Rehabilitation System Research Articles

Analysis of the effectiveness of the developed system of physical therapy for patients with rheumatoid arthritis in terms of daily activity, health status and quality of life

Purpose. The purpose of the article is to analyze the effectiveness of the developed system of physical therapy for patients with rheumatoid arthritis based on the results of indicators of daily activity, health status and quality of life. Material & Methods. 188 patients with rheumatoid arthritis were examined, including 156 women (83%) and 32 men (17%), with an average age of 44,9±7,6 years. The patients were randomly divided into a control group (n=92) and a study group (n=96). Patients in the main group were trained according to the proposed system of physical therapy, which was developed in accordance with the domains of the ICF, taking into account factors affecting the level of functional impairment, health status and quality of life (categories at the level of activity and participation). In the dynamics, a comparative assessment of functional limitations in the daily activity of the upper extremities was performed using the DASH questionnaire, health status assessment using the Stanford Health Interview, and quality of life using the EuroQol-5D-5L questionnaire. Results. In patients with rheumatoid arthritis, the initial examination revealed impaired performance of daily activities, in particular, activities requiring hand strength according to the DASH questionnaire, low self-assessment of health according to the Stanford Health Assessment Questionnaire, and significant deterioration in quality of life (EQ-5D-5L) due to the negative impact of existing functional impairments of the upper extremities. After the rehabilitation intervention, patients in both groups showed statistically significant improvement in all studied indicators: facilitation of performing household activities in everyday life, increased self-assessment of health, and improved quality of life compared to baseline data (p < 0.05). However, patients in the main group showed a significantly better result than patients in the control group, which indicates the effectiveness of the proposed rehabilitation measures (p<0.05). Conclusion. Significantly better differences between patients of the main and control groups were found according to the results of the studied indicators, which clearly demonstrates and confirms the effectiveness of the proposed system of physical therapy in contrast to the standard rehabilitation system.

Robotic-Assisted Ankle Rehabilitation Utilizing Electrical Stimulation and Virtual Reality Training Paradigms

This study investigates the ankle rehabilitation systems in great detail, including technical features, clinical considerations, patient-related factors, and economic factors. Using a parameterized method, different parameters were tested to find out how well, efficiently, and easily these systems could be used. It was looked at how technological features like robotic configuration, sensory feedback, and control methods can be used to make rehabilitation more personalized. To make sure the best results for patients, clinical considerations focused on practices based on evidence, safety features, and integration with clinical workflows. To look at the human-centered parts of ankle rehabilitation, things like user experience, adherence, and result measures were looked at. To find out if putting ankle rehabilitation systems into healthcare situations would be financially viable, economic factors like cost-effectiveness, reimbursement, and return on investment were looked at. Numbers were added to give quantitative information about each parameter, which made it easier to do a thorough review of ankle rehabilitation systems. Overall, this study gives important information to doctors, hospital managers, and others involved in improving the outcomes of ankle-related patients by choosing the best rehabilitation programs and making sure they are carried out properly.

Theoretical and methodological foundations of the problem of business planning in the healthcare system

Healthcare business planning is becoming a key tool needed to ensure quality, affordable healthcare while maintaining sustainable financial models. It allows you to adapt to changing conditions, strategically allocate resources, optimize budgetary costs, and improve the availability and qualit y of medical care. Target. Scientifically substantiate theoretical approaches and study the features of business planning in the healthcare system. Results. The theoretical and methodological foundations of the problem of business planning in the healthcare system have been studied; the directions of medical rehabilitation activities in the Khanty-Mansiysk Autonomous Region are described; measures were proposed to improve business planning within the medical rehabilitation system. Conclusion. Business planning for medical rehabilitation is becoming increasingly important in the context of pressures on government agencies, changing health care delivery models and the development of the private healthcare sector.

Development of a Novel Robotic Rehabilitation System Using Electrical Stimulation for Upper Limb Motor Recovery

To improve the quality of life for people with neurological disorders or accidents, it is important to create therapy tools for upper limb movement recovery that work and are easy for everyone to use. This study suggests a new artificial therapy device that uses electrical stimulation to help people recover their upper limb movement skills. The technology uses both artificial help and electrical treatment at the same time to help the brain change and learn new skills. The robotic therapy system is made up of a suit that moves with the upper limbs and supports them mechanically. It has sensors that can figure out what the user wants and change the amount of help based on that. In addition, the system has electrical activation probes that are put to target specific muscles or groups of muscles that help move the upper limbs. A closed-loop control system makes the system work. The user's moves are constantly tracked, and the robotic help and electrical stimulation are changed in real time. This flexible method lets recovery plans be made just for each person, based on their wants and results. A pilot study with people who have trouble moving their upper limbs was used to test how well the planned method would work. When the method was used for six weeks, the data showed big gains in motor function, muscle strength, and range of motion. Participants were also very happy with how easy the method was to use and how well it helped them improve their movement skills.

