{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T02:46:20Z","timestamp":1792032380592,"version":"4.4.0"},"reference-count":65,"publisher":"JMIR Publications Inc.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JMIR Rehabil Assist Technol"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec sec-type=\"background\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>An increasing number of rehabilitation technologies are being developed to support upper limb rehabilitation after stroke, with smart textile solutions for surface electromyography (sEMG) emerging as a promising approach. Early end-user involvement is crucial for developing user-friendly and clinically valid rehabilitation tools.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"objective\">\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aims to refine and evaluate the prototype design and usability of a smart textile biofeedback system for self-administered upper limb training after stroke.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"methods\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The training system includes a knitted smart textile sleeve with integrated electrodes over the forearm muscles, an sEMG unit, and tablet-based biofeedback software. An iterative co-design process was followed, including initial testing, demonstration sessions with end users (9 clinicians and 10 individuals with stroke), and a final evaluation of the co-design process. Participants\u2019 experiences were gathered through semistructured interviews, analyzed using content analysis, and the User Experience Questionnaire. The co-design team included experts in stroke rehabilitation, textile engineering, biomedical engineering, software development, and human factors, as well as a research partner with lived experience after stroke.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The perspectives of the end users and the expert team were collectively integrated into prototype refinements of the sleeve and training software to meet the needs of the intended target group. The experiences of end users formed 2 main categories: \u201cThis could be an exciting new training tool for stroke rehabilitation\u201d and \u201cThe tool works well, but some changes could enhance independent training.\u201d End users found the smart textile sleeve and biofeedback system easy to use and saw potential for integrating it into their training routines. Both end-user groups rated the system as attractive, stimulating, and novel.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec sec-type=\"conclusions\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The results of this study establish a necessary ground toward the development of a smart textile sEMG biofeedback system for self-administered upper limb training after stroke. Findings from the co-design process support the continued development and evaluation of the system as a self-administered upper limb training tool for individuals living with stroke.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2196\/77999","type":"journal-article","created":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T17:41:12Z","timestamp":1776102072000},"page":"e77999-e77999","source":"Crossref","is-referenced-by-count":1,"title":["A Smart Textile Biofeedback Training System for Upper Limb Rehabilitation After Stroke: Co-Design Development and Evaluation Study"],"prefix":"10.2196","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6001-985X","authenticated-orcid":false,"given":"Maria","family":"Munoz-Novoa","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1949-3365","authenticated-orcid":false,"given":"Li","family":"Guo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7632-8262","authenticated-orcid":false,"given":"Anna","family":"Bj\u00f6rkquist","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3901-2856","authenticated-orcid":false,"given":"Morten B","family":"Kristoffersen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-7801-2873","authenticated-orcid":false,"given":"Peiman","family":"Khorramshahi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5338-769X","authenticated-orcid":false,"given":"Leif","family":"Sandsj\u00f6","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3192-7787","authenticated-orcid":false,"given":"Margit","family":"Alt Murphy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1010","published-online":{"date-parts":[[2026,4,13]]},"reference":[{"issue":"3","key":"R1","doi-asserted-by":"publisher","first-page":"313","DOI":"10.1111\/j.1747-4949.2012.00942.x","article-title":"Top 10 research priorities relating to life after stroke--consensus