PTOTOtherJournal of neuroengineering and rehabilitation2023

Evaluating the usability of a co-designed power assisted exercise graphical user interface for people with stroke.

Rachel Young, Karen Sage, David Broom and 3 others

PMID 37488564

WHAT IT FOUND

Stroke survivors and therapists tested two versions of a power-assisted exercise interface.

Version 2 fixed major navigation and feedback problems, but new features confused users and one safety change was judged too risky.

Key findings

01Version 2 of the interface resolved the most common usability failures from version 1, specifically the misinterpretation of effort feedback and the confusion around starting the exercise.

02While task completion was 100% for both versions, the new 'my programme' features in version 2 introduced significant confusion regarding target intensity and baseline assessments.

03A safety amendment in version 2, which added a countdown to start the machine, was reported by four participants as being too short to allow for safe preparation.

STILL TO COME

How it was doneWhat they foundWhat it means for PTsWhat it means for OTs

Read the rest of this summary

You get three full summaries a month, free, and we do not ask for a card. Search, the TL;DRs and your library stay unlimited either way.

Already have one?

What it does not show

Testing was conducted remotely due to the pandemic, meaning users interacted with a virtual mock-up of the interface rather than the physical machine, which may not reflect real-world setup times or physical handling issues. The same participants tested both versions, which could introduce bias as they learned the system during the first round. The study did not measure the severity of motor or cognitive impairments in the stroke group, so it is unclear if the usability findings apply to people with more severe deficits. The sample size was small (19 participants completing the tests), limiting the generalisability of the findings to the broader stroke population.

Declared interests

The study was supported by non-US government funding. The manufacturer of the equipment, Shapemaster Global Ltd, is mentioned in the text as having identified the need for the technology and as having service providers known to the research team, but a specific conflict of interest statement regarding the manufacturer's role in the study design or analysis is not explicitly detailed in the provided text.

The easy way to misread this

Do not assume that the high task completion rates (100%) mean the device is safe or effective for independent use. The study found that users could navigate the menus but often misunderstood the feedback or felt unsafe due to the machine's movement timing. The interface is still in a prototype stage and requires field testing before it can be considered ready for unsupervised clinical or community use.

Read it on PubMed →