A qualitative study exploring views and experiences of people with stroke undergoing transcranial direct current stimulation and upper limb robot therapy
A qualitative study exploring views and experiences of people with stroke undergoing transcranial direct current stimulation and upper limb robot therapy
Background
Neurorehabilitation technologies used mainly in research such as robot therapy (RT) and transcranial direct current stimulation (tDCS) can promote upper limb motor recovery after stroke. Understanding the feasibility and efficacy of stroke rehabilitation technologies for upper limb impairments is crucial for effective implementation in practice. Small studies have explored views of RT by people with stroke; however experiences of people receiving tDCS in combination with RT have never been explored.
Objective
To explore views and experiences of people with sub-acute and chronic stroke that had previously taken part in a randomised controlled trial involving tDCS and RT for their impaired upper limb.
Methods
An interview study includes open and closed questions. Face-to-face interviews were audio recorded. Open-ended question responses were transcribed and analyzed using thematic analysis; closed questions were analyzed using descriptive analysis.
Results
Participants felt that RT was enjoyable (90%) and beneficial for their affected arm (100%). From the open question data, it was found that the intervention was effective for the impaired arm especially in the sub-acute stage. Main reported concerns were that tDCS caused painful, itching and burning sensations and RT was sometimes tiring and difficult. Participants recommended that future research should focus on designing a more comfortable method of tDCS and develop a robot that promotes hand movements.
Conclusions
This study provides new knowledge about the benefits and barriers associated with these technologies which are crucial to the future effective implementation of these tools in practice.
cerebrovascular accident, mixed methods analysis, Non-invasive brain stimulation, perceptions, rehabilitation technology, robot
Tedesco Triccas, L.
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Burridge, J.H.
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Hughes, A.M.
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Meadmore, K.L.
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Donovan-Hall, M.
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Rothwell, J.C.
fd939bef-ef9b-44c9-8553-03b7e8a6b399
Verheyden, G.
aabb1bd5-f394-4c82-ba97-7926a4255282
Tedesco Triccas, L.
cd5de381-2afd-43a0-a9b1-53ec044a3739
Burridge, J.H.
0110e9ea-0884-4982-a003-cb6307f38f64
Hughes, A.M.
11239f51-de47-4445-9a0d-5b82ddc11dea
Meadmore, K.L.
4b63707b-4c44-486c-958e-e84645e7ed33
Donovan-Hall, M.
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Rothwell, J.C.
fd939bef-ef9b-44c9-8553-03b7e8a6b399
Verheyden, G.
aabb1bd5-f394-4c82-ba97-7926a4255282
Tedesco Triccas, L., Burridge, J.H., Hughes, A.M., Meadmore, K.L., Donovan-Hall, M., Rothwell, J.C. and Verheyden, G.
(2018)
A qualitative study exploring views and experiences of people with stroke undergoing transcranial direct current stimulation and upper limb robot therapy.
Topics in Stroke Rehabilitation.
(doi:10.1080/10749357.2018.1493072).
Abstract
Background
Neurorehabilitation technologies used mainly in research such as robot therapy (RT) and transcranial direct current stimulation (tDCS) can promote upper limb motor recovery after stroke. Understanding the feasibility and efficacy of stroke rehabilitation technologies for upper limb impairments is crucial for effective implementation in practice. Small studies have explored views of RT by people with stroke; however experiences of people receiving tDCS in combination with RT have never been explored.
Objective
To explore views and experiences of people with sub-acute and chronic stroke that had previously taken part in a randomised controlled trial involving tDCS and RT for their impaired upper limb.
Methods
An interview study includes open and closed questions. Face-to-face interviews were audio recorded. Open-ended question responses were transcribed and analyzed using thematic analysis; closed questions were analyzed using descriptive analysis.
Results
Participants felt that RT was enjoyable (90%) and beneficial for their affected arm (100%). From the open question data, it was found that the intervention was effective for the impaired arm especially in the sub-acute stage. Main reported concerns were that tDCS caused painful, itching and burning sensations and RT was sometimes tiring and difficult. Participants recommended that future research should focus on designing a more comfortable method of tDCS and develop a robot that promotes hand movements.
Conclusions
This study provides new knowledge about the benefits and barriers associated with these technologies which are crucial to the future effective implementation of these tools in practice.
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A qualitative study exploring views and experiences of people with stroke
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A qualitative study exploring views and experiences of people with stroke
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More information
Accepted/In Press date: 19 June 2018
e-pub ahead of print date: 20 September 2018
Keywords:
cerebrovascular accident, mixed methods analysis, Non-invasive brain stimulation, perceptions, rehabilitation technology, robot
Identifiers
Local EPrints ID: 425107
URI: http://eprints.soton.ac.uk/id/eprint/425107
ISSN: 1074-9357
PURE UUID: 816f15f0-8169-4dcc-a1df-1ea898de3e5f
Catalogue record
Date deposited: 10 Oct 2018 16:30
Last modified: 26 Nov 2021 02:50
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Contributors
Author:
L. Tedesco Triccas
Author:
J.C. Rothwell
Author:
G. Verheyden
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