Perceptions of using exoskeleton technology among physiotherapists and stroke survivors in Malaysia: a mixed methods study
Creators: name: Singh, Devinder Kaur Ajit
name: Harithasan, Deepashini
name: Najib, Aiman Mat
name: Ishak, Muhammad Shafiq
name: Ramli, Rizauddin
Publisher: name: Taylor & Francis
Year: 2024
Subjects: Space Science
Biotechnology
Biological Sciences not elsewhere classified
Science Policy

description: Exoskeleton technology has the potential to enhance the functional abilities of individuals with upper or lower limb dysfunction, including stroke survivors. However, its adoption in Malaysia has been limited due to its restricted availability in rehabilitation centres and hospitals. In this study, we aim to explore the perceptions and opinions of physiotherapists and stroke survivors regarding exoskeleton technology, focusing on identifying desired design features and investigating their views on its use in rehabilitation. An online survey was conducted to assess the preferred features of exoskeleton technology among physiotherapists and stroke survivors. Subsequently, one-to-one online in-depth interviews were carried out with physiotherapists who had experience using exoskeleton technology. Data were analysed using descriptive, thematic, and triangulation analysis methods. The analysis included 81 survey questionnaires from physiotherapists and 122 from stroke survivors. Both groups highlighted cost-effectiveness, safety, comfort, and ease of use as key features of exoskeletons. Additional insights from in-depth interviews with five physiotherapists emphasized the importance of a user-friendly interface, adjustability, and a lightweight design. Physiotherapists also expressed that exoskeleton technology could reduce their workload, minimize musculoskeletal-related disorders, and enhance their confidence. The main desired features identified by both physiotherapists and stroke survivors for exoskeleton technology include cost-effectiveness, safety, comfort, and ease of use. Physiotherapists further viewed it as a valuable tool to alleviate their workload and reduce musculoskeletal-related disorders while boosting confidence. These findings offer valuable guidance to developers, engineers, and manufacturers in the country, aiding in the development of client-centred exoskeleton features. Insights from users of exoskeleton technology can improve its design and usability, particularly in rehabilitation settings.Addressing specific functionalities and user needs will help enhance rehabilitation outcomes for stroke survivors and physiotherapists. However, challenges, such as accessibility and affordability need to be addressed to fully integrate exoskeleton technology into clinical practice.This study offers valuable guidance for developers and manufacturers to create user-friendly, cost-effective designs that are adaptable to the unique requirements of local healthcare systems and users. Insights from users of exoskeleton technology can improve its design and usability, particularly in rehabilitation settings. Addressing specific functionalities and user needs will help enhance rehabilitation outcomes for stroke survivors and physiotherapists. However, challenges, such as accessibility and affordability need to be addressed to fully integrate exoskeleton technology into clinical practice. This study offers valuable guidance for developers and manufacturers to create user-friendly, cost-effective designs that are adaptable to the unique requirements of local healthcare systems and users.