Assessment of Isokinetic Trunk Muscle Strength and Fatigue Rate in Individuals after Bariatric Surgery.

Background and Objectives: Lean body mass loss after bariatric surgery (BS) is remarkable, despite an effective long-term mass reduction and significant declines in comorbidities. A person's functional capacity is adversely affected when their skeletal muscle strength declines by up to 30%. This study aimed to assess the isokinetic trunk muscle strength and fatigue rate in individuals after BS. Materials and Methods: This study included fifty-eight patients, both male and female, ranging in age from 19 to 45. Twenty-seven individuals had BS and twenty-seven healthy people served as the control group. The primary outcomes were the measurement of the concentric and eccentric isokinetic muscle strength of the trunk flexor and extensor muscles. An isokinetic dynamometer (Biodex Rehabilitation and Testing System 3) was used for the assessment of the isokinetic muscle strength. Noraxon EMG was used to determine a secondary outcome, which was the median frequency slop (MF/time) and root mean square slop (RMS/time) of the lumbar erector spinea muscle at 50% of the Maximum Voluntary Isometric Contraction (MVIC). Outcome measures were assessed for both groups. Results: Compared to the control group, the bariatric group showed a lower mean value of both concentric and eccentric isokinetic muscle strength for the flexor and extensor trunk muscles (p < 0.05). In terms of the EMG fatigue rate, the RMS slope increased significantly more than that of the control group, while the MF slope decreased (p > 0.05). Conclusions: The current study found that, in comparison to the healthy subjects, the BS group showed reduced levels of fatigue and isokinetic strength in the trunk muscles. Based on these results, it is recommended that individuals who underwent BS take part in tailored rehabilitation programs to avoid potential musculoskeletal issues in the future.

Return to Work after Primary Total Knee Arthroplasty: The First Polish Pilot Retrospective Study.

(1) Background: Total knee arthroplasty (TKA) performed on working-age patients significantly affects the participation of such patients in social life. A retrospective study was conducted to determine the return to work (RTW) rate after TKA. The goal of this study was to provide reference data for the Polish population and identify the factors impacting patients' decisions to return to or resign from work, relative to their functional performance. (2) Methods: This retrospective study involved 48 patients. An interview related to RTW was carried out to identify the factors impacting a patient's decision to return to or resign from work. Functional performance was assessed using the Knee Outcome Survey-Activities of Daily Living (KOS-ADL) scale. (3) Results: Before TKA, 15 individuals (31.25%) qualified for the study did not work and were receiving welfare benefits. After the surgery, 23 individuals (47.9% of those working prior to TKA) did not return to work. The number of those who did not work after TKA increased to 38 (79.17%), which was a significant change. The mean level of functional performance after TKA assessed using KOS-ADL was 75.89. (4) Conclusions: The findings show that the rate of RTW after TKA in Poland is significantly lower than that in other countries. The reasons for this situation, as shown in the study, may be related to the lack of an occupational rehabilitation system, resulting in a paucity of information about the possibility to return to work and about opportunities for retraining.

Evaluating a rehabilitative intervention for substance-dependent patients with and without their accompanying children in Germany (KontextSucht): study protocol for a non-randomised trial

IntroductionPeople suffering from substance use disorders often live in social contexts with children or are parents themselves. Addicted parents show specific substance-related problems while raising their children, which often leads...

