Integrating Neuro Technology into the Clinic: a proposed tool for promoting the clinical integration of neuro rehabilitation technology

Abstract

Advanced neuro rehabilitation technology is becoming more common in upper extremity stroke rehabilitation. It uses the occupational therapy approach of restoration or remediation of function. Advanced neuro rehabilitation technology includes devices such as functional electrical stimulation, robotics, sensor-based technology and virtual reality gaming. Many of these types of devices are based on principles of neuroplasticity and motor learning, and as such, offer an intervention approach that involves high intensity repetitive movement training in engaging environments with performance feedback (Levin, Weiss & Keshner, 2015; Mehrholz, Hadrich, Platz, Kugler & Pohl, 2012); Winstein et al., 2016). Despite emerging evidence-based literature on the efficacy of using neuro rehabilitation technology for upper extremity rehabilitation post-stroke, there is very limited research on how to effectively implement and deploy technology into typical occupational therapy service delivery.

Integrating Neuro Technology into the Clinic is a resource tool and mentoring program informed by evidence and grounded in theory. It was designed to encourage clinics to take an active role in adapting the program and evolving the content to support clinicians in using technology to meet their individual clinic goals as their needs change over time. The overall aim of Integrating Neuro Technology into the Clinic is to increase clinicians use of technology for clinically meaningful outcomes and to assist with improving perceived self-efficacy in the appropriate application of the technology. Integrating Neuro Technology into the Clinic consists of a resource binder of education modules and resources and a 13-week occupational therapist led peer mentoring program focusing on technology use and knowledge translation. Integrating Neuro Technology into the Clinic was created to encourage the use of advanced neuro technology in occupational therapy service delivery. The long-term outcomes of this project will contribute to emerging knowledge on technology use in occupational therapy practice and hopefully influence improved technology integration in occupational therapy practice.