A Smart Textile Biofeedback Training System for Upper Limb Rehabilitation After Stroke: Co-Design Development and
Maria Munoz-Novoa1,2, Li Guo3, Anna Björkquist3
1Department of Clinical Neuroscience, Institute of Neuroscience and Physiology, University of Gothenburg, Gothenburg, Sweden.
JMIR Rehabilitation and Assistive Technologies
|April 13, 2026
Summary
This study refined a smart textile biofeedback system for stroke survivors' upper limb rehabilitation. Co-design with users and experts improved the system, showing potential for effective self-administered training.
Area of Science:
- Biomedical Engineering
- Rehabilitation Technology
- Human-Computer Interaction
Background:
- Smart textiles offer a promising avenue for upper limb rehabilitation post-stroke.
- Integrating surface electromyography (sEMG) into textiles enhances rehabilitation tools.
- Early end-user involvement is critical for developing effective rehabilitation technologies.
Purpose of the Study:
- To refine and evaluate the prototype design and usability of a smart textile biofeedback system.
- To enhance self-administered upper limb training for stroke survivors.
- To incorporate end-user feedback into rehabilitation technology development.
Main Methods:
- Iterative co-design process involving clinicians, stroke survivors, and an expert team.
- Development of a smart textile sleeve with integrated sEMG electrodes and tablet-based biofeedback software.
- User experience evaluation through semistructured interviews and the User Experience Questionnaire.
Main Results:
- End-user feedback led to prototype refinements in the sleeve and software.
- Users found the system easy to use, attractive, stimulating, and novel.
- Identified needs for enhancing independent training capabilities.
Conclusions:
- The co-design process successfully integrated end-user perspectives into prototype development.
- Findings support the continued development of the smart textile sEMG system for self-administered stroke rehabilitation.
- The system shows potential as an effective tool for individuals recovering from stroke.
Keywords:
co-designrehabilitationsEMGself-administeredsmart textilesstrokesurface electrodessurface electromyographytextile electrodesupper limb function