from stroke survivors, caregivers, and health professionals","volume":"9","author":"Pollock","journal-title":"Int J Stroke"},{"key":"R2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2377-12-162","article-title":"Outcome and upper extremity function within 72 hours after first occasion of stroke in an unselected population at a stroke unit. A part of the SALGOT study","volume":"12","author":"Persson","journal-title":"BMC Neurol"},{"issue":"4","key":"R3","doi-asserted-by":"publisher","first-page":"745","DOI":"10.1161\/STROKEAHA.109.572065","article-title":"Presence of finger extension and shoulder abduction within 72 hours after stroke predicts functional recovery: early prediction of functional outcome after stroke: the EPOS cohort study","volume":"41","author":"Nijland","journal-title":"Stroke"},{"issue":"1","key":"R4","doi-asserted-by":"publisher","first-page":"88","DOI":"10.2522\/ptj.20060065","article-title":"Paretic upper-limb strength best explains arm activity in people with stroke","volume":"87","author":"Harris","journal-title":"Phys Ther"},{"issue":"8","key":"R5","doi-asserted-by":"publisher","first-page":"741","DOI":"10.1016\/S1474-4422(09)70150-4","article-title":"Motor recovery after stroke: a systematic review","volume":"8","author":"Langhorne","journal-title":"Lancet Neurol"},{"issue":"4","key":"R6","doi-asserted-by":"publisher","first-page":"599","DOI":"10.1016\/j.pmr.2015.06.008","article-title":"Upper limb motor impairment after stroke","volume":"26","author":"Raghavan","journal-title":"Phys Med Rehabil Clin N Am"},{"issue":"8","key":"R7","doi-asserted-by":"publisher","first-page":"922","DOI":"10.1002\/pmrj.12712","article-title":"Life satisfaction after stroke and the association with upper extremity disability, sociodemographics, and participation","volume":"14","author":"Ekstrand","journal-title":"PM R"},{"issue":"9778","key":"R8","doi-asserted-by":"publisher","first-page":"1693","DOI":"10.1016\/S0140-6736(11)60325-5","article-title":"Stroke rehabilitation","volume":"377","author":"Langhorne","journal-title":"Lancet"},{"issue":"6","key":"R9","doi-asserted-by":"publisher","first-page":"457","DOI":"10.1310\/tsr1906-457","article-title":"Time to rethink long-term rehabilitation management of stroke patients","volume":"19","author":"Teasell","journal-title":"Top Stroke Rehabil"},{"issue":"8","key":"R10","doi-asserted-by":"publisher","first-page":"917","DOI":"10.1177\/17474930211016963","article-title":"Longer term patient management following stroke: a systematic review","volume":"16","author":"Boehme","journal-title":"Int J Stroke"},{"key":"R11","doi-asserted-by":"publisher","DOI":"10.2196\/43615","article-title":"Technologies in home-based digital rehabilitation: scoping review","volume":"10","author":"Arntz","journal-title":"JMIR Rehabil Assist Technol"},{"key":"R12","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijmedinf.2018.12.001","article-title":"Home-based technologies for stroke rehabilitation: a systematic review","volume":"123","author":"Chen","journal-title":"Int J Med Inform"},{"key":"R13","doi-asserted-by":"publisher","DOI":"10.1186\/1743-0003-10-60","article-title":"Biofeedback in rehabilitation","volume":"10","author":"Giggins","journal-title":"J Neuroeng Rehabil"},{"issue":"1","key":"R14","doi-asserted-by":"publisher","DOI":"10.1186\/s12984-025-01541-y","article-title":"Myoelectric pattern recognition with virtual reality and serious gaming improves upper limb function in chronic stroke: a single case experimental design study","volume":"22","author":"Munoz-Novoa","journal-title":"J Neuroeng Rehabil"},{"key":"R15","doi-asserted-by":"publisher","DOI":"10.3389\/fnhum.2022.897870","article-title":"Upper limb stroke rehabilitation using surface electromyography: a systematic review and meta-analysis","volume":"16","author":"Munoz-Novoa","journal-title":"Front Hum Neurosci"},{"issue":"4","key":"R16","doi-asserted-by":"publisher","first-page":"59","DOI":"10.1310\/tsr1404-59","article-title":"The role of biofeedback in stroke rehabilitation: past and future directions","volume":"14","author":"Nelson","journal-title":"Top Stroke Rehabil"},{"issue":"2","key":"R17","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD004585.pub2","article-title":"Emg biofeedback for the recovery of motor function after stroke","volume":"2007","author":"Woodford","journal-title":"Cochrane Database Syst Rev"},{"issue":"6","key":"R18","doi-asserted-by":"publisher","first-page":"1085","DOI":"10.1589\/jpts.29.1085","article-title":"The effects of training using EMG biofeedback on stroke patients upper extremity functions","volume":"29","author":"Kim","journal-title":"J