Supplemental material, supplementary_Material for Traditional and augmented reality mirror therap... more Supplemental material, supplementary_Material for Traditional and augmented reality mirror therapy for patients with chronic phantom limb pain (PACT study): results of a three-group, multicentre single-blind randomized controlled trial by Andreas Rothgangel, Susy Braun, Bjorn Winkens, Anna Beurskens and Rob Smeets in Clinical Rehabilitation
Supplemental material, Supplemental_Table_S1_revised_file for Feasibility of a traditional and te... more Supplemental material, Supplemental_Table_S1_revised_file for Feasibility of a traditional and teletreatment approach to mirror therapy in patients with phantom limb pain: a process evaluation performed alongside a randomized controlled trial by Andreas Rothgangel, Susy Braun, Rob Smeets and Anna Beurskens in Clinical Rehabilitation
Supplemental material, Supplemental_material_Figures for Feasibility of a traditional and teletre... more Supplemental material, Supplemental_material_Figures for Feasibility of a traditional and teletreatment approach to mirror therapy in patients with phantom limb pain: a process evaluation performed alongside a randomized controlled trial by Andreas Rothgangel, Susy Braun, Rob Smeets and Anna Beurskens in Clinical Rehabilitation
Disability and Rehabilitation: Assistive Technology, 2021
INTRODUCTION Intensive gait training is important for effective rehabilitation of people after st... more INTRODUCTION Intensive gait training is important for effective rehabilitation of people after stroke. "Stappy" is a sensor-feedback system that provides real-time feedback on the persons gait pattern/performance during training. The main aim of this study was to assess attitudes towards "Stappy" in people after stroke to practise walking performance independently at home. METHODS Demographics were collected. Frequency of practice with "Stappy" was monitored through the system. Participants used "Stappy" at home for two weeks. Semi-structured interviews were conducted to explore patient experiences with "Stappy" afterwards. Interviews were analysed using thematic analysis. RESULTS Seventeen people after stroke (13 males, mean age 65, 17 to 172 months after stroke) were interviewed. There was a large variability (ranging from 0 to 14 days) in frequency of use over the two-week period. Although, thirty-eight percent were non-users, participants seemed satisfied about the option of feedback of the system on people's gait pattern. Moderate to frequent users reported the ability to integrate "Stappy" into daily walking and the presence of support by the social environment as important factors for use. CONCLUSION In a sub sample of stroke patients the ability to receive real-time feedback during practice about walking performance at home was viewed positively. Six participants did not or hardly used the sensor-feedback technology, even though they were positive about potential benefits. This implies that mHealth is not eligible for all individuals. To improve adherence various considerations were derived from this study, that may further optimise the frequency and personalise the use of the technology.IMPLICATIONS FOR REHABILITATIONThe frequency of use of a sensor-feedback technology in gait rehabilitation varied a lot in a cross-sectional sample of people after stroke.Patients after stroke seemed to have a positive attitude towards a sensor-feedback technology to support unsupervised practice of walking. However, this was unrelated to whether they had used or had not used the technology.Moderate and frequent users of the sensor-feedback technology reported the ability to integrate sensor-feedback technology in daily life and social support as important factors for use.For clinical practice in gait rehabilitation it is important to screen which patients are capable to use and may benefit from a technology as the one used in this study.
This paper reports the responses of nursing home residents who live in a psychogeriatric ward to ... more This paper reports the responses of nursing home residents who live in a psychogeriatric ward to the abstract interactive art installation ‘Morgendauw’, which was specifically designed for this study. All stakeholders were involved in designing and implementing Morgendauw. The artwork seems able to evoke responses in both the residents and their caregivers, but the amount and duration of the responses observed during the study were limited. 15 interactions over the course of 14 h were noted and almost all of them were initiated by the nursing home staff, physiotherapy students or visitors (n = 12). Interactions lasted for about 3 min on average. Although the nursing home residents initially did not seem to notice the artwork, the threshold of acknowledging and approaching the artwork was quickly overcome when staff nudged or directed the residents’ attention towards the artwork. Beyond this point, nursing home residents generally needed little explanation of the interface to interac...
International Journal of Environmental Research and Public Health, 2021
Despite the increased use of activity trackers, little is known about how they can be used in hea... more Despite the increased use of activity trackers, little is known about how they can be used in healthcare settings. This study aimed to support healthcare professionals and patients with embedding an activity tracker in the daily clinical practice of a specialized mental healthcare center and gaining knowledge about the implementation process. An action research design was used to let healthcare professionals and patients learn about how and when they can use an activity tracker. Data collection was performed in the specialized center with audio recordings of conversations during therapy, reflection sessions with the therapists, and semi-structured interviews with the patients. Analyses were performed by directed content analyses. Twenty-eight conversations during therapy, four reflection sessions, and eleven interviews were recorded. Both healthcare professionals and patients were positive about the use of activity trackers and experienced it as an added value. Therapists formulated...
