Rehabilitation robots are helpful in poststroke telerehabilitation; however, their feasibility and rehabilitation effectiveness in clinical settings have not been sufficiently investigated. A non-randomized controlled trial was conducted to investigate the feasibility of translating a telerehabilitation program assisted by a mobile wrist/hand exoneuromusculoskeleton (WH-ENMS) into routine clinical services and to compare the rehabilitative effects achieved in the hospital-service-based group (n = 12, clinic group) with the laboratory-research-based group (n = 12, lab group). Both groups showed significant improvements (p ≤ 0.05) in clinical assessments of behavioral motor functions and in muscular coordination and kinematic evaluations after the training and at the 3-month follow-up, with the lab group demonstrating better motor gains than the clinic group (p ≤ 0.05). The results indicated that the WH-ENMS-assisted tele-program was feasible and effective for upper limb rehabilitation when integrated into routine practice, and the quality of patient–operator interactions physically and remotely affected the rehabilitative outcomes.
The present study introduces an innovative device designed to objectively record and quantify the daily standing profiles of individuals with lower limb motor impairment. The device is specifically developed to be seamlessly embedded onto the standing platform of an assistive standing mobile device, without compromising its structural integrity or functional capabilities. The primary objective of this device is to provide objective evidence of patients’ standing activities within their home environment, thus facilitating the assessment of patient performance and usage. The embedded device captures and stores comprehensive data regarding the duration, frequency, and interval of patients’ standing sessions. Furthermore, the device integrates wireless connectivity to facilitate data transfer and analysis. The development process involved close collaboration between rehabilitation engineers and physiotherapists to ensure optimal functionality, user-friendliness, and unobtrusiveness. Extensive testing and validation procedures were conducted to assess the reliability, validity, and feasibility of the device. The results demonstrate its high accuracy and reliability in capturing and quantifying standing profiles. The proposed device addresses a critical need within the field of rehabilitation, providing clinicians, researchers, and funding organizations with objective evidence of patients’ standing abilities and adherence to rehabilitation protocols. This evidence-based approach has the potential to enhance clinical decision making, improve treatment outcomes, and secure financial support for patients in need of assistive standing mobile devices. In conclusion, the embedded device presented in this study offers a novel and practical solution for quantifying and recording the daily standing profiles of individuals with lower limb motor impairment. By providing objective evidence of patients’ standing activities, this device has the potential to advance the field of rehabilitation and facilitate improved access to assistive standing mobile devices for those in need.