Enhancing self-directed arm exercise practice using a GripAble™ device and Sensory Dynamic Orthosis® in people with stroke: A Pilot Study

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Praveen Kumar, Alex Pearce, Virginia Ruiz Garate, Jason Welsby, Praminda Caleb-Solly
Purpose:

The primary aim of this study was to investigate if SDO® combined- with the GripAble™ device increases repetitive practice and engagement in UL rehabilitation in PwS living in the community. 

Objectives: 1) To assess differences in rehabilitation intensity between participants with GripAble™ plus SDO® compared to GripAble™ alone. 2) To evaluate the acceptability and usability of GripAble™ by PwS in the community. 3) To provide feasibility data to inform a future study. 


Methods:

Evaluative pilot study. We recruited PwS through Bristol After Stroke. Participants were randomised into two groups and received intervention for 4 weeks: (1) GripAble™ alone; (2) GripAble™ with SDO®. Standardised outcome measures (OM) recommended in stroke research were used. The Technology Acceptance Model questionnaire was used for acceptability.  

Results:

Over eight months, 52 PwS were approached, 35% (n=18) expressed interest, of which 56% (n=10) were recruited. Retention at 4 weeks was 80% (n=8). All participants could complete majority of the OM’s. GripAbleTM data was available for seven participants. In group one, 75% (n=3/4) and in group two, 100% (n=3/3) of participants met the goal of 300 repetitions on days they engaged with GripAbleTM Overall acceptability of GripAbleTM was 71%, however 63% (n=5) experienced problems with the device.  

Conclusion(s):

Due to small sample size, conclusions could not be drawn on the combined effect of GripAbleTM and SDO®. GripAble™ was acceptable by PwS, however, digital challenges warrant further investigation.  

Implications:
  • GripAbleTM devices could be a promising intervention to improve UL rehabilitation intensity for PwS living in the community
  • SDO® sleeves did not influence rehabilitation intensity or engagement with GripAbleTM devices.
  • Variance in digital literacy of participants may have affected engagement with GripAbleTM devices. Additional training and education materials may provide improved accessibility and usability in future research.
Funding acknowledgements:
This project was funded by The University of West of England, Bristol, VC Challenge Fund (2022-23).
Keywords:
Stroke
Upper Limb recovery
GripAble device
Primary topic:
Neurology: stroke
Second topic:
Innovative technology: information management, big data and artificial intelligence
Third topic:
Disability and rehabilitation
Did this work require ethics approval?:
Yes
Name the institution and ethics committee that approved your work:
University of the West of England Research Ethics Committee, Bristol, UK
Provide the ethics approval number:
UWE REC REF No: HAS.22.07.137
Has any of this material been/due to be published or presented at another national or international conference prior to the World Physiotherapy Congress 2025?:
Yes

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