Sensoria™ Fitness Socks
Sensor embedded socks
The Parkinson's shoe
The newest one here:
A Personalized Self-Management Rehabilitation System with an Intelligent Shoe for Stroke Survivors: A Realist Evaluation
ABSTRACT
Background:
In the United Kingdom, stroke is the most significant cause of adult
disability. Stroke survivors are frequently left with physical and
psychological changes that can profoundly affect their functional
ability, independence, and social participation. Research suggests that
long-term, intense, task- and context-specific rehabilitation that is
goal-oriented and environmentally enriched improves function,
independence, and quality of life after a stroke. It is recommended that
rehabilitation should continue until maximum recovery has been
achieved. However, the increasing demand on services and financial
constraints means that needs cannot be met through traditional
face-to-face delivery of rehabilitation. Using a participatory design
methodology, we developed an information communication
technology–enhanced Personalized Self-Managed rehabilitation System
(PSMrS) for stroke survivors with integrated insole sensor technology
within an “intelligent shoe.”. The intervention model was based around a
rehabilitation paradigm underpinned by theories of motor relearning and
neuroplastic adaptation, motivational feedback, self-efficacy, and
knowledge transfer. Objective: To understand the conditions under which
this technology-based rehabilitation solution would most likely have an
impact on the motor behavior of the user, what would work for whom, in
what context, and how. We were interested in what aspects of the system
would work best to facilitate the motor behavior change associated with
self-managed rehabilitation and which user characteristics and
circumstances of use could promote improved functional outcomes.
Methods: We used a Realist Evaluation (RE) framework to evaluate the
final prototype PSMrS with the assumption that the intervention consists
of a series of configurations that include the Context of use, the
underlying Mechanisms of change and the potential Outcomes or impacts
(CMOs). We developed the CMOs from literature reviews and engagement
with clinicians, users, and caregivers during a series of focus groups
and home visits. These CMOs were then tested in five in-depth case
studies with stroke survivors and their caregivers. Results: While two
new propositions emerged, the second importantly related to the
self-management aspects of the system. The study revealed that the
system should also encourage independent use and the setting of
personalized goals or activities. Conclusions: Information communication
technology that purports to support the self-management of stroke
rehabilitation should give significant consideration to the need for
motivational feedback that provides quantitative, reliable, accurate,
context-specific, and culturally sensitive information about the
achievement of personalized goal-based activities.
No comments:
Post a Comment