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Factors Mediating Use of Advanced Rehabilitation Technologies in the Home

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Advances in Human Factors and Ergonomics in Healthcare and Medical Devices (AHFE 2021)

Part of the book series: Lecture Notes in Networks and Systems ((LNNS,volume 263))

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Abstract

As technologies become “smarter,” it becomes more feasible for people with neurological conditions, such as stroke or cerebral palsy (CP), to exercise greater control over their own therapeutic regimens. Sending advanced rehabilitation technology (RT), internet-connected and robotic, home with patients allows optimization of frequency, duration, and intensity of the therapist’s prescribed intervention. Increased consumer satisfaction with the therapeutic process, as well as better clinical outcomes, is the envisioned result of supporting home exercise programs with advanced RT. We performed a secondary analysis of data from the conceptual phases of two new instrument development projects in two different domains of patient/client-controlled RT: one focused on restoration of hand function in adults after stroke and the other focused on building ankle strength and flexibility to support gait in children with CP. Three unifying concepts were identified. We draw on self-determination theory (SDT) to make sense of the commonalities we observed across families’ experiences of technology-driven home therapy programs.

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Acknowledgments

This work was conducted under the Rehabilitation Engineering Research Center on Patient-centered, Home-based Technologies to Assess and Treat Motor Impairment in Individuals with Neurologic Injury (RERC-DC), #90REGE0004. Other funding: U.S. Department of Health and Human Services (DHHS) AWD00002531, Clinical and Translational Science Institute (CTSI) award UL1TR001876 from the NIH National Center for Advancing Translational Sciences, and the American Academy for Cerebral Palsy and Developmental Medicine (AACPDM).

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Authors and Affiliations

  1. Department of Biomedical Engineering, The Catholic University of America, Washington, DC, 20064, USA

    Manon Maitland Schladen & Peter Lum

  2. Department of Rehabilitation Medicine, Georgetown University Medical Center, 37th and O Streets, NW., Washington, DC, 20057, USA

    Manon Maitland Schladen

  3. Department of Public and Community Health, University of West Attica, 12243, Aigaleo, Greece

    Yiannis Koumpouros

Authors
  1. Manon Maitland Schladen
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  2. Yiannis Koumpouros
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  3. Peter Lum
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Correspondence to Manon Maitland Schladen .

Editor information

Editors and Affiliations

  1. Dept.of Pathology, College of Medicine, Univ.of Saskatchewan Royal Univ.Hospital, Saskatoon, SK, Canada

    Jay Kalra

  2. Center for Applied Sys. Engineering, Veterans Affairs, Indianapolis, IN, USA

    Nancy J. Lightner

  3. Campus du Moulin de la Housse, Université de Reims Champagne-Ardenne, Reims Cedex 2, France

    Redha Taiar

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Schladen, M.M., Koumpouros, Y., Lum, P. (2021). Factors Mediating Use of Advanced Rehabilitation Technologies in the Home. In: Kalra, J., Lightner, N.J., Taiar, R. (eds) Advances in Human Factors and Ergonomics in Healthcare and Medical Devices. AHFE 2021. Lecture Notes in Networks and Systems, vol 263. Springer, Cham. https://doi.org/10.1007/978-3-030-80744-3_18

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  • DOI: https://doi.org/10.1007/978-3-030-80744-3_18

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-80743-6

  • Online ISBN: 978-3-030-80744-3

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