Roll up your sleeves! technology-supported arm and hand training at home after stroke

Sharon Maria Nijenhuis

Research output: ThesisPhD Thesis - Research UT, graduation UTAcademic

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Abstract

Many stroke patients have an impaired arm and hand function, which limits them in the performance of activities of daily living independently. To enable intensive rehabilitation for the upper limb after stroke, many technological devices have been developed. A next step would be to provide such technologies at home, to support self-administered motivational training, without requiring continuous therapist involvement. In the Supervised Care and Rehabilitation Involving Personal Telerobotics project (SCRIPT) we combined both the technology and telemedicine aspects. The thesis aims to evaluate the global impact (in terms of feasibility and potential clinical effects) of technology-supported, functional training of the arm and hand at home in chronic stroke patients, in two consecutive phases during the iterative design process. Through the evaluation phases, it became more clear that when developing technology-supported devices, it is important to develop a robust, reliable and safe device, which patients can easily use independently. Besides, patients should be kept motivated and challenged to training, because training duration is a major contributor to clinical changes. And finally, the contents of the training should address both reaching and hand function, since they are indicated as valuable targets for treatment applications to stimulate functional improvements after stroke.
Original languageEnglish
Awarding Institution
  • University of Twente
Supervisors/Advisors
  • Rietman, Johan Swanik, Supervisor
  • Buurke, Jaap Hilbert, Supervisor
  • Prange, Grada Berendina, Co-Supervisor
Award date20 Apr 2018
Place of PublicationEnschede
Publisher
Print ISBNs978-90-365-4510-5
DOIs
Publication statusPublished - 20 Apr 2018

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Arm
Hand
Stroke
Technology
Equipment and Supplies
Rehabilitation
Telemedicine
Robotics
Activities of Daily Living
Upper Extremity
Therapeutics

Cite this

Nijenhuis, Sharon Maria. / Roll up your sleeves! technology-supported arm and hand training at home after stroke. Enschede : University of Twente, 2018. 181 p.
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Roll up your sleeves! technology-supported arm and hand training at home after stroke. / Nijenhuis, Sharon Maria.

Enschede : University of Twente, 2018. 181 p.

Research output: ThesisPhD Thesis - Research UT, graduation UTAcademic

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AB - Many stroke patients have an impaired arm and hand function, which limits them in the performance of activities of daily living independently. To enable intensive rehabilitation for the upper limb after stroke, many technological devices have been developed. A next step would be to provide such technologies at home, to support self-administered motivational training, without requiring continuous therapist involvement. In the Supervised Care and Rehabilitation Involving Personal Telerobotics project (SCRIPT) we combined both the technology and telemedicine aspects. The thesis aims to evaluate the global impact (in terms of feasibility and potential clinical effects) of technology-supported, functional training of the arm and hand at home in chronic stroke patients, in two consecutive phases during the iterative design process. Through the evaluation phases, it became more clear that when developing technology-supported devices, it is important to develop a robust, reliable and safe device, which patients can easily use independently. Besides, patients should be kept motivated and challenged to training, because training duration is a major contributor to clinical changes. And finally, the contents of the training should address both reaching and hand function, since they are indicated as valuable targets for treatment applications to stimulate functional improvements after stroke.

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