ABSTRACTBackgroundGait training within stroke rehabilitation can be applied using implicit or exp... more ABSTRACTBackgroundGait training within stroke rehabilitation can be applied using implicit or explicit motor learning approaches. Explicit learning is a more conscious approach to learning, in which many detailed instructions about the movement are provided to the learner. Implicit learning strives to take place in a more automatic manner, without much knowledge of the underlying facts and rules of the movement.ObjectiveTo evaluate whether the implicit and explicit motor learning walking interventions for people after stroke delivered in a randomized controlled trial were performed as intended (fidelity) and to report the therapist and participant experiences with regard to feasibility.MethodsFidelity was assessed by evaluating the dose delivered (number of therapy sessions) and content of instructions (explicit rules) that were collected through the therapist logs and audio recordings of the training sessions. The therapist and participant experiences were assessed by means of self...
Objective:To evaluate the delivery, acceptance and experiences regarding a traditional and teletr... more Objective:To evaluate the delivery, acceptance and experiences regarding a traditional and teletreatment approach to mirror therapy as delivered in a randomized controlled trial.Design:Mixed methods, prospective study.Setting:Rehabilitation centres, hospital and private practices.Subjects:Adult patients with phantom pain following lower limb amputation and their treating physical and occupational therapists.Interventions:All patients received 4 weeks of traditional mirror therapy ( n = 51), followed by 6 weeks of teletreatment ( n = 26) or 6 weeks of self-delivered mirror therapy ( n = 25).Main measures:Patient files, therapist logs, log files teletreatment, acceptance questionnaire and interviews with patients and their therapists.Results:In all, 51 patients and 10 therapists participated in the process evaluation. Only 16 patients (31%) received traditional mirror therapy according to the clinical framework during the first 4 weeks. Between weeks 5 and 10, the teletreatment was us...
Objectives: To investigate immediate changes in walking performance associated with three implici... more Objectives: To investigate immediate changes in walking performance associated with three implicit motor learning strategies and to explore patient experiences of each strategy. Design: Participants were randomly allocated to one of three implicit motor learning strategies. Within-group comparisons of spatiotemporal parameters at baseline and post strategy were performed. Setting: Laboratory setting. Subjects: A total of 56 community-dwelling post-stroke individuals. Interventions: Implicit learning strategies were analogy instructions, environmental constraints and action observation. Different analogy instructions and environmental constraints were used to facilitate specific gait parameters. Within action observation, only videotaped gait was shown. Main measures: Spatiotemporal measures (speed, step length, step width, step height) were recorded using Vicon 3D motion analysis. Patient experiences were assessed by questionnaire. Results: At a group level, three of the four analog...
Supplemental material, supplementary_Material for Traditional and augmented reality mirror therap... more Supplemental material, supplementary_Material for Traditional and augmented reality mirror therapy for patients with chronic phantom limb pain (PACT study): results of a three-group, multicentre single-blind randomized controlled trial by Andreas Rothgangel, Susy Braun, Bjorn Winkens, Anna Beurskens and Rob Smeets in Clinical Rehabilitation
Supplemental material, Supplemental_Table_S1_revised_file for Feasibility of a traditional and te... more Supplemental material, Supplemental_Table_S1_revised_file for Feasibility of a traditional and teletreatment approach to mirror therapy in patients with phantom limb pain: a process evaluation performed alongside a randomized controlled trial by Andreas Rothgangel, Susy Braun, Rob Smeets and Anna Beurskens in Clinical Rehabilitation
Supplemental material, Supplemental_material_Figures for Feasibility of a traditional and teletre... more Supplemental material, Supplemental_material_Figures for Feasibility of a traditional and teletreatment approach to mirror therapy in patients with phantom limb pain: a process evaluation performed alongside a randomized controlled trial by Andreas Rothgangel, Susy Braun, Rob Smeets and Anna Beurskens in Clinical Rehabilitation
Disability and Rehabilitation: Assistive Technology, 2021
INTRODUCTION Intensive gait training is important for effective rehabilitation of people after st... more INTRODUCTION Intensive gait training is important for effective rehabilitation of people after stroke. "Stappy" is a sensor-feedback system that provides real-time feedback on the persons gait pattern/performance during training. The main aim of this study was to assess attitudes towards "Stappy" in people after stroke to practise walking performance independently at home. METHODS Demographics were collected. Frequency of practice with "Stappy" was monitored through the system. Participants used "Stappy" at home for two weeks. Semi-structured interviews were conducted to explore patient experiences with "Stappy" afterwards. Interviews were analysed using thematic analysis. RESULTS Seventeen people after stroke (13 males, mean age 65, 17 to 172 months after stroke) were interviewed. There was a large variability (ranging from 0 to 14 days) in frequency of use over the two-week period. Although, thirty-eight percent were non-users, participants seemed satisfied about the option of feedback of the system on people's gait pattern. Moderate to frequent users reported the ability to integrate "Stappy" into daily walking and the presence of support by the social environment as important factors for use. CONCLUSION In a sub sample of stroke patients the ability to receive real-time feedback during practice about walking performance at home was viewed positively. Six participants did not or hardly used the sensor-feedback technology, even though they were positive about potential benefits. This implies that mHealth is not eligible for all individuals. To improve adherence various considerations were derived from this study, that may further optimise the frequency and personalise the use of the technology.IMPLICATIONS FOR REHABILITATIONThe frequency of use of a sensor-feedback technology in gait rehabilitation varied a lot in a cross-sectional sample of people after stroke.Patients after stroke seemed to have a positive attitude towards a sensor-feedback technology to support unsupervised practice of walking. However, this was unrelated to whether they had used or had not used the technology.Moderate and frequent users of the sensor-feedback technology reported the ability to integrate sensor-feedback technology in daily life and social support as important factors for use.For clinical practice in gait rehabilitation it is important to screen which patients are capable to use and may benefit from a technology as the one used in this study.
