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

L Tedesco Triccas1, A Maris1, I Lamers2

  • 1REVAL, Faculty of Rehabilitation Sciences, Hasselt University, Diepenbeek, Belgium.

Multiple Sclerosis and Related Disorders
|September 16, 2022
PubMed
Summary

Robot-mediated training improved strength and daily activities for multiple sclerosis (MS) patients. This upper limb intervention was motivating, enjoyable, and met participant expectations for rehabilitation.

Keywords:
ExperiencesRehabilitation health technologyRobotic-mediated therapyUpper limb dysfunctionViews

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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.