Table 1 ReHab-TOAT session
Phase | Elements | Aim of the phase | Approximate timing within the sessions |
|---|---|---|---|
Assessment | • Patient performs 4 activities of daily living under real-life conditions • Skill analysis by PT or OT • Patient rates performance using VAS | • Skill analysis • Choice of activities that will be practised for 1 week (done at the start of each week) | 10 min |
Preparation | • Preparative exercises for arm and shoulder joints and muscles | • Making the arm and shoulder flexible/supple | 10 min |
Training with haptic feedback | • Patient performs sets of exercises • Task segmentation is used (first isolated components are trained, later combinations (chaining)) • DexterTM is used to generate haptic feedback | • Improving (the components of) the activities chosen | 50 min with resting periods in-between |
Re-assessment | • Patient performs the 4 activities of daily living under real-life conditions • Patient rates performance using VAS • Tips on performing the activities in the home environment | • Skill analysis • Motivation patient • Encourage practice in real-life circumstances | 10 min |
Homework | • Strength and mobility exercises • Continuing using their affected arm in discussed daily activities | • Encourage practice in real-life circumstances | Based on individual needs |