Consideration-of-concept of EvolvRehab Body for upper limb virtual rehabilitation at home for people late after stroke

Ellis, Fiona, Hancock, Nicola, Kennedy, Niamh, Clark, Allan, Wells, Jacob, Chandler, Elizabeth, Payne, David and Pomeroy, Valerie M. (2022) Consideration-of-concept of EvolvRehab Body for upper limb virtual rehabilitation at home for people late after stroke. Physiotherapy, 116. pp. 97-107. ISSN 0031-9406

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Abstract

Objective: EvolvRehab-Body is a non-immersive virtual rehabilitation system that could provide high-dose, exercise-based upper limb therapy after stroke. This consideration-of-concept study investigated: adherence rate to prescribed repetitions; viability of repeated measures in preparation for a dose-articulation study; and preliminary signal of potential benefit. Methods: pre-post and repeated measures with people at least six months after stroke. Twelve-week intervention: exercise-based therapy via EvolvRehab-Body. Pre-post-intervention measures: Wolf Motor Function Test (WMFT); hand grip force. Repeated-during-intervention measures: Motricity Index (MI) and Action Research Arm Test (ARAT). Analysis: adherence rate (%) to set repetitions; percentage of total possible measures collected; pre-to-post-intervention change estimated in relation to published minimally detectable changes of WMFT and hand grip force; and slope of plotted data for MI and ARAT (linear regression). Results: Eight of twelve participants completed the 12-week intervention phase. Adherence: 87.5% (1710 to 9377 repetitions performed). Viability repeated measures: 88 of 96 (91.7%) ARAT and MI scores collected. Preliminary signal of potential benefit was observed in five participants but not always for the same measures. Three participants improved WMFT-time (-7.9 to -27.2 seconds/item), four improved WMFT-function (0.2 to 1.1 points/item), and nobody changed grip force. Slope of plotted data over the 12-week intervention ranged from: -1.42 (p=0.26) to 1.36 (p=0.24) points-per-week for MI and -0.30 (p=0.40) to 1.71 (p<0.001) points-per-week for ARAT. Conclusion: Findings of good adherence rate in home settings and preliminary signal of benefit for some participants gives support to proceed to a dose-articulation study. These findings cannot inform clinical practice.

Item Type: Article
Faculty \ School: Faculty of Medicine and Health Sciences > Norwich Medical School
Faculty of Medicine and Health Sciences > School of Health Sciences
Depositing User: LivePure Connector
Date Deposited: 08 Apr 2022 10:30
Last Modified: 24 May 2022 14:54
URI: https://ueaeprints.uea.ac.uk/id/eprint/84527
DOI: 10.1016/j.physio.2022.03.004

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