addition, published studies vary dramatically in use and reporting of parameters, such as stimulation frequency, amplitude, duration, and electrode size. Because fNMES parameters impact the comfort and safety of volunteers, as well as its physiological (and psychological) effects, it is of paramount importance to establish recommendations of good practice. Here, we provide an introduction to fNMES, a systematic review of the existing literature focusing on stimulation parameters used, and we offer recommendations on how to safely and reliably deliver fNMES. In addition, we provide a free webpage, allowing to easily verify and compare the safety of fNMES parameters based on current density. As an example of a potential application, we focus on the use of fNMES for the investigation of the facial feedback hypothesis.

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“…Characteristics that would detract from usability and wearability included difficult set-up, discomfort, prolonged calibration, and other flaws that could ultimately stymy the uptake of future devices. Other research on the development of wearable devices for stroke or other populations list similar design flaws to this effect [43,52,53]. Thus, for the development of any future wearable monitoring technology, it is important to thoroughly consider the ways in which a device may or may not be usable or wearable.…”

Section: Barriers To Adopting Technologymentioning

confidence: 99%

Perspectives on the prospective development of stroke-specific lower extremity wearable monitoring technology: a qualitative focus group study with physical therapists and individuals with stroke

Louie

Bird

Menon

et al. 2020

J NeuroEngineering Rehabil

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Background: Wearable activity monitors that track step count can increase the wearer's physical activity and motivation but are infrequently designed for the slower gait speed and compensatory patterns after stroke. New and available technology may allow for the design of stroke-specific wearable monitoring devices, capable of detecting more than just step counts, which may enhance how rehabilitation is delivered. The objective of this study was to identify important considerations in the development of stroke-specific lower extremity wearable monitoring technology for rehabilitation, from the perspective of physical therapists and individuals with stroke. Methods: A qualitative research design with focus groups was used to collect data. Five focus groups were conducted, audio recorded, and transcribed verbatim. Data were analyzed using content analysis to generate overarching categories representing the stakeholder considerations for the development of stroke-specific wearable monitor technology for the lower extremity. Results: A total of 17 physical therapists took part in four focus group discussions and three individuals with stroke participated in the fifth focus group. Our analysis identified four main categories for consideration: 1) 'Variability' described the heterogeneity of patient presentation, therapy approaches, and therapeutic goals that are taken into account for stroke rehabilitation; 2) 'Context of use' described the different settings and purposes for which stakeholders could foresee employing stroke-specific wearable technology; 3) 'Crucial design features' identified the measures, functions, and device characteristics that should be considered for incorporation into prospective technology to enhance uptake; and 4) 'Barriers to adopting technology' highlighted challenges, including personal attitudes and design flaws, that may limit the integration of current and future wearable monitoring technology into clinical practice.

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End-user and clinician perspectives on the viability of wearable functional electrical stimulation garments after stroke and spinal cord injury

Cited by 17 publications

References 45 publications

Developing guiding principles for technology-based rehabilitation program by engaging people with motor incomplete tetraplegia

Developing guiding principles for technology-based rehabilitation program by engaging people with motor incomplete tetraplegia

Application of facial Neuromuscular Electrical Stimulation (fNMES) in psychophysiological research – practical recommendations based on a systematic review of the literature

Perspectives on the prospective development of stroke-specific lower extremity wearable monitoring technology: a qualitative focus group study with physical therapists and individuals with stroke

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