| Titre : | Consideration-of-concept of EvolvRehab-Body for upper limb virtual rehabilitation at home for people late after stroke (2022) |
| Auteurs : | F. Ellis ; N. Hancock ; N. Kennedy ; A. Clark ; J. Wells ; E. Chandler ; D. Payne ; VM Pomeroy |
| Type de document : | Article |
| Dans : | Physiotherapy (Vol. 116, 2022) |
| Article en page(s) : | p. 97-107 |
| Note générale : | https://doi.org/10.1016/j.physio.2022.03.004 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Accident vasculaire cérébral (AVC) ; Membre supérieur ; Réalité de synthèse ; Téléréadaptation |
| Résumé : |
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: 88% (1710–9377 repetitions performed). Viability repeated measures: 88 of 96 (92%) 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 s/item), four improved WMFT-function (0.2–1.1 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 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. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0031940622000335 |
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