None listed
Conditions
Brief summary
The primary aim of this study was to determine if the addition of concurrent visual feedback, via a tablet computer, would increase adherence to an upper limb home exercise program in people with stroke. A secondary aim was to assess the feasibility of use of upper limb accelerometry as a method of monitoring upper limb activity during a home exercise program in people with stroke.
Interventions
During the intervention phase (weeks 2 and 3), participants were provided with a tablet computer (Apple model A1474) and were instructed by a physiotherapist in how to use the device. Participants were asked to video record each exercise session, using the MoviePro App, a videorecording app that was downloaded onto the tablet computer for a small fee paid by the research project. This required participants to tap on a single mobile application, pressing a Record button at the start and end of each session. The tablet computer was set up in front of the participant so that they were able to see themselves exercising and they were instructed to look at the screen as they exercised. Participants were instructed to perform upper limb exercises 6 days per week for 60 minutes at their individual capacity. Participants kept a record of the duration of exercise on a recording sheet. Exercises were prescribed from the Graded Repetitive Arm Supplementary Program (GRASP). The GRASP program contains exercises for the whole arm (including stretches) and the elbow and hand (for example, pouring water from a cup, folding clothes, using putty) The program continued for 4 weeks.
Sponsors
Study design
Eligibility
Inclusion criteria
Criteria for inclusion were diagnosis of stroke (>3 months), completion of formal rehabilitation and being able to pick up a small block with the stroke-affected hand.
Exclusion criteria
Patients were excluded if they were less than 18 years old, had a Mini-Mental State Examination score (MMSE) of less than 24 out of 30,were non-English speaking (or absence of an English-speaking carer) or had a visual deficit preventing technology use.