Do people with multiple sclerosis perceive upper limb improvements from robotic-mediated therapy? A mixed methods...

Area of Science:

• Rehabilitation science
• Neuroscience
• Robotics in medicine

Background:

• Robot-mediated training is a growing rehabilitation approach for upper limb impairments.
• Limited research exists on its impact within the multiple sclerosis (MS) population.
• This study investigated the experiences of individuals with MS undergoing robotic upper limb training.

Purpose of the Study:

• To explore the impact of an eight-week upper limb robotic intervention on the experiences of people with multiple sclerosis (MS).
• To assess patient satisfaction, motivation, and perceived benefits of robot-mediated training in MS rehabilitation.

Main Methods:

• Eleven participants with moderate to severe upper limb impairment due to MS underwent 8 weeks of robot-mediated training.
• Training utilized the I-TRAVLE virtual learning platform (30 min/session, 2-3 times/week).
• Data collected via Intrinsic Motivation Inventory (IMI) and Credibility and Expectancy Questionnaire (CEQ), followed by focus groups analyzed thematically.

Main Results:

• High patient satisfaction and positive expectations for the intervention's benefits were reported.
• Participants experienced improved strength, endurance, and performance in daily activities.
• Positive experiences included increased motivation, self-improvement, enjoyment, and a competitive spirit fostered by gamification.

Conclusions:

• Robot-mediated training shows potential as a motivating rehabilitation strategy for individuals with multiple sclerosis (MS).
• The intervention can lead to positive experiences and contribute to reducing upper limb disabilities in MS patients.
• This approach may enhance engagement and perceived effectiveness in MS rehabilitation programs.