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  4. User-centered design and development of TWIN-Acta: A novel control suite of the TWIN lower limb exoskeleton for the rehabilitation of persons post-stroke

User-centered design and development of TWIN-Acta: A novel control suite of the TWIN lower limb exoskeleton for the rehabilitation of persons post-stroke

Frontiers in Neuroscience, 2022 · DOI: 10.3389/fnins.2022.915707 · Published: November 24, 2022

Assistive TechnologyNeurologyNeurorehabilitation

Simple Explanation

This research focuses on creating a new control system called TWIN-Acta for the TWIN lower limb exoskeleton, designed to help people who have had a stroke to walk better. The goal is to provide assistance as needed, tailoring the support to each person's abilities. The development process involved experts including clinicians and engineers, who worked together to ensure the system met the needs of stroke patients. They considered common walking problems faced by these patients. The system was tested by clinical experts and people post-stroke to assess its usability and acceptability. The results showed that the system was generally well-received and considered useful for gait rehabilitation.

Study Duration
Not specified
Participants
5 persons post-stroke, clinical experts
Evidence Level
Not specified

Key Findings

  • 1
    The TWIN-Acta system received overall good usability and acceptability ratings from clinical experts.
  • 2
    Experts found the ability to adjust the assistance provided by the exoskeleton during movement execution to be a valuable feature.
  • 3
    The main limitation identified was the low level of system learnability, which can be improved with prolonged training.

Research Summary

The study details the user-centered design and development of TWIN-Acta, a novel control suite for the TWIN lower limb exoskeleton, aimed at gait rehabilitation for persons post-stroke. An interdisciplinary approach involving engineers and clinicians was used to create TWIN-Acta, focusing on providing assist-as-needed support to restore physiological gait patterns. Evaluations by health professionals and persons post-stroke indicated positive ratings for usability and potential usefulness in gait rehabilitation, although learnability was identified as an area for improvement.

Practical Implications

Personalized Rehabilitation

TWIN-Acta allows for tailored support depending on the patient’s residual skills, potentially boosting recovery.

Improved Gait Training

The system may facilitate the recovery of a physiological gait pattern through interaction with the device.

Clinical Adoption Potential

The positive feedback from clinical experts suggests a willingness to adopt the system in rehabilitation institutes.

Study Limitations

  • 1
    Small number of professionals and persons post-stroke involved in the feasibility tests.
  • 2
    Reliance on subjective metrics to assess usability and learnability.
  • 3
    The exoskeleton requires at least two persons assisting during rehabilitation sessions.

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