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  4. Mixed methods usability evaluation of an assistive wearable robotic hand orthosis for people with spinal cord injury

Mixed methods usability evaluation of an assistive wearable robotic hand orthosis for people with spinal cord injury

Journal of NeuroEngineering and Rehabilitation, 2023 · DOI: https://doi.org/10.1186/s12984-023-01284-8 · Published: November 18, 2023

Spinal Cord InjuryAssistive TechnologyBiomedical

Simple Explanation

Robotic hand orthoses (RHO) aim to provide grasp assistance for people with sensorimotor hand impairment during daily tasks. A comprehensive and structured evaluation of device usability not only focusing on effectiveness but also efficiency and satisfaction is required, yet often falls short in existing literature. Mixed methods evaluations, i.e., assessing a combination of quantitative and qualitative measures, allow to obtain a more holistic picture of all relevant aspects of device usability.

Study Duration
Not specified
Participants
15 users with tetraplegia after a spinal cord injury
Evidence Level
Not specified

Key Findings

  • 1
    The RELab tenoexo provided an immediate functional benefit to the users, resulting in a mean improvement of the ARAT score by 5.8 points.
  • 2
    The mean SUS rating of 60.6 represents an adequate usability, however, indicating that especially the RHO donning (average task time = 295 s) was perceived as too long and cumbersome.
  • 3
    Enhancing the ease of use, specifically in donning, increasing the provided grasping force, as well as the availability of tailoring options and customization were identified as main improvement areas to promote RHO usability.

Research Summary

The short-term usability of the RELab tenoexo was thoroughly evaluated with a mixed methods approach, which generated valuable data to improve the RHO in future iterations. In addition, learnings that might be transferable to the evaluation and design of other RHO were generated, which have the potential to increase the daily life applicability and acceptance of similar technologies. The RELab tenoexo provided an immediate improvement in hand function and received high acceptance from individuals with strong hand impairment after SCI.

Practical Implications

Improve Donning Process

Future RHO designs should prioritize simplifying the donning process to increase ease of use and independence for users.

Tailoring Solutions

Offering tailored solutions, such as adjustable device sizes and customizable features, can improve the match between the technology and individual user needs.

Mixed Methods Evaluation

Employing mixed methods approaches in usability evaluations can provide a more comprehensive understanding of device usability and identify areas for improvement.

Study Limitations

  • 1
    The study evaluated short-term usability only.
  • 2
    A learning effect on the RHO might influence some aspects of usability.
  • 3
    The clinical test ARAT has not been validated for individuals with an SCI.

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