Usability Test for an Over-Ground Walking Assistance Robotic Device Based on the Mecanum Wheel
Source abstract
Abstract
Robotic walking assistance devices support the rehabilitation of patients with neurological impairments. However, most commercialized systems rely on treadmill-based walking, which may not reflect real-world environments. This study aimed to evaluate the usability of a newly developed over-ground walking assistance robot (OWAR-MW) based on mecanum wheels compared with a commercial system (Andago) from the perspectives of physical therapists and patients with stroke. Nine physical therapists and nine stroke patients participated. Each participant walked 100 m using both the OWAR-MW and Andago systems. Subsequently, a satisfaction survey was conducted across three categories—safety, operability and functionality, and convenience—using a questionnaire adapted from the standard usability testing guidelines for walking assistive devices. Additionally, in-depth interviews were conducted to explore user experience and improvement needs. In both participant groups, the OWAR-MW showed a tendency for lower satisfaction scores than Andago across all categories. Stroke patients reported significantly lower scores in all three categories (safety: 4.90 vs. 4.04, operability and functionality: 4.83 vs. 4.33, convenience: 4.87 vs. 4.49, p < 0.05), whereas therapists noted a significant difference only in safety (4.02 vs. 3.37, p < 0.05). Key issues identified included a lack of handles, delay in actuator response, low motion detection sensitivity, non-intuitive controls, and discomfort caused by the harness, particularly the thigh straps. OWAR-MW demonstrated usability limitations in its current prototype form. Technical improvements in user interface, control accuracy, and harness design are necessary before clinical application. This study provides valuable feedback for the future development of user-centered rehabilitation robotics.
Source: crossref · Quality: baseline
Research context
OpenAlex topics: Prosthetics and Rehabilitation Robotics · Stroke Rehabilitation and Recovery · Gaze Tracking and Assistive Technology
SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.
Affiliations
Department of Physical Therapy, Korea National University of Transportation, 61 Daehak-ro, Jeungpyeong-gun, Chungju-si 27909, Chungbuk, Republic of Korea
Funding
Changwon Medical-Bio Advanced Device Manufacturing Industry Promotion Project 2023
References (24)
Show source-provided references
1. Health Insurance Review & Assessment Service (HIRA) (2023). Current Status of Treatment for Cerebrovascular Diseases.
2. The influence of gender and age on disability following ischemic stroke: The Framingham study10.1016/S1052-3057(03)00042-9 ↗
3. Gait disturbances in patients with stroke10.1016/j.pmrj.2013.12.017 ↗
4. The Andago for overground gait training in patients with gait disorders after stroke—Results from a usability study10.15761/PRR.1000128 ↗
5. Robot devices for gait rehabilitation
6. Robotic gait rehabilitation and substitution devices in neurological disorders: Where are we now?10.1007/s10072-016-2474-4 ↗
7. Post-critical care COVID-19 patient benefits from a robotic patient-guided suspension system for pulmonary rehabilitation10.47102/Annals-acadmedsg.2020165 ↗
8. Electromechanical-assisted training for walking after stroke
9. ZeroG: Overground gait and balance training system10.1682/JRRD.2010.05.0098 ↗
10. HapticWalker—A novel haptic foot device. ACM Trans10.1145/1060581.1060589 ↗
11. Advanced technology for gait rehabilitation: An overview10.1177/1687814018783627 ↗
12. A comparison of the immediate effects of the Andago over ground body weight support trainer versus over ground walking on selected gait parameters in a post-acute rehabilitation population10.1080/09593985.2022.2162834 ↗
13. Clinical utility of the over-ground bodyweight-supporting walking system Andago in children and youths with gait impairments10.1186/s12984-021-00827-1 ↗
14. A study on behavior analysis and scenario-based furniture design through user observation—Focus on seniors walker design10.17548/ksaf.2023.09.30.403 ↗
15. Efforts and challenges for medical robots in South Korea10.5302/J.ICROS.2024.24.0047 ↗
16. Sabino, I., do Carmo Fernandes, M., Cepeda, C., Quaresma, C., Gamboa, H., Nunes, I.L., and Gabriel, A.T. (2023). Ergo4workers: Usability testing of the second prototype of an app for the ergonomic assessment of healthcare professionals. Occupational and Environmental Safety and Health V, Studies in Systems, Decision and Control, Springer.10.1007/978-3-031-38277-2_8 ↗
17. Moustris, G., Kardaris, N., Tsiami, A., Chalvatzaki, G., Koutras, P., Dometios, A., Oikonomou, P., Tzafestas, C., Maragos, P., and Efthimiou, E. (2024). The i-walk lightweight assistive rollator: First evaluation study. Front. Robot. AI, 100.
18. Hocoma (2025, April 01). Andago–Robotic Gait Training. Available online: https://www.hocoma.com/solutions/andago/.
19. (2025, April 01). The Support Center for Senior Friendly Industry Under the Korea Health Industry Development Institute. Available online: https://www.khidi.or.kr/board?menuId=MENU00310&siteId=SITE00003.
20. van Hedel, H.J., Bulloni, A., and Gut, A. (2021). Prefrontal cortex and supplementary motor area activation during robot-assisted weight-supported over-ground walking in young neurological patients: A pilot fNIRS study. Front. Rehabil. Sci., 2.10.3389/fresc.2021.788087 ↗
21. Effectiveness of adjunct robotic therapy with a patient-guided suspension system for stroke rehabilitation using a 7-days-a-week model of care: A comparison with conventional rehabilitation
22. The influence of the ANDAGO® on gait parameters among older adults in the post-acute rehabilitation setting: A pilot study10.1093/ageing/afac218.091 ↗
23. Recent trends in assistive technology for mobility10.1186/1743-0003-9-20 ↗
24. Emerging assistive technologies and challenges encountered