Development of Interactive Hand Rehabilitation Tools Based on Activities of Daily Living

Hand rehabilitation aims to improve patients' hand and arm skills, improve adherence to training and increase their participation in activities of daily living (ADLs). A novel way of achieving this is to employ ADL-based interactive rehabilitation tools and show patients how their improved skills can be transferable to daily tasks. Hence, in this paper, we report the results of a set of studies carried out with six healthy individuals and two physiotherapists to discover the potential of integrating ADLs into interactive hand rehabilitation tools. Consequently, we designed two interactive drinking-based concepts and tested those with three stroke patients. We found that ADL-based training couples particularly well with functional training. Still, selecting appropriate functional exercises that match the ADL is an essential task to transfer training outcomes to a functional setting. Based on our findings, this paper highlights that ADL-based interactive hand rehabilitation training must minimally deviate from the original ADLs.