Best practice for arm recovery post stroke: an international application

Wolf, Steven L, Kwakkel, Gert, Bayley, Mark, McDonnell, Michelle, Lang, Catherine and Pomeroy, Valerie and The Upper Extremity Stroke Algorithm Working Group (2016) Best practice for arm recovery post stroke: an international application. Physiotherapy, 102 (1). pp. 1-4. ISSN 0031-9406

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Abstract

Objective: To develop an evidence-based application (‘app’) for post-stroke upper extremity rehabilitation that can be used globally by therapists. Participants: Twenty-three experienced neurorehabilitation therapists, applied scientists and physicians, and 10 consultants dedicated to the provision of best practice to stroke survivors. Design: This team evaluated the evidence to support the timely and appropriate provision of interventions and the most defensible outcome measures during a 4-year voluntary information gathering and assimilation effort, as a basis for the sequencing of an algorithm informed by the data and directed by changes in impairment and chronicity. Outcome measures: The primary outcome was the formulation of a testable app that will be available for minimal user cost. The app is for a smartphone, and the comments of a focus group (audience at a World Confederation for Physical Therapy 2015 presentation, approximate n = 175) during a 30-minute ‘Questions and Answers’ session were assessed. Results: Analysis of documented, extensive input offered by the audience indicated a highly favourable disposition towards this novel tool, with provision of concrete suggestions prior to launching the final version. Suggestions centred on: inclusion of instructions; visuals and demonstrations; monitoring of adverse responses; availability of updates; autonomous use by patients; and potential to characterise practice. Conclusions: A simple, user-friendly app for decision making in the treatment of upper extremity impairments following stroke is feasible and welcomed.

Item Type:	Article
Uncontrolled Keywords:	cerebrovascular accident,upper extremity,motor activity,portable electronic apps,e-health
Faculty \ School:	Faculty of Medicine and Health Sciences > School of Health Sciences
UEA Research Groups:	Faculty of Medicine and Health Sciences > Research Groups > Norwich Clinical Trials Unit Faculty of Medicine and Health Sciences > Research Groups > Rehabilitation Faculty of Medicine and Health Sciences > Research Centres > Lifespan Health
Depositing User:	Pure Connector
Date Deposited:	17 Feb 2016 16:00
Last Modified:	06 Feb 2025 05:55
URI:	https://ueaeprints.uea.ac.uk/id/eprint/57146
DOI:	10.1016/j.physio.2015.08.007

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