Phys Ther Sci"},{"key":"R19","unstructured":"Hermens H Freriks B Merletti R et al. SENIAM 8: European recommendations for surface electromyography. Roessingh Research and Development; 1999. URL: http:\/\/www.seniam.org\/pdf\/contents8.PDF [Accessed 13-03-2026]"},{"issue":"2","key":"R20","doi-asserted-by":"publisher","first-page":"227","DOI":"10.1177\/0040517519858768","article-title":"Systematic review of textile-based electrodes for long-term and continuous surface electromyography recording","volume":"90","author":"Guo","journal-title":"Text Res J"},{"issue":"2","key":"R21","doi-asserted-by":"publisher","first-page":"271","DOI":"10.1088\/0967-3334\/21\/2\/307","article-title":"A direct comparison of wet, dry and insulating bioelectric recording electrodes","volume":"21","author":"Searle","journal-title":"Physiol Meas"},{"issue":"1","key":"R22","doi-asserted-by":"publisher","first-page":"173","DOI":"10.3390\/electronics4010173","article-title":"E-textiles in clinical rehabilitation: a scoping review","volume":"4","author":"Fleury","journal-title":"Electronics (Basel)"},{"issue":"6","key":"R23","doi-asserted-by":"publisher","DOI":"10.1088\/1741-2552\/ac36aa","article-title":"Emergence of flexible technology in developing advanced systems for post-stroke rehabilitation: a comprehensive review","volume":"18","author":"Khan","journal-title":"J Neural Eng"},{"issue":"8","key":"R24","doi-asserted-by":"publisher","DOI":"10.3390\/s20082370","article-title":"Applications of smart textiles in post-stroke rehabilitation","volume":"20","author":"Korzeniewska","journal-title":"Sensors (Basel)"},{"key":"R25","doi-asserted-by":"publisher","DOI":"10.1109\/JTEHM.2018.2822681","article-title":"An IoT-enabled stroke rehabilitation system based on smart wearable armband and machine learning","volume":"6","author":"Yang","journal-title":"IEEE J Transl Eng Health Med"},{"key":"R26","doi-asserted-by":"publisher","DOI":"10.1186\/s12984-016-0129-6","article-title":"Multi-contact functional electrical stimulation for hand opening: electrophysiologically driven identification of the optimal stimulation site","volume":"13","author":"De Marchis","journal-title":"J Neuroeng Rehabil"},{"key":"R27","doi-asserted-by":"publisher","DOI":"10.3389\/fbioe.2016.00028","article-title":"Wearable textile platform for assessing stroke patient treatment in daily life conditions","volume":"4","author":"Lorussi","journal-title":"Front Bioeng Biotechnol"},{"issue":"7","key":"R28","doi-asserted-by":"publisher","first-page":"641","DOI":"10.1080\/17483107.2017.1362043","article-title":"Reported use of technology in stroke rehabilitation by physical and occupational therapists","volume":"13","author":"Langan","journal-title":"Disabil Rehabil Assist Technol"},{"issue":"11","key":"R29","doi-asserted-by":"publisher","first-page":"1237","DOI":"10.1016\/j.pmrj.2018.07.004","article-title":"Barriers, facilitators and interventions to support virtual reality implementation in rehabilitation: a scoping review","volume":"10","author":"Glegg","journal-title":"PM R"},{"issue":"1","key":"R30","doi-asserted-by":"publisher","DOI":"10.1186\/s12961-020-0528-9","article-title":"Research co-design in health: a rapid overview of reviews","volume":"18","author":"Slattery","journal-title":"Health Res Policy Syst"},{"issue":"9","key":"R31","doi-asserted-by":"publisher","first-page":"2410","DOI":"10.1161\/01.STR.0000237097.00342.a9","article-title":"Development of complex interventions in stroke care: a systematic review","volume":"37","author":"Redfern","journal-title":"Stroke"},{"issue":"2","key":"R32","doi-asserted-by":"publisher","DOI":"10.1093\/ptj\/pzad140","article-title":"Uptake of technology for neurorehabilitation in clinical practice: a scoping review","volume":"104","author":"Alt Murphy","journal-title":"Phys Ther"},{"issue":"2","key":"R33","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0297162","article-title":"Co-design for stroke intervention development: results of a scoping review","volume":"19","author":"Singh","journal-title":"PLoS ONE"},{"issue":"1","key":"R34","doi-asserted-by":"publisher","first-page":"131","DOI":"10.1017\/S0266462307051677","article-title":"Benefits of and barriers to involving users in medical device technology development and evaluation","volume":"23","author":"Shah","journal-title":"Int J Technol Assess Health Care"},{"issue":"6","key":"R35","doi-asserted-by":"publisher","first-page":"349","DOI":"10.1093\/intqhc\/mzm042","article-title":"Consolidated Criteria for Reporting Qualitative Research (COREQ): A 32-item checklist for interviews and focus groups","volume":"19","author":"Tong","journal-title":"Int J Qual Health