There is growing interest in the use of wearable devices that track upper limb activity after stroke to help determine and motivate the optimal dose of upper limb practice. The purpose of this study was to explore clinicians’ perceptions of a prospective wearable device that captures upper limb activity to assist in the design of devices for use in rehabilitation practice. Four focus groups with 18 clinicians (occupational and physical therapists with stroke practice experience from a hospital or private practice setting) were conducted. Data were analyzed thematically. Our analysis revealed three themes: (1) “Quantity and quality is ideal” emphasized how an ideal device would capture both quantity and quality of movement; (2) “Most useful outside therapy sessions” described how therapists foresaw using the device outside of therapy sessions to monitor homework adherence, provide self-monitoring of use, motivate greater use and provide biofeedback on movement quality; (3) “User-friendly please” advocated for the creation of a device that was easy to use and customizable, which reflected the client-centered nature of their treatment. Findings from this study suggest that clinicians support the development of wearable devices that capture upper limb activity outside of therapy for individuals with some reach to grasp ability. Devices that are easy to use and capture both quality and quantity may result in greater uptake in the clinical setting. Future studies examining acceptability of wearable devices for tracking upper limb activity from the perspective of individuals with stroke are needed.

中文翻译：

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临床医生对用于捕捉中风后上肢活动的潜在可穿戴设备的看法：定性焦点小组研究

人们越来越关注使用可穿戴设备跟踪中风后上肢活动，以帮助确定和激励上肢练习的最佳剂量。本研究的目的是探索临床医生对可捕捉上肢活动的前瞻性可穿戴设备的看法，以协助设计用于康复实践的设备。进行了由 18 名临床医生（具有医院或私人诊所中风实践经验的职业和物理治疗师）组成的四个焦点小组。数据进行了专题分析。我们的分析揭示了三个主题：（1）“数量和质量是理想的”强调理想的设备如何同时捕捉运动的数量和质量；(2) “最有用的外部治疗课程”描述了治疗师如何预见在治疗课程之外使用该设备来监测家庭作业的依从性、提供自我使用监测、激励更多的使用并提供关于运动质量的生物反馈；(3)“用户友好请”主张创造一种易于使用和可定制的设备，这反映了他们以客户为中心的治疗性质。这项研究的结果表明，临床医生支持开发可穿戴设备，为具有一定掌握能力的个人捕捉治疗之外的上肢活动。易于使用并同时捕获质量和数量的设备可能会在临床环境中获得更多的采用。