Usability and task load comparison between a robotic assisted transfer device and a mechanical floor lift during caregiver assisted transfers on a care recipient

• Published in: Disability and rehabilitation: Assistive technology 2022-10, Vol.17 (7), p.833-839
• Main Authors: Greenhalgh, Mark, Blaauw, Eline, Deepak, Nikitha, St. Laurent, C. O. L Matthew, Cooper, Rosemarie, Bendixen, Roxanna, Koontz, Alicia M., Cooper, Rory A.
• Format: Article
• Language: English
• Subjects: Adaptive technology; Caregiver burden; Caregivers; Clinical standards; Cognitive load; Discomfort; Ergonomics; handling and moving; independent living; medical equipment; Mobility; New technology; quality of care delivery; Rehabilitation; Robotics; Robots; Usability; wheelchair users; Wheelchairs
• ISSN: 1748-3107; 1748-3115
• DOI: 10.1080/17483107.2020.1818137

The RATD represents a novel methodology to reduce strain, manoeuvring, and cognitive load a caregiver experiences when conducting transfers on a mannequin. However, caregivers who used this new technology report suggested adjustments regarding the robot's human machine interface and shape as to improve transfer efficiency and comfort for care recipients. The purpose of this study was to test a redesigned RATD and compare its ergonomics during a transfer to those of a mechanical floor lift. This was cross sectional protocol. As opposed to prior research which used a mannequin, caregivers in this study (N = 28) partnered with, and transferred, a mobility device user (N = 28) at three unique surfaces. Information about task demand and usability was collected from surveys after use of each device at each surface. Results indicated reduced physical demand (p = .004) and discomfort frequency (p = .01) in caregivers conducting the transfers with the RATD compared to the mechanical floor lift. Care recipients reported no significant differences between both transfer devices. Critiques with the interface, the harness and sling, and the robot's rigidity indicated more work is needed before introducing this technology to a larger market. Conclusions: The RATD represents a promising new intervention for transferring and handling care recipients who use wheelchairs. However, while caregivers report reduced physical demand and discomfort, more work is required to advance the ease of the human machine interface, the amount of space allowed for the robot to operate, and the ability of the care recipient to operate the technology independently. IMPLICATIONS FOR REHABILITATION Caregivers report significant physical and mental stress while transferring clients in and out of a wheelchair. Clinical standard transfer equipment is limited in the space which it can be used. Robots, particularly those portable and powered, have the ability to not only make the transfer experience safer, but also expand the applications this equipment can provide.