Care"},{"issue":"1","key":"R36","doi-asserted-by":"publisher","DOI":"10.1038\/s43586-023-00214-1","article-title":"Participatory action research","volume":"3","author":"Cornish","journal-title":"Nat Rev Methods Primers"},{"key":"R37","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n2061","article-title":"A new framework for developing and evaluating complex interventions: update of Medical Research Council guidance","volume":"374","author":"Skivington","journal-title":"BMJ"},{"issue":"2","key":"R38","doi-asserted-by":"publisher","first-page":"101","DOI":"10.1002\/(SICI)1099-1697(199803\/04)7:2<101::AID-JSC332>3.0.CO;2-6","article-title":"What\u2019s SWOT in strategic analysis?","volume":"7","author":"Pickton","journal-title":"Strategic Change"},{"key":"R39","doi-asserted-by":"crossref","unstructured":"Schrepp M Hinderks A Thomaschewski J . Applying the User Experience Questionnaire (UEQ) in different evaluation scenarios. Presented at: Design, User Experience, and Usability: Theories, Methods, and Tools for Designing the User Experience: 3rd International Conference, DUXU 2014; Jun 22-27, 2014:383-392; Heraklion, Crete, Greece. 2014.[doi: 10.1007\/978-3-319-07668-3_37]","DOI":"10.1007\/978-3-319-07668-3_37"},{"issue":"6","key":"R40","doi-asserted-by":"publisher","first-page":"103","DOI":"10.9781\/ijimai.2017.09.001","article-title":"Design and evaluation of a short version of the User Experience Questionnaire (UEQ-S)","volume":"4","author":"Schrepp","journal-title":"Int J Interact Multimed Artif Intell"},{"issue":"1","key":"R41","doi-asserted-by":"crossref","first-page":"13","DOI":"10.2340\/1650197771331","volume":"7","author":"Fugl-Meyer","journal-title":"Scand J Rehabil Med"},{"issue":"9","key":"R42","doi-asserted-by":"publisher","first-page":"1013","DOI":"10.1016\/s0003-9993(99)90053-9","article-title":"Reliability of the Tone Assessment Scale and the Modified Ashworth Scale as clinical tools for assessing poststroke spasticity","volume":"80","author":"Gregson","journal-title":"Arch Phys Med Rehabil"},{"issue":"2","key":"R43","doi-asserted-by":"publisher","first-page":"105","DOI":"10.1016\/j.nedt.2003.10.001","article-title":"Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness","volume":"24","author":"Graneheim","journal-title":"Nurse Educ Today"},{"key":"R44","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2020.103632","article-title":"Abstraction and interpretation during the qualitative content analysis process","volume":"108","author":"Lindgren","journal-title":"Int J Nurs Stud"},{"issue":"4","key":"R45","doi-asserted-by":"publisher","first-page":"40","DOI":"10.9781\/ijimai.2017.445","article-title":"Construction of a benchmark for the User Experience Questionnaire (UEQ)","volume":"4","author":"Schrepp","journal-title":"Int J Interact Multimed Artif Intell"},{"issue":"9280","key":"R46","doi-asserted-by":"publisher","first-page":"483","DOI":"10.1016\/S0140-6736(01)05627-6","article-title":"Qualitative research: Standards, challenges, and guidelines","volume":"358","author":"Malterud","journal-title":"Lancet"},{"key":"R47","doi-asserted-by":"publisher","DOI":"10.1016\/j.glmedi.2024.100051","article-title":"The pillars of trustworthiness in qualitative research","volume":"2","author":"Ahmed","journal-title":"J Med Surg Public Health"},{"issue":"1","key":"R48","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-020-05978-w","article-title":"Barriers and facilitators of clinician and researcher collaborations: a qualitative study","volume":"20","author":"Williams","journal-title":"BMC Health Serv Res"},{"key":"R49","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6963-14-89","article-title":"Patient engagement in research: a systematic review","volume":"14","author":"Domecq","journal-title":"BMC Health Serv Res"},{"issue":"1","key":"R50","doi-asserted-by":"publisher","DOI":"10.1186\/s12984-023-01194-9","article-title":"Factors that influence the adoption of rehabilitation technologies: a multi-disciplinary qualitative exploration","volume":"20","author":"Mitchell","journal-title":"J Neuroeng Rehabil"},{"issue":"4","key":"R51","doi-asserted-by":"publisher","first-page":"331","DOI":"10.1504\/IJHFE.2021.119054","article-title":"Genuine co-design: An activity theory analysis involving emergency nurses in an interdisciplinary new product development project of a novel medical device","volume":"8","author":"Eriksson","journal-title":"Int J Hum Factors Ergon"},{"issue":"5","key":"R52","doi-asserted-by":"publisher","DOI":"10.1007\/s40430-021-02919-4","article-title":"Upper limbs\u2019 assistive devices for stroke rehabilitation: a systematic review on design engineering solutions","volume":"43","author":"Barbosa","journal-title":"J Braz Soc Mech Sci Eng"},{"key":"R53","doi-asserted-by":"publisher","DOI":"10.3389\/fneur.2020.01037","article-title":"\u201cIt\u2019s all sort of cool and interesting\u2026but what do i do with it?