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"Connecting patients and therapists remotely using technology is feasible and facilitates exercise adherence after stroke"
Journal article   Peer reviewed

"Connecting patients and therapists remotely using technology is feasible and facilitates exercise adherence after stroke"

Dawn B Simpson, Marie-Louise Bird, Coralie English, Seana L Gall, Monique Breslin, Stuart Smith, Matthew Schmidt and Michele L Callisaya
Topics in Stroke Rehabilitation, Vol.27(2), pp.93-102
03/2020
PMID: 31762412
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“Connecting patients and therapists remotelyView
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Abstract

Stroke exercise therapy technology adherence Rehabilitation
Purpose: Repetitive task practice after stroke is important to improve function, yet adherence to exercise is low. The aim of this study was to determine whether using the internet, a tablet application, and a chair sensor that connected to a therapist was feasible in monitoring adherence and progressing a functional exercise at home. Methods: Ten participants with stroke completed a 4-week sit-to-stand exercise using the technology at home (ACTRN12616000051448). A therapist remotely monitored exercise adherence, progressed goals, and provided feedback via the app. Measures of feasibility (design, recruitment/withdrawals, adherence, safety, participant satisfaction and estimates of effect on function) were collected. Results: Participants' mean age was 73.6 years [SD 9.9 years]. The system was feasible to deliver and monitor exercise remotely. All participants completed the study performing a mean 125% of prescribed sessions and 104% of prescribed repetitions. Participants rated the system usability (78%), enjoyment (70%) and system benefit (80%) as high. No adverse events were reported. The mean pre- and post-intervention difference in the total short performance physical battery score was 1.4 (95% CI 0.79, 2.00). Conclusions: It was feasible and safe to prescribe and monitor exercises using an app and sensor-based system. A definitive trial will determine whether such technology could facilitate greater exercise participation after stroke.

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