OTPilotDisability and rehabilitation. Assistive technology2023

Preliminary evaluation of an automated robotic transfer assist device in the home setting.

Hailee R Kulich, Lin Wei, Theresa M Crytzer and 2 others

PMID 33529539

WHAT IT FOUND

After six weeks at home, users and caregivers reported less physical demand and work using a robotic bed to chair transfer system.

Standard health and quality-of-life scores did not change overall, and social functioning decreased.

Key findings

01Participants reported less perceived physical demand and less perceived work when preparing for and performing transfers.

02SF-36 health-related quality-of-life scores and IPPA problem scores did not differ after intervention.

03Participants rated the system better than previous transfer methods for safety, comfort, ease of operation, timeliness and overall functionality.

STILL TO COME

How it was doneWhat they foundWhat it means for OTs

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What it does not show

Only six end users and five caregivers were analysed, although eight end users and seven caregivers were enrolled. The study compared each participant only before and after using the device; no random allocation, control group or blinding was described. The main Transfer Task Evaluation survey was adapted from the NASA Task Load Index but had not been validated. Daily and overall device use was not collected, so it is unclear how often participants used the system. Six weeks may not have been long enough for users and caregivers to adjust to a new transfer method. Participants did not use the accompanying wheelchair for daily mobility, so they still had to transfer between their own mobility device and the system wheelchair. Only people who had enough home space to fit the system and were eager to participate were included, so results may not apply to smaller homes or people needing more transfer assistance. The study did not measure friction, shear or pressure distribution during transfers.

Declared interests

The authors reported no potential conflicts of interest. The article is listed as supported by NIH extramural research, and the authors state the contents do not represent the views of the Department of Veterans Affairs or the United States Government.

The easy way to misread this

Do not read this as proof that the device improves health-related quality of life. The transfer-workload scores improved, but standard health and quality-of-life scores did not change, social functioning decreased, and only six end users and five caregivers were analysed over six weeks.

Read it on PubMed →