\u201d A qualitative study of stroke survivors\u2019 perceptions of surface electromyography","volume":"11","author":"Feldner","journal-title":"Front Neurol"},{"issue":"4","key":"R54","doi-asserted-by":"publisher","first-page":"663","DOI":"10.1016\/j.apmr.2018.09.120","article-title":"\u201cLook, your muscles are firing!\u201d: A qualitative study of clinician perspectives on the use of surface electromyography in neurorehabilitation","volume":"100","author":"Feldner","journal-title":"Arch Phys Med Rehabil"},{"issue":"3","key":"R55","doi-asserted-by":"publisher","first-page":"1017","DOI":"10.1007\/s42600-022-00218-y","article-title":"Towards an upper limb rehabilitation tool after stroke based on surface electromyography biofeedback and virtual reality","volume":"38","author":"Cardoso","journal-title":"Res Biomed Eng"},{"issue":"15","key":"R56","doi-asserted-by":"publisher","first-page":"3930","DOI":"10.1080\/09638288.2024.2434643","article-title":"A novel intervention for upper limb rehabilitation in people with stroke combining myoelectric pattern recognition, virtual reality, and serious gaming: a qualitative study","volume":"47","author":"Munoz-Novoa","journal-title":"Disabil Rehabil"},{"issue":"3","key":"R57","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0093318","article-title":"Virtual reality therapy for adults post-stroke: a systematic review and meta-analysis exploring virtual environments and commercial games in therapy","volume":"9","author":"Lohse","journal-title":"PLoS ONE"},{"issue":"12","key":"R58","doi-asserted-by":"publisher","first-page":"1085","DOI":"10.1007\/s00371-009-0387-4","article-title":"Optimising engagement for stroke rehabilitation using serious games","volume":"25","author":"Burke","journal-title":"Vis Comput"},{"key":"R59","doi-asserted-by":"publisher","DOI":"10.1016\/j.eclinm.2023.102220","article-title":"Effectiveness and safety of virtual reality rehabilitation after stroke: an overview of systematic reviews","volume":"64","author":"Bargeri","journal-title":"EClinicalMedicine"},{"issue":"1","key":"R60","doi-asserted-by":"publisher","DOI":"10.1186\/s12984-021-00889-1","article-title":"Serious games for upper limb rehabilitation after stroke: a meta-analysis","volume":"18","author":"Doumas","journal-title":"J Neuroeng Rehabil"},{"issue":"6","key":"R61","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph20065082","article-title":"Clinical features to predict the use of a sEMG Wearable Device (REMO) for hand motor training of stroke patients: a cross-sectional cohort study","volume":"20","author":"Pregnolato","journal-title":"Int J Environ Res Public Health"},{"key":"R62","doi-asserted-by":"publisher","DOI":"10.1186\/1743-0003-9-52","article-title":"Embracing change: Practical and theoretical considerations for successful implementation of technology assisting upper limb training in stroke","volume":"9","author":"Hochstenbach-Waelen","journal-title":"J Neuroeng Rehabil"},{"issue":"1","key":"R63","doi-asserted-by":"publisher","DOI":"10.2196\/13732","article-title":"Factors that contribute to the use of stroke self-rehabilitation technologies: a review","volume":"4","author":"Vourganas","journal-title":"JMIR Biomed Eng"},{"issue":"1","key":"R64","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2021-055946","article-title":"Development of strategies to support home-based exercise adherence after stroke: a Delphi consensus","volume":"12","author":"Mahmood","journal-title":"BMJ Open"},{"issue":"1","key":"R65","doi-asserted-by":"publisher","DOI":"10.1186\/s43161-024-00224-4","article-title":"Adherence to home-based exercise programs among stroke survivors and perspectives of informal caregivers: a mixed method study","volume":"29","author":"Odetunde","journal-title":"Bull Fac Phys Ther"}],"container-title":["JMIR Rehabilitation and Assistive Technologies"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/rehab.jmir.org\/2026\/1\/e77999","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T18:10:25Z","timestamp":1782843025000},"score":1,"resource":{"primary":{"URL":"https:\/\/rehab.jmir.org\/2026\/1\/e77999"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,13]]},"references-count":65,"URL":"https:\/\/doi.org\/10.2196\/77999","relation":{},"ISSN":["2369-2529"],"issn-type":[{"value":"2369-2529","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,13]]},"article-number":"v13i3e77999"}}