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Please use this identifier to cite or link to this item: http://hdl.handle.net/1942/24025

Title: Motivation, expectations, and usability of a driven gait orthosis in stroke patients and their therapists
Authors: Swinnen, Eva
Lefeber, Nina
Willaert, Ward
De Neef, Fallon
Bruyndonckx, Lyn
Spooren, Annemie
Michielsen, Marc
Ramon, Tine
Kerckhofs, Eric
Issue Date: 2017
Citation: TOPICS IN STROKE REHABILITATION, 24(4), p. 299-308
Abstract: Background: In the development of efficacious driven gait orthoses (DGO), it is an added value to consider patients' and therapists' perspectives concerning robot-assisted gait training (RAGT). A better understanding of these issues may improve the process of care and outcome. Objectives: This study aimed to examine stroke patients' motivation and expectations of RAGT, and therapists' expectations and perspectives on the usability of RAGT. Additionally, the differences in expectations between stroke patients and their therapists were analyzed. Methods: A cross sectional, multi-center, three-group trial was conducted. Included were (1) stroke patients who have experience with RAGT (i. e. the stroke user group), (2) stroke patients who have no experience with RAGT (i. e. the stroke non-user group), and (3) therapists who have experience with RAGT (i. e. the therapist user group). The Intrinsic Motivation Inventory (IMI), Credibility/Expectancy Questionnaire (CEQ), and Usefulness, Satisfaction and Ease of Use Questionnaire (USE) were used. Descriptive statistics and nonparametric Kruskal-Wallis tests were conducted. Results: In total, 46 subjects were assessed (stroke user group: n = 23, stroke non-user group: n = 14, therapist user group: n = 9). IMI subscale scores ranged from 42 to 88%. Mean credibility and expectancy ranged from 80 to 85% and 57 to 72%, respectively, with no significant differences between groups. USE subscale scores ranged from 61 to 72%. Conclusions: Stroke user group patients seem quite motivated to train with the DGO and both patients and therapists reasonably believe that this training could improve gait functioning. Therapists are moderately satisfied with the usability of the DGO, but there is room for improvement with respect to usefulness and ease of use.
Notes: [Swinnen, Eva; Lefeber, Nina; Willaert, Ward; De Neef, Fallon; Bruyndonckx, Lyn; Kerckhofs, Eric] Vrije Univ Brussel, Dept Physiotherapy Human Physiol & Anat, Rehabil Res Neurol Rehabil, Brussels, Belgium. [Swinnen, Eva; Lefeber, Nina; Kerckhofs, Eric] Vrije Univ Brussel, Ctr Neurosci, Brussels, Belgium. [Swinnen, Eva; Lefeber, Nina; Kerckhofs, Eric] Vrije Univ Brussel, BruBotics, Brussels, Belgium. [Spooren, Annemie] PXL Univ Coll, Ctr Expertise Care Innovat, Hasselt, Belgium. [Spooren, Annemie] Hasselt Univ, Fac Med & Life Sci, REVAL Rehabil Res Ctr, BIOMED Biomed Res Inst, Hasselt, Belgium. [Michielsen, Marc] Jessa Hosp, St Ursula Rehabil Ctr, Herk De Stad, Belgium. [Ramon, Tine] AZ Delta Hosp, Roeselare, Belgium.
URI: http://hdl.handle.net/1942/24025
DOI: 10.1080/10749357.2016.1266750
ISI #: 000396824200012
ISSN: 1074-9357
Category: A1
Type: Journal Contribution
Appears in Collections: Research publications

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