BCI Application in Stroke Rehabilitation: Robotic Assisted System

Stroke remains a pervasive global health concern, exacting enduring motor, cognitive, and emotional tolls on affected individuals. The evolving landscape of neural interfaces has recently shown promising strides in reinstating lost sensorimotor functions. Non-invasive brain-computer interfaces (BCIs) have gained widespread recognition for their inherent advantages—simplicity, safety, and cost-effectiveness. The ongoing refinement of BCIs involves addressing previous technological and neurophysiological limitations, focusing on understanding distinctive neurophysiological alterations observed in individuals with disabilities. The exploration of brain connectivity attributes is pivotal in implementing BCI-based control systems. Emerging as a notable prospect for post-stroke motor rehabilitation, Brain-Computer Interface (BCI)-based therapy has made significant progress in restoring sensorimotor function. Revolutionary advancements have been made to traditional brain-computer interface (BCI) systems, which rely on brain signals obtained from electroencephalography (EEG) and rule-based translation algorithms. This comprehensive review delves into the realm of BCI Robotic Assisted Systems, offering a nuanced analysis of contributions from diverse researchers. It meticulously dissects these systems' advantages and limitations, providing valuable insights into their efficacy. Ongoing endeavors within the field prioritize enhancing the portability, simplicity, and cost-effectiveness of BCI technology, ultimately refining its overall usability. As research progresses, emphasizing larger sample sizes, there is a tangible potential to augment the reliability of BCI systems for stroke rehabilitation significantly. This trajectory holds promise for extending the benefits of BCI technology to a broader spectrum of patients, marking a transformative leap in neurorehabilitation methodologiest.

Case Analysis on Three Methods of BCI Systems for Stroke Rehabilitation

Stroke is a disease that can cause disability to patients, and many people suffer from stroke. Brain-computer interface (BCI) technology development leads to BCI stroke rehabilitation system. After several years of development of theory and technology, BCI systems show great potential in stroke rehabilitation. There are three specific methods of BCI stroke rehabilitation systems. The methods involve Functional Electric Stimulation, Robotics Assisted Systems, and Virtual Reality. This paper will introduce three methods and analyze the research cases of each technique. The article will introduce the principle and investigate some research cases of each method. The paper will present the procedure, analyze the results and evaluate each experiment. By analyzing the cases, it can be learned that all three methods are feasible and effective, proving that the BCI system for stroke rehabilitation is a promising therapy. At last, limitations on BCI systems will be analyzed, such as small sample size and limitations on particular actions.

Upper extremity training followed by lower extremity training with a brain-computer interface rehabilitation system.

Brain-computer interfaces (BCIs) based on functional electrical stimulation have been used for upper extremity motor rehabilitation after stroke. However, little is known about their efficacy for multiple BCI treatments. In this study, 19 stroke patients participated in 25 upper extremity followed by 25 lower extremity BCI training sessions. Patients' functional state was assessed using two sets of clinical scales for the two BCI treatments. The Upper Extremity Fugl-Meyer Assessment (FMA-UE) and the 10-Meter Walk Test (10MWT) were the primary outcome measures for the upper and lower extremity BCI treatments, respectively. Patients' motor function as assessed by the FMA-UE improved by an average of 4.2 points (p < 0.001) following upper extremity BCI treatment. In addition, improvements in activities of daily living and clinically relevant improvements in hand and finger spasticity were observed. Patients showed further improvements after the lower extremity BCI treatment, with walking speed as measured by the 10MWT increasing by 0.15 m/s (p = 0.001), reflecting a substantial meaningful change. Furthermore, a clinically relevant improvement in ankle spasticity and balance and mobility were observed. The results of the current study provide evidence that both upper and lower extremity BCI treatments, as well as their combination, are effective in facilitating functional improvements after stroke. In addition, and most importantly improvements did not stop after the first 25 upper extremity BCI sessions.

The Impact of an Effective Rehabilitation System on the Academic Performance of Special needs persons

This study looked at how well functioning rehabilitation programme affect special needs students’ academic performance in Federal College of Education (Special), Oyo. A descriptive research design was employed for the study. The population of the study consisted of all the Academic staff from the School of Special Education, Federal College of Education (Special), Oyo. The sample size for the study was fifty (50) academic staff randomly selected from various departments in special education. A Self-developed questionnaire titled: Impact of an Effective Rehabilitation System on the Academic Performance of Special Needs Persons (IERSAPSP) was used by the researcher for data collection. The instrument was validated and the reliability coefficient 0f 0.86 was realized which implies that the instrument was reliable. Three research questions guided the study. The data collected were organized and analyzed using descriptive statistics frequency count and percentage. The findings showed that persons with special needs find it very difficult to adapt to school life and show signs of inappropriate or what might be considered immature behavior, but with effective rehabilitation system this will enable them to reach and maintain their optimal physical, sensory, intellectual, psychological, and social functional levels. It was recommended among others that the Government at all levels should ensure that a reasonable percentage of the Education Trust Fund Allocation is made available for the education of students with disabilities.

