This article describes the results of a field test of an exoskeleton in care work. Qualitative data about the implementation and use of exoskeletons, with the help of interviews and user diaries, were collected both from nurses who used the exoskeleton and managers at different levels of the care organization. On the basis of these data, there are relatively few obstacles in and many opportunities for the implementation of exoskeletons in care work, taken that the introduction, orientation and continuous support for technology use are given enough weight.
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http://dx.doi.org/10.3233/SHTI230551 | DOI Listing |
J Neuroeng Rehabil
January 2025
Division of Rehabilitation Medicine, Department of Medicine, National University Hospital, Singapore, Singapore.
Background: Despite the reported efficacy of overground robotic exoskeleton (ORE) for rehabilitation of mobility post-stroke, its effectiveness in real-world practice is still debated. We analysed prospectively collected data from Improving Mobility Via Exoskeleton (IMOVE), a multicentre clinical implementation programme of ORE enrolling participants with various neurological conditions and were given options to choose between 12 sessions of ORE or conventional therapy (control).
Methods: This is analysis of participants under IMOVE who fulfilled the following criteria (i) primary diagnosis was stroke (ischemic, hemorrhagic; first or recurrent), (ii) onset of stroke was within 9 months and (iii) the intervention was during inpatient stay.
Gait Posture
December 2024
Engineering Research Center of the Ministry of Education for Intelligent Rehabilitation Equipment and Detection Technologies, Hebei University of Technology, Tianjin 300401, PR China; Hebei Key Laboratory of Robot Sensing and Human-robot Interaction, Hebei University of Technology, Tianjin 300401, PR China; School of Mechanical Engineering, Hebei University of Technology, Tianjin 300401, PR China. Electronic address:
Background: Gait feature recognition is crucial to improve the efficiency and coordination of exoskeleton assistance. The recognition methods based on surface electromyographic (sEMG) signals are popular. However, the recognition accuracy of these methods is poor due to ignoring the correlation of the time series of sEMG signals.
View Article and Find Full Text PDFJ Med Internet Res
December 2024
Institute for Musculoskeletal Health, Sydney Local Health District, Sydney, Australia.
Background: Advanced technologies are becoming increasingly accessible in rehabilitation. Current research suggests technology can increase therapy dosage, provide multisensory feedback, and reduce manual handling for clinicians. While more high-quality evidence regarding the effectiveness of rehabilitation technologies is needed, understanding of how to effectively integrate technology into clinical practice is also limited.
View Article and Find Full Text PDFSci Rep
January 2025
Biorobotics Laboratory, Institute of Bioengineering, Ecole Polytechnique Fédérale de Lausanne (EPFL), CH-1015, Lausanne, Switzerland.
Despite their potential, exoskeletons have not reached widespread adoption in daily life, partly due to the challenge of seamlessly adapting assistance across various tasks and environments. Task-specific designs, reliance on complex sensing and extensive data-driven training often limit the practicality of the existing control strategies. To address this challenge, we introduce an adaptive control strategy for hip exoskeletons, emphasizing minimal sensing and ease of implementation.
View Article and Find Full Text PDFArtif Organs
December 2024
Department of Veterans Affairs, Hunter Holmes McGuire Medical Center, Richmond, Virginia, USA.
Background: Functional electrical stimulation (FES) and robotic exoskeletons represent emerging technologies with significant potential for restoring critical physical functions such as standing and walking-functions that are most susceptible after spinal cord injury (SCI). However, the further development and successful integration of these technologies into clinical practice and daily life require a deep understanding of consumer perspectives.
Objective: This review synthesizes consumer perspectives from a diverse range of technology stakeholders, including medical service providers, researchers, and persons affected by SCI-those living with SCI and their caregivers.
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