Technology-Assisted Upper Limb Therapy (TAULT): Evaluation of Clinical Practice at a Specialised Centre for Spinal Cord Injury in Switzerland

Healthcare, 2023 · DOI: 10.3390/healthcare11233055 · Published: November 28, 2023

Spinal Cord Injury Assistive Technology Rehabilitation

Simple Explanation

This study evaluates the use of technology-assisted upper limb therapy (TAULT) at a Swiss spinal cord injury rehabilitation center. The study involved a retrospective analysis of clinical data from January 2018 to June 2020. The ArmeoSpring device was the most frequently used device in the study.

Study Duration

January 2018 to June 2020

Participants

61 adults

Evidence Level

Retrospective analysis

Key Findings

1
The ArmeoSpring was the most frequently used device for TAULT at the SPC.
2
Most participants trained three times a week for 25 minutes over six weeks.
3
Targeted functions and activities, as well as strength, have improved over the course of TAULT.

Research Summary

This study retrospectively analyzed the current routine of TAULT at the SPC, goal-setting practice, and whether changes in functioning were observed along with TAULT. The ArmeoSpring was the most frequently used device in a cohort mostly consisting of individuals with cSCI, underlining its broad applicability for similar populations. Over the course of TAULT, targeted functions and activities, as well as strength, have improved.

Practical Implications

Clinical Practice

The study provides insights into the implementation and effectiveness of TAULT in a specialized SCI rehabilitation center.

Goal Setting

The use of scoring grids for functional goals and the proposed ADL goal-setting grid can enhance goal-oriented therapy.

Future Research

Well-controlled trials are needed to provide evidence for TAULT in people with tetraplegia.

Study Limitations

1
The absence of a control group prevents conclusions regarding the effectiveness of TAULT.
2
Concomitant spontaneous neurological recovery and the concurrent application of various rehabilitative interventions.
3
The inclusion of predominantly individuals with SCI from one single rehabilitation centre in Switzerland limits the generalisability of the ﬁndings.

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