This paper reports the responses of nursing home residents who live in a psychogeriatric ward to ... more This paper reports the responses of nursing home residents who live in a psychogeriatric ward to the abstract interactive art installation ‘Morgendauw’, which was specifically designed for this study. All stakeholders were involved in designing and implementing Morgendauw. The artwork seems able to evoke responses in both the residents and their caregivers, but the amount and duration of the responses observed during the study were limited. 15 interactions over the course of 14 h were noted and almost all of them were initiated by the nursing home staff, physiotherapy students or visitors (n = 12). Interactions lasted for about 3 min on average. Although the nursing home residents initially did not seem to notice the artwork, the threshold of acknowledging and approaching the artwork was quickly overcome when staff nudged or directed the residents’ attention towards the artwork. Beyond this point, nursing home residents generally needed little explanation of the interface to interac...
International Journal of Environmental Research and Public Health, 2021
Despite the increased use of activity trackers, little is known about how they can be used in hea... more Despite the increased use of activity trackers, little is known about how they can be used in healthcare settings. This study aimed to support healthcare professionals and patients with embedding an activity tracker in the daily clinical practice of a specialized mental healthcare center and gaining knowledge about the implementation process. An action research design was used to let healthcare professionals and patients learn about how and when they can use an activity tracker. Data collection was performed in the specialized center with audio recordings of conversations during therapy, reflection sessions with the therapists, and semi-structured interviews with the patients. Analyses were performed by directed content analyses. Twenty-eight conversations during therapy, four reflection sessions, and eleven interviews were recorded. Both healthcare professionals and patients were positive about the use of activity trackers and experienced it as an added value. Therapists formulated...
ABSTRACTBackgroundGait training within stroke rehabilitation can be applied using implicit or exp... more ABSTRACTBackgroundGait training within stroke rehabilitation can be applied using implicit or explicit motor learning approaches. Explicit learning is a more conscious approach to learning, in which many detailed instructions about the movement are provided to the learner. Implicit learning strives to take place in a more automatic manner, without much knowledge of the underlying facts and rules of the movement.ObjectiveTo evaluate whether the implicit and explicit motor learning walking interventions for people after stroke delivered in a randomized controlled trial were performed as intended (fidelity) and to report the therapist and participant experiences with regard to feasibility.MethodsFidelity was assessed by evaluating the dose delivered (number of therapy sessions) and content of instructions (explicit rules) that were collected through the therapist logs and audio recordings of the training sessions. The therapist and participant experiences were assessed by means of self...
Objective:To evaluate the delivery, acceptance and experiences regarding a traditional and teletr... more Objective:To evaluate the delivery, acceptance and experiences regarding a traditional and teletreatment approach to mirror therapy as delivered in a randomized controlled trial.Design:Mixed methods, prospective study.Setting:Rehabilitation centres, hospital and private practices.Subjects:Adult patients with phantom pain following lower limb amputation and their treating physical and occupational therapists.Interventions:All patients received 4 weeks of traditional mirror therapy ( n = 51), followed by 6 weeks of teletreatment ( n = 26) or 6 weeks of self-delivered mirror therapy ( n = 25).Main measures:Patient files, therapist logs, log files teletreatment, acceptance questionnaire and interviews with patients and their therapists.Results:In all, 51 patients and 10 therapists participated in the process evaluation. Only 16 patients (31%) received traditional mirror therapy according to the clinical framework during the first 4 weeks. Between weeks 5 and 10, the teletreatment was us...
Objectives: To investigate immediate changes in walking performance associated with three implici... more Objectives: To investigate immediate changes in walking performance associated with three implicit motor learning strategies and to explore patient experiences of each strategy. Design: Participants were randomly allocated to one of three implicit motor learning strategies. Within-group comparisons of spatiotemporal parameters at baseline and post strategy were performed. Setting: Laboratory setting. Subjects: A total of 56 community-dwelling post-stroke individuals. Interventions: Implicit learning strategies were analogy instructions, environmental constraints and action observation. Different analogy instructions and environmental constraints were used to facilitate specific gait parameters. Within action observation, only videotaped gait was shown. Main measures: Spatiotemporal measures (speed, step length, step width, step height) were recorded using Vicon 3D motion analysis. Patient experiences were assessed by questionnaire. Results: At a group level, three of the four analog...
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Papers by Susy Braun