Abstract
Background
Many
forms of home-based technology targeting stroke rehabilitation have
been devised, and a number of human factors are important to their
application, suggesting the need to examine this information in a
comprehensive review.
Objective
The
systematic review aims to synthesize the current knowledge of
technologies and human factors in home-based technologies for stroke
rehabilitation.
Methods
We
conducted a systematic literature search in three electronic databases
(IEEE, ACM, PubMed), including secondary citations from the literature
search. We included articles that used technological means to help
stroke patients conduct rehabilitation at home, reported empirical
studies that evaluated the technologies with patients in the home
environment, and were published in English. Three authors independently
conducted the content analysis of searched articles using a list of
interactively defined factors.
Results
The
search yielded 832 potentially relevant articles, leading to 31
articles that were included for in-depth analysis. The types of
technology of reviewed articles included games, telerehabilitation,
robotic devices, virtual reality devices, sensors, and tablets. We
present the merits and limitations of each type of technology. We then
derive two main human factors in designing home-based technologies for
stroke rehabilitation: designing for engagement (including external and
internal motivation) and designing for the home environment (including
understanding the social context, practical challenges, and technical
proficiency).
Conclusion
This
systematic review presents an overview of key technologies and human
factors for designing home-based technologies for stroke rehabilitation.
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