Implementation of a Rehabilitation Technology in Orthopedic and Neurological Rehabilitation to Increase Therapy Dosage: an Exploratory Study

Study Overview
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Brief Summary
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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.

Official Title
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Implementation of a Rehabilitation Technology in Orthopedic and Neurological Rehabilitation to Increase Therapy Dosage: an Exploratory Study

Conditions
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Arthroplasty, Neurologic Disorder

Intervention / Treatment
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* Device: i-ACT


Participation Criteria
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Eligibility Criteria
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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

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Arthroplasty, hip or knee<br>Minimum 5x/week (of which minimal 3x/week with therapists and 2x/week during weekend), 30-60 minutes training, for 4 weeks, with i-ACT system. i-ACT provides individualised exercises based on patients own goalsetting. | Device: i-ACT<br>* i-ACT is a Microsoft Kinect-based system that provides individualised exercises based on patients own goalsetting.<br>|
| Experimental: Neurology: stroke or Parkinson disease<br>Minimum 5x/week (of which minimal 3x/week with therapists and 2x/week during weekend), 30-60 minutes training, for 4 weeks, with i-ACT system. i-ACT provides individualised exercises based on patients own goalsetting. | Device: i-ACT<br>* i-ACT is a Microsoft Kinect-based system that provides individualised exercises based on patients own goalsetting.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Canadian Occupational Performance Measure | 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. | Baseline | 
| Canadian Occupational Performance Measure | 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. | 4 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Intrinsic Motivation Inventory | 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. | 1 week | 
| Intrinsic Motivation Inventory | 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. | 4 weeks | 
| System Usability Scale | Usability of a system, in this i-ACT. Range of scores from 0 (negative) to 100 (positive). | 1 week | 
| System Usability Scale | Usability of a system, in this i-ACT. Range of scores from 0 (negative) to 100 (positive). | 4 weeks | 
| Timed Up and Go test | 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. | Baseline | 
| Timed Up and Go test | 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. | 4 weeks | 
| 2 Minute Walking Test | This is a measure of the distance a person can walk in 2 minutes. | Baseline | 
| 2 Minute Walking Test | This is a measure of the distance a person can walk in 2 minutes. | 4 weeks | 
| Wolf Motor Function Test | Arm-hand functioning. The test contains 17 items and are scored from 0 (not able to perform tesk) to 5 (normal performance). | Baseline | 
| Wolf Motor Function Test | Arm-hand functioning. The test contains 17 items and are scored from 0 (not able to perform tesk) to 5 (normal performance). | 4 weeks | 
| Barthel Index | 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. | Baseline | 
| Barthel Index | 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. | 4 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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rehabilitation, technology