The Berlin Bimanual Test for Tetraplegia (BeBiTT): development, psychometric properties, and sensitivity to change in assistive hand exoskeleton application

Angerhöfer, Cornelius; Vermehren, Mareike; Colucci, Annalisa; Nann, Marius; Koßmehl, Peter; Niedeggen, Andreas; Kim, Won‐Seok; Chang, Won; Paik, Nam–Jong; Hömberg, V.; Soekadar, Surjo R.

doi:10.1186/s12984-023-01137-4

Cited by 2 publications

(1 citation statement)

References 33 publications

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“…Further, the ARAT does not evaluate bimanual tasks, while most daily activities require the use of both hands simultaneously. Alternatively, more SCI-specific hand function tests such as the JTHFT or the TRI-HFT or assessments involving bimanual tasks such as the BeBiTT [ 48 ] would allow for more reliable characterization of hand function. Furthermore, results from interviews and think-aloud methods collecting semi- or unstructured user statements have to be interpreted with care, as they are prone to primarily capture usability issues due to the human’s natural negativity bias [ 49 ].…”

Section: Discussionmentioning

confidence: 99%

Mixed methods usability evaluation of an assistive wearable robotic hand orthosis for people with spinal cord injury

Dittli,

Meyer,

Gantenbein

et al. 2023

J NeuroEngineering Rehabil

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Background Robotic hand orthoses (RHO) aim to provide grasp assistance for people with sensorimotor hand impairment during daily tasks. Many of such devices have been shown to bring a functional benefit to the user. However, assessing functional benefit is not sufficient to evaluate the usability of such technologies for daily life application. A comprehensive and structured evaluation of device usability not only focusing on effectiveness but also efficiency and satisfaction is required, yet often falls short in existing literature. Mixed methods evaluations, i.e., assessing a combination of quantitative and qualitative measures, allow to obtain a more holistic picture of all relevant aspects of device usability. Considering these aspects already in early development stages allows to identify design issues and generate generalizable benchmarks for future developments. Methods We evaluated the short-term usability of the RELab tenoexo, a RHO for hand function assistance, in 15 users with tetraplegia after a spinal cord injury through a comprehensive mixed methods approach. We collected quantitative data using the Action Research Arm Test (ARAT), the System Usability Scale (SUS), and timed tasks such as the donning process. In addition, qualitative data were collected through semi-structured interviews and user observations, and analyzed with a thematic analysis to enhance the usability evaluation. All insights were attributed and discussed in relation to specifically defined usability attributes such as comfort, ease of use, functional benefit, and safety. Results The RELab tenoexo provided an immediate functional benefit to the users, resulting in a mean improvement of the ARAT score by 5.8 points and peaking at 15 points improvement for one user (clinically important difference: 5.7 points). The mean SUS rating of 60.6 represents an adequate usability, however, indicating that especially the RHO donning (average task time = 295 s) was perceived as too long and cumbersome. The participants were generally very satisfied with the ergonomics (size, dimensions, fit) of the RHO. Enhancing the ease of use, specifically in donning, increasing the provided grasping force, as well as the availability of tailoring options and customization were identified as main improvement areas to promote RHO usability. Conclusion The short-term usability of the RELab tenoexo was thoroughly evaluated with a mixed methods approach, which generated valuable data to improve the RHO in future iterations. In addition, learnings that might be transferable to the evaluation and design of other RHO were generated, which have the potential to increase the daily life applicability and acceptance of similar technologies.

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Section: Discussionmentioning

confidence: 99%