PLoS ONE 11 (10)

| 2016

Biofeedback in Partial Weight Bearing: Usability of Two Different Devices from a Patient’s and Physical Therapist’s Perspective

Background

Partial weight bearing is frequently instructed by physical therapists in patients after lowerlimb trauma or surgery. The use of biofeedback devices seems promising to improve the patient’s compliance with weight-bearing instructions. SmartStep and OpenGo-Science are biofeedback devices that provide real-time feedback. For a successful implementation, usability of the devices is a critical aspect and should be tested from a user’s perspective.

Aim

To describe the usability from the physical therapists’ and a patients’ perspective of Smartstep and OpenGo-Science to provide feedback on partial weight bearing during supervised rehabilitation of patients after lower-limb trauma or surgery.

Methods

In a convergent mixed-methods design, qualitative and quantitative data were collected. Usability was subdivided into user performance, satisfaction and acceptability. Patients prescribed with partial weight bearing and their physical therapists were asked to use SmartStep and OpenGo-Science during supervised rehabilitation. Usability was qualitatively tested by a think-aloud method and a semi-structured interview and quantitatively tested by the System-Usability-Scale (SUS) and closed questions. For the qualitative data
thematic content analyses were used.

Results

Nine pairs of physical therapists and their patients participated. The mean SUS scores for patients and physical therapists were for SmartStep 70 and 53, and for OpenGo-Science 79 and 81, respectively. Scores were interpreted with the Curved Grading Scale. The qualitative data showed that there were mixed views and perceptions from patients and physical therapists on satisfaction and acceptability.

Conclusion

This study gives insight in the usability of two biofeedback devices from the patient’s and physical therapist’s perspective. The overall usability from both perspectives seemed to be acceptable for OpenGo-Science. For SmartStep, overall usability seemed only acceptable from the patient’s perspective.

Implication

The study findings could help clinicians to decide which biofeedback device is appropriate for their given situation and provide information for future development of biofeedback
devices.

Keywords

Physiotherapy, Cell phones, Surgical and invasive medical procedures, Measurement equipment, Ankles, Orthopedic surgery, Patients, Hip

Author/s

Remko van Lieshout, Martijn F. Pisters, Benedicte Vanwanseele, Rob A. de Bie, Eveline J. Wouters, Mirelle J. Stukstette

Institution / Department

Center for Physical Therapy Research and Innovation in Primary Care, Julius Health Care Centers, Utrecht

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