OBJECTIVE: To determine whether patients with stroke receiving rehabilitation for upper limb deficits usingsmart technology (video and reminder functions) demonstrate greater adherence to prescribed home exercise programmes and better functional outcomes when compared with traditional paper-based exercise prescription. DESIGN: Randomized controlled trial comparing upper limb home exercise programmes supported by video and automated reminders on smart technology, with standard paper-based home exercise programmes. SETTING: A community rehabilitation programme within a large metropolitan health service. SUBJECTS:Patients with stroke with upper limb deficits, referred for outpatient rehabilitation. INTERVENTIONS: Participants were randomly assigned to the control (paper-based home exercise programme) or intervention group (home exercise programme filmed on an electronic tablet, with an automated reminder). Both groups completed their prescribed home exercise programme for four weeks. MAIN MEASURES: The primary outcome was adherence using a self-reported log book. Secondary outcomes were change in upper limb function and patient satisfaction. RESULTS: A total of 62 participants were allocated to the intervention ( n = 30) and control groups ( n = 32). There were no differences between the groups for measures of adherence (mean difference 2%, 95% CI -12 to 17) or change in the Wolf Motor Function Test log transformed time (mean difference 0.02 seconds, 95% CI -0.1 to 0.1). There were no between-group differences in how participants found instructions ( p = 0.452), whether they remembered to do their exercises ( p = 0.485), or whether they enjoyed doing their exercises ( p = 0.864). CONCLUSIONS: The use of smart technology was not superior to standard paper-based home exercise programmes for patients recovering from stroke. This trial design was registered prospectively with the Australian and New Zealand Clinical Trials Register, ID: ACTRN 12613000786796. http://www.anzctr.org.au/trialSearch.aspx.
RCT Entities:
OBJECTIVE: To determine whether patients with stroke receiving rehabilitation for upper limb deficits using smart technology (video and reminder functions) demonstrate greater adherence to prescribed home exercise programmes and better functional outcomes when compared with traditional paper-based exercise prescription. DESIGN: Randomized controlled trial comparing upper limb home exercise programmes supported by video and automated reminders on smart technology, with standard paper-based home exercise programmes. SETTING: A community rehabilitation programme within a large metropolitan health service. SUBJECTS:Patients with stroke with upper limb deficits, referred for outpatient rehabilitation. INTERVENTIONS:Participants were randomly assigned to the control (paper-based home exercise programme) or intervention group (home exercise programme filmed on an electronic tablet, with an automated reminder). Both groups completed their prescribed home exercise programme for four weeks. MAIN MEASURES: The primary outcome was adherence using a self-reported log book. Secondary outcomes were change in upper limb function and patient satisfaction. RESULTS: A total of 62 participants were allocated to the intervention ( n = 30) and control groups ( n = 32). There were no differences between the groups for measures of adherence (mean difference 2%, 95% CI -12 to 17) or change in the Wolf Motor Function Test log transformed time (mean difference 0.02 seconds, 95% CI -0.1 to 0.1). There were no between-group differences in how participants found instructions ( p = 0.452), whether they remembered to do their exercises ( p = 0.485), or whether they enjoyed doing their exercises ( p = 0.864). CONCLUSIONS: The use of smart technology was not superior to standard paper-based home exercise programmes for patients recovering from stroke. This trial design was registered prospectively with the Australian and New Zealand Clinical Trials Register, ID: ACTRN 12613000786796. http://www.anzctr.org.au/trialSearch.aspx.
Authors: Uno Fors; Julius T Kamwesiga; Gunilla M Eriksson; Lena von Koch; Susanne Guidetti Journal: BMC Med Inform Decis Mak Date: 2019-07-03 Impact factor: 2.796
Authors: Katharine Scrivener; Jessica Sewastenko; Alexandra Bouvier-Farrell; Katherine MacDonald; Tegan Van Rijn; Joshua Tezak; Nicholas Mandis; Sherrie Love Journal: Stroke Res Treat Date: 2021-04-27
Authors: Bryan Ping Ho Chung; Wendy Kam Ha Chiang; Herman Lau; Titanic Fuk On Lau; Charles Wai Kin Lai; Claudia Sin Yi Sit; Ka Yan Chan; Chau Yee Yeung; Tak Man Lo; Elsie Hui; Jenny Shun Wah Lee Journal: Hong Kong Physiother J Date: 2020-02-20