Arthroplasty, Neurologic Disorder
Conditions
Keywords
rehabilitation, technology
Brief summary
Rehabilitation technology is more and more implemented in conventional therapy to increase the dosage of therapy and/or increase patient's motivation towards therapy. In orthopedic as well as neurological rehabilitation it is important to exercise with enough intensity and repetitions to improve functional performance in activities of daily life, and consequently quality of life. At the moment, not all (rehabilitation) technologies are adapted towards the wishes and needs of both patients and therapists for everyday use in the clinical setting. Also, not all technologies are fit for independent use by the patients. Researcher of PXL have developed a Kinect-based system (i.e. i-ACT) for rehabilitation and performed supervised research with i-ACT in neurological and musculoskeletal rehabilitation, and older adults. Within this research, patients will exercise with i-ACT under supervision of their therapist during weekdays, but in the weekends they will be motivated by the medical staff to perform their exercises with i-ACT. The medical staff will be present for safety reasons, but the patient is asked to use and exercise with i-ACT as independent as possible. The aim of this research is to explore to which extend i-ACT is suitable for semi-independent use by patients in orthopedic or neurological rehabilitation.
Interventions
i-ACT is a Microsoft Kinect-based system that provides individualised exercises based on patients own goalsetting.
Sponsors
Study design
Eligibility
Inclusion criteria
* age over 18 years old * post-operation of arthroplasty (hip or knee), or official medical diagnosis of stroke or Parkinson's disease * understand Dutch instructions * patient at St-Trudo ziekenhuis * experiencing problems in functional performance
Exclusion criteria
* neglect * spasticity (Brunström Fugl-Meyer \< 50) * cognitive disfunction (Mini Mental State Examination \< 24) * visual impairment (blind, cataract, etc.) * persons who are not able to exit electric wheelchair
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Canadian Occupational Performance Measure | Baseline | The Canadian Occupational Performance Measure (COPM) is an evidence-based outcome measure designed to capture a client's self-perception of performance in everyday living, over time. Scores range from 0 to 10 (best score) in each defined goal. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| System Usability Scale | 1 week | Usability of a system, in this i-ACT. Range of scores from 0 (negative) to 100 (positive). |
| Timed Up and Go test | Baseline | The time between a person standing up from a chair, walking 3 meters before turning around and walking back to sit back in the chair. |
| Intrinsic Motivation Inventory | 1 week | The Intrinsic Motivation Inventory (IMI) is a multidimensional measurement questionnaire intended to assess participants' subjective experience with, in this, i-ACT. The IMI consists of 6 subscales in which a person scores on a scale from 1 (totally not true) to 7 (totally true). Some scores need to be reversed by subtracting the response score from 8. A total IMI-score is not recommended, therefore subscale scores are used in the analyses. A higher score means a higher level of the aspect of the subscale. |
| Wolf Motor Function Test | Baseline | Arm-hand functioning. The test contains 17 items and are scored from 0 (not able to perform tesk) to 5 (normal performance). |
| Barthel Index | Baseline | The Barthel Index measures the degree of assistance required by an individual on 10 items of mobility and self care ADL. Scores range from 0 to 100. |
| 2 Minute Walking Test | Baseline | This is a measure of the distance a person can walk in 2 minutes. |