A feasibility study to assess the effectiveness of Muvity: A telerehabilitation system for chronic post-stroke subjects

García, Andrés Martínez; Mayans, Berta; Margelí, Carles; Pamplona, Ariadna; Molas, Cristina; Monràs, Júlia; Penalba, Francesc Alpiste; Torner, Jordi; Serrancolí, Gil

doi:10.1016/j.jstrokecerebrovasdis.2022.106791

Cited by 3 publications

(2 citation statements)

References 49 publications

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“…A subsequent study by Cramer et al demonstrated that a home-based telehealth system reliably sends automatic actionable healthcare reports to clinicians for the care of patients with stroke [182]. One pilot feasibility study showed that in-home virtual reality in the chronic phase of stroke has the potential to improve activities of daily living and reduce pain [183]. Another feasibility study showed that a therapist-guided, tablet-based application for post-stroke aphasia is both adaptable to individual needs and viable from both patients' and therapists' perspectives [184].…”

Section: Future Directionsmentioning

confidence: 99%

Post-Stroke Brain Health Monitoring and Optimization: A Narrative Review

Stulberg,

Sachdev,

Murray

et al. 2023

JCM

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Significant advancements have been made in recent years in the acute treatment and secondary prevention of stroke. However, a large proportion of stroke survivors will go on to have enduring physical, cognitive, and psychological disabilities from suboptimal post-stroke brain health. Impaired brain health following stroke thus warrants increased attention from clinicians and researchers alike. In this narrative review based on an open timeframe search of the PubMed, Scopus, and Web of Science databases, we define post-stroke brain health and appraise the body of research focused on modifiable vascular, lifestyle, and psychosocial factors for optimizing post-stroke brain health. In addition, we make clinical recommendations for the monitoring and management of post-stroke brain health at major post-stroke transition points centered on four key intertwined domains: cognition, psychosocial health, physical functioning, and global vascular health. Finally, we discuss potential future work in the field of post-stroke brain health, including the use of remote monitoring and interventions, neuromodulation, multi-morbidity interventions, enriched environments, and the need to address inequities in post-stroke brain health. As post-stroke brain health is a relatively new, rapidly evolving, and broad clinical and research field, this narrative review aims to identify and summarize the evidence base to help clinicians and researchers tailor their own approach to integrating post-stroke brain health into their practices.

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Section: Future Directionsmentioning

confidence: 99%

Post-Stroke Brain Health Monitoring and Optimization: A Narrative Review

Stulberg,

Sachdev,

Murray

et al. 2023

JCM

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“…Based on a preliminary search of the PubMed database using “telerehabilitation” and “stroke” as search terms, reports on at least 20 RCTs have been published since 2018. The robustness of these studies varies, sample sizes range from 1022 to 12417 23 participants. An example of these from the USA, reported on 124 people who had experienced a stroke in the preceding 4–36 weeks who were randomised to either a usual care group (within an outpatient rehabilitation therapy clinic) or a home-based telerehabilitation group 17.…”

Section: Introductionmentioning

confidence: 99%

EvolvRehab–MoveWell telerehabilitation for stroke survivors: study protocol for a feasibility with embedded initial proof-of-concept study

Perks,

McBride,

Mansoubi

et al. 2024

BMJ Open

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IntroductionStroke is a leading cause of disability throughout the world. Unilateral upper limb impairment is common in people who have had a stroke. As a result of impaired upper limb function, people who have had a stroke often employ abnormal ‘compensatory’ movements. In the short term, these compensatory movements allow the individual to complete tasks, though long-term movement in this manner can lead to limitations. Telerehabilitation offers the provision of rehabilitation services to patients at a remote location using information and communication technologies. ‘EvolvRehab’ is one such telerehabilitation system, which uses activities to assess and correct compensatory upper body movements, although the feasibility of its use is yet to be determined in National Health Service services. Using EvolvRehab, we aim to assess the feasibility of 6 weeks telerehabilitation in people after a stroke.Methods and analysisA multisite feasibility study with embedded design phase. Normally distributed data will be analysed using paired samples t-tests; non-normally distributed data will be analysed using related samples Wilcoxon signed rank tests. Thematic content analysis of interview transcripts will be used to investigate the usability and perceived usefulness of the EvolvRehab kit.Ethics and disseminationThis study has received ethical approval from Solihull Research Ethics Committee (REC reference: 23/WM/0054). Dissemination will be carried out according to the dissemination plan co-written with stroke survivors, including academic publications and presentations; written reports; articles in publications of stakeholder organisations; presentations to and publications for potential customers.Trial registration numberNCT05875792.

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