The use of oil palm biomass as fertilizer and its potency in agroforestry systems for peatland rehabilitation

Oil palm biomass is one of the most abundant wastes in Indonesia. The biomass can be used as fertilizer for increasing plant growth, such as paddy Inpara-2 variety and peatland rehabilitation. The study on the application of oil palm biomass as fertilizer on paddy Inpara-2 growth and its potency in agroforestry systems for accelerating peatland rehabilitation is limited. This study aimed to analyze the application of oil palm-based fertilizers on paddy Inpara-2 and investigate the scientific literature on the use of oil palm biomass as fertilizer in agroforestry systems for peatland rehabilitation. The method used was a completely randomized design with a factor (oil palm-based fertilizer) and scientific literature from the search engine database. Application of micro-lignocellulose 1% resulted in the best paddy germination percentage (100%), abnormal sprout percentage (0%), maximum growth potential (100%), mean germination time (1.95 days), seedling survival rate (100%), and seedling height (13.67 cm). We found 993 articles on oil palm biomass as fertilizer in supporting peatland rehabilitation and only three articles (0.003%) used the agroforestry system as the selected approach. Application of oil palm biomass as fertilizers can accelerate paddy Inpara-2 variety growth, and agroforestry system application could accelerate peatland rehabilitation.

Evaluation and Monitoring System for Exercise Rehabilitation Based on Combined Chinese and Western Medicine Technology

INTRODUCTION: Developing exercise rehabilitation assessment and monitoring systems is essential in rehabilitation medicine. Introduces a sports rehabilitation assessment and monitoring system based on combining Chinese and Western medicine technology, aiming to integrate traditional Chinese and Western medicine theory and modern Western medicine technology to provide more comprehensive and personalized rehabilitation services. Through the systematic integration of technologies, the author is committed to building an efficient and precise rehabilitation system to provide patients with more scientific and practical rehabilitation programs. OBJECTIVE: The research system employs various sensor technologies, including motion capture devices, biosensors, and pulse recognition technology, by combining Chinese and Western medicine. The motion capture device enables real-time monitoring of the patient's movement trajectory, joint mobility, and other physiological indicators; the biosensor collects the patient's physiological data, such as heart rate and blood pressure. Meanwhile, Chinese and Western medicine pulse recognition technology was introduced to obtain pulse information specific to Chinese and Western medicine to provide more comprehensive data support for rehabilitation assessment. Integrating these technologies, a multi-level and multi-dimensional rehabilitation assessment system was established. METHODS: This study aims to improve the accuracy and personalization of the rehabilitation assessment and to tailor a rehabilitation plan more in line with the patient's actual situation. Through the combination of Chinese and Western medicine techniques, it aims to break the single perspective of traditional rehabilitation assessment and make the rehabilitation plan closer to the physiological characteristics and pathological state of the patients as well as the needs of the combination of Chinese and Western medicine in the identification and treatment. RESULTS: The system has achieved remarkable results in practical application. The accurate monitoring of the motion capture device provides a more comprehensive understanding of the patient's motor status and accurately analyzes the rehabilitation progress. At the same time, the data collection of biosensors provides doctors with more detailed physiological information, enabling them to formulate rehabilitation plans more comprehensively. The introduction of combined Chinese and Western medicine pulse recognition technology adds a unique auxiliary diagnostic tool of collaborative Chinese and Western medicine to the rehabilitation assessment and improves the personalized level of the rehabilitation plan. CONCLUSION: The sports rehabilitation assessment and monitoring system combining Chinese and Western medicine technology brings new ideas and methods for developing rehabilitation medicine. By fully utilizing the advantages of modern technology and traditional medical knowledge, a comprehensive and in-depth rehabilitation assessment system was constructed to provide patients with more scientific and caring rehabilitation services. Future research will optimize the system's performance and promote the broad application of integrated Chinese and Western medicine technology in rehabilitation.

Closed-Loop Wearable Device Network of Intrinsically-Controlled, Bilateral Coordinated Functional Electrical Stimulation for Stroke.

