Validating ArmAssist Assessment as outcome measure in upper-limb post-stroke telerehabilitation

Publisher Copyright: © 2015 IEEE.The ArmAssist is a low-cost robotic system for post-stroke upper-limb telerehabilitation based on serious games. The system incorporates a set of games for the assessment of arm function, the ArmAssist Assessment (AAA), which allows a remote monitoring of the progress of the patient and an automatic adaptation of the therapy. In this study, different components of the AAA are compared against three widely-used clinical tests, the Fugl-Meyer Assessment (FMA) [1], the Action Research Arm Test (ARAT) [2] and the Wolf Motor Function Test (WMFT) [3] in order to select the most clinically meaningful ones for the final score provided to patients and therapist, and evaluate their capability to predict or even improve some aspects of these standard scales. All four tests were performed in 38 separate sessions in 19 post-stroke individuals in their sub-acute phase, as part of a broader study. Statistically significant correlation could be shown with the three clinical tests. These preliminary results are promising for the validation of AAA as a fast, automatic and clinically meaningful tool for remote progress assessment and therapy adaptation; however, more data and further analysis is needed to confirm this.Peer reviewe

Organizational culture, quality improvement tools and methodologies, and business performance of a supply chain

Unlike previous studies that have revealed a link between quality improvement programs and organizational culture typologies in individual companies, this study describes organizational culture dimensions that affect the use of quality improvement tools and methodologies and how both affect supply chain company performance. Structural equation modeling methods are applied to a sample of 200 organizations in the supply chain of a Canadian multinational company. The results show that employee promotion and investment constitutes the most influential cultural dimension. Organizational objectives and an employee reward system individually affect Kaizen. When the level of formalization in an organization is high, Kaizen and total quality management tools are used more intensively. When the level of formalization is low, lean manufacturing and internal audits are used more intensively. Superior communication in an organization causes plan-do-check-act approaches, lean manufacturing methods, corrective actions and internal audits to be used less intensively. Generally speaking, most quality improvement tools and methodologies positively influence business performance. These results suggest that organizations can improve business performance levels by selecting appropriate quality improvement programs depending on existing organizational culture dimensions and may thereby develop an organizational culture that enables successful quality improvements in a supply chain context