Innovative functional electrical stimulation has demonstrated effectiveness in enhancing daily walking and rehabilitating stroke patients with foot drop. However, its lack of precision in stimulating timing, individual adaptivity, and bilateral symmetry, resulted in diminished clinical efficacy. Therefore, a closed-loop wearable device network of intrinsically controlled functional electrical stimulation (CI-FES) system is proposed, which utilizes the personal surface myoelectricity, derived from the intrinsic neuro signal, as the switch to activate/deactivate the stimulation on the affected side. Simultaneously, it decodes the myoelectricity signal of the patient's healthy side to adjust the stimulation intensity, forming an intrinsically controlled loop with the inertial measurement units. With CI-FES assistance, patients' walking ability significantly improved, evidenced by the shift in ankle joint angle mean and variance from 105.53° and 28.84 to 102.81° and 17.71, and the oxyhemoglobin concentration tested by the functional near-infrared spectroscopy. In long-term CI-FES-assisted clinical testing, the discriminability in machine learning classification between patients and healthy individuals gradually decreased from 100% to 92.5%, suggesting a remarkable recovery tendency, further substantiated by performance on the functional movement scales. The developed CI-FES system is crucial for contralateral-hemiplegic stroke recovery, paving the way for future closed-loop stimulation systems in stroke rehabilitation is anticipated.

Towards a Patient-Centered Design of a Cancer Telerehabilitation System.

Successful implementation of telehealth platforms requires a detailed understanding of patient's needs, preferences, and attitudes toward a home-based platform. The goal of this study was to identify patient-centered characteristics of a cancer rehabilitation system based on cognitive evaluation of user interface and semi-structured qualitative interviews. Quantitative and qualitative feedback from 29 patients with metastatic urogenital cancer was collected after using a cancer telerehabilitation system. Heuristic evaluation, cognitive walkthrough, and analysis of qualitative interviews demonstrated a high level of support for the concept of home-based cancer telerehabilitation by cancer patients. Post-task surveys demonstrated sufficient usability and satisfaction scores from the participants. The patients provided valuable and insightful comments on how to further improve the functionality and interface of the platform. Further improvement of the system usability, consistency, and accessibility based on the patient-centered design principles will significantly facilitate the implementation of cancer telerehabilitation in clinical practice.

An NLP-based system for modulating virtual experiences using speech instructions

The application of virtual reality (VR) technology in rehabilitation is a research area that has been attracting remarkable attention recently, especially as an intervention with learning and developmental disorders such as dyslexia and autism. Multi-modal VR-based rehabilitative systems can provide a rich experience to patients by responding to various types of bio-signals. This paper proposes a framework for incorporating voice input in rehabilitative games. The proposed framework equips collaborative learning environments with voice based interaction which allows for a more dynamic flow of therapy sessions between physically impaired patients and specialists in a rehabilitative VR environment. The proposed framework’s pipeline begins with a speech recognition module to parse utterances into sentences. Next, comes the feature extraction module to identify the intent of the user and entities as well. Finally, we modulate the 3D environment in Unity. The framework was designed in a way that guarantees smooth integration with any game or 3D environment. Several technologies were tested in terms of accuracy and speed to increase the overall performance of the pipeline. To the best of our knowledge, this research is the first to do the following: 1) build a dataset of instructions, inspired by a product already used in the healthcare market, 2) based on which we could realize a multi-modal system, with voice as one of the modalities, for the context of VR-based rehabilitation. We evaluate every stage in the system pipeline, and we show that we can achieve considerable results on each of these stages including the speech recognition module, with a 5.64% word error rate, and on intent classification where the BiLSTM model outperforms BERT in the Named Entity Recognition by 11% in terms of the F1-score. We envisage the proposed system to lend itself well to emerging healthcare frameworks in the Metaverse.

Design and feasibility analysis of magnetorheological flexible joint for upper limb rehabilitation

Traditional upper limb rehabilitation robots have several disadvantageous. For example, they can only conduct rehabilitation training along predetermined trajectories, their safety systems are unreliable, and they lack the ability to adjust or train the affected limb based on the expected torque of the human body. To overcome these limitations, this study proposes a flexible safety system for joint rehabilitation utilising magnetorheological (MR) fluid. MR damper inverters offer significant advantages, including high torque, rapid response, controllable flexibility, and safety assurance. The range of motion trajectories can be adjusted using a four-lever hinge mechanism. The necessary driving force is provided by the motor actuator, and the MR damper imparts flexibility and variable damping characteristics to the output torque. The system uses a force/position impedance safety-control method, and using an internal position closed-loop controller, the MR upper limb rehabilitation flexible joint guides the affected limb to a safe position. A simulation is performed to verify the accuracy of the system’s motion torque and position. Extensive research has been conducted on the safe rehabilitation outcomes of the upper limb rehabilitation system under three working conditions (step, incremental, and equation) involving the interaction moment of the affected limb. Simulation and experimental results demonstrate that the MR damper effectively controls the upper limb rehabilitation system to achieve the desired results, even when subjected to incremental and abrupt interaction forces from the patient. The tracking accuracy error remains within the range of 3%–7% for a certain period, confirming the safety and feasibility of the MR-based upper limb rehabilitation robot design.

The collective emotion of mentally ill individuals within Facebook groups during Covid-19 pandemic

PurposePeople with pre-existing mental health conditions are more likely to be affected by global crises. The Covid-19 pandemic has presented them with unique challenges, including reduced contact with the psychiatric rehabilitation and support systems. Thus, understanding the emotional experience of this population may assist mental health organizations in future global crises.Design/methodology/approachIn this paper, researchers analyzed the discourse of the mentally ill during the Covid-19 pandemic, as reflected in Israeli Facebook groups: three private groups and one public group. Researchers explored the language, reactions, emotions and sentiments used in these groups during the year before the pandemic, outbreak periods and remission periods, as well as the period before the vaccine’s introduction and after its appearance.FindingsAnalyzing groups’ discourse using the collective emotion theory suggests that the group that expressed the most significant difficulty was the Depression group, while individuals who suffer from social phobia/anxiety and PTSD were less affected during the lockdowns and restrictions forced by the outbreak.Originality/valueFindings may serve as a tool for service providers during crises to monitor patients’ conditions, and assist individuals who need support and help.

Robotic systems for upper-limb rehabilitation in multiple sclerosis: a SWOT analysis and the synergies with virtual and augmented environments.

The robotics discipline is exploring precise and versatile solutions for upper-limb rehabilitation in Multiple Sclerosis (MS). People with MS can greatly benefit from robotic systems to help combat the complexities of this disease, which can impair the ability to perform activities of daily living (ADLs). In order to present the potential and the limitations of smart mechatronic devices in the mentioned clinical domain, this review is structured to propose a concise SWOT (Strengths, Weaknesses, Opportunities, and Threats) Analysis of robotic rehabilitation in MS. Through the SWOT Analysis, a method mostly adopted in business management, this paper addresses both internal and external factors that can promote or hinder the adoption of upper-limb rehabilitation robots in MS. Subsequently, it discusses how the synergy with another category of interaction technologies - the systems underlying virtual and augmented environments - may empower Strengths, overcome Weaknesses, expand Opportunities, and handle Threats in rehabilitation robotics for MS. The impactful adaptability of these digital settings (extensively used in rehabilitation for MS, even to approach ADL-like tasks in safe simulated contexts) is the main reason for presenting this approach to face the critical issues of the aforementioned SWOT Analysis. This methodological proposal aims at paving the way for devising further synergistic strategies based on the integration of medical robotic devices with other promising technologies to help upper-limb functional recovery in MS.

Pre-Implementation Analysis of the Usability and Acceptability of a Poststroke Complex Telehealth Biofeedback Intervention.

Complex telehealth interventions can facilitate remote occupational therapy services and improve access for people living with chronic neurological conditions. Understanding the factors that influence the uptake of these technologies is important. To explore the fit between electromyography (EMG) biofeedback and telerehabilitation for stroke survivors, optimize EMG biofeedback interventions, and, more broadly, support other efforts to develop complex telerehabilitation interventions. Pre-implementation mixed-methods analysis of usability and acceptability data collected during a pilot and feasibility study. Community. Adult stroke survivors with hemiparesis (N = 11; M age = 54 yr). Game-based EMG biofeedback system for arm sensorimotor rehabilitation, delivered via telehealth. Post-Study System Usability Questionnaire, an extended Unified Theory of Acceptance and Use of Technology model questionnaire, and semistructured interview. We coded the interview data using questionnaire constructs. Participants used an EMG biofeedback intervention at home. Quantitative measures show high levels of perceived usability and acceptability, supported by qualitative findings describing specific facilitators and barriers. Pre-implementation studies can improve the design and relevance of complex telehealth interventions. One major conclusion from this study is the influence of therapy providers on acceptability and usability of complex telehealth interventions. Plain-Language Summary: This study contributes to an emerging body of literature that examines the use of complex telehealth interventions with survivors of neurological injury. The findings highlight the value and support the development and use of complex telehealth interventions, which have the potential to improve remote access to occupational therapy for clients living with chronic neurological conditions. Complex telehealth interventions can open doors for survivors of neurological injury who face barriers to accessing occupational therapy and would benefit from technology-enabled therapy at home.