Community-Based Exercise for Upper Limb Paresis

Benvenuti, Francesco; Stuart, Mary; Cappena, Veruska; Gabella, Sara; Corsi, Sara; Taviani, Antonio; Albino, Antonio; Marchese, Sandro Scattareggia; Weinrich, Michael

doi:10.1177/1545968314521003

Cited by 52 publications

(85 citation statements)

References 44 publications

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“…eHealth terminology and functions Different terms were used for the eHealth application: Telerehabilitation [24], Telecare [25,26], Telemonitoring [27], Telemedicine consultation [28], Video Telehealth [29], Video Teleconsultation [30], Internetintervention [31], eVisit [32], mobile health [33] and digital communication [34]. These various applications served different functions: supporting exercise [24,25,33] (video)consultation [26,28,30,34], supporting self-management [26,27,31], triage [29], and primary care [32].…”

Section: General Characteristicsmentioning

confidence: 99%

“…These various applications served different functions: supporting exercise [24,25,33] (video)consultation [26,28,30,34], supporting self-management [26,27,31], triage [29], and primary care [32].…”

Section: General Characteristicsmentioning

confidence: 99%

“…Study participants were patients [24,28,[30][31][32][33], healthcare professionals [26]or a mix of patients and healthcare professionals [25,27,29,34]. Eight studies involved an intervention targeting patients with a chronic health problem [24][25][26][27]30,31,33,34] Study design and quality Eight studies had a quantitative design, of which two studies were randomised controlled trials (RCTs).…”

Section: Study Participantsmentioning

confidence: 99%

“…Eight studies involved an intervention targeting patients with a chronic health problem [24][25][26][27]30,31,33,34] Study design and quality Eight studies had a quantitative design, of which two studies were randomised controlled trials (RCTs). The appendix shows an overview of the quality appraisal.…”

Section: Study Participantsmentioning

confidence: 99%

“…No study-related adverse events [24] No serious adverse advents are found related to the mode of the consultation [28] Communication failures Failure to record the content of the communication Failure to consult the patient's notes prior to engaging in communication [34] …”

Section: Safetymentioning

confidence: 99%

See 4 more Smart Citations

eHealth Apps Replacing or Complementing Health Care Contacts: Scoping Review on Adverse Effects (Preprint)

Stevens¹,

Sande²,

Beijer³

et al. 2018

Preprint

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Background:The use of eHealth has increased tremendously in recent years. eHealth is generally considered to have a positive effect on healthcare quality and to be a promising alternative for face-to-face healthcare contacts. Surprisingly little is known about possible adverse effects of eHealth applications. Objective:We conducted a scoping review on empirical research into adverse effects of eHealth applications that aim to deliver healthcare on a distance. We investigated if adverse effects were reported and the nature and quality of research into these possible adverse effects. Methods:For this scoping review, we followed the five steps of Arksey and O'Malley's scoping review methodology. We examined the literature between December 2012 and August 2017 in the following databases: PubMed, CINAHL, Web of Science and the Cochrane Library. Each paper was independently screened by at least two authors; differences were resolved through consensus development. Study characteristics were extracted. The methodological quality of the studies was assessed using the Critical Appraisal Skills Programme (CASP) lists. Results related to the research question were described and categorized. Results:Our search identified 79 papers that were potentially relevant; 11 studies met our inclusion criteria after screening. These studies differed in many ways and the majority was characterized by small research populations and low study quality. Despite the shortage of solid research, we found some indications of possible adverse effects Conclusions:There is a lack of high-quality empirical research on adverse effects of eHealth applications replacing or complementing face-to-face care. While the development of eHealth applications is ongoing, the knowledge with regard to possible adverse effects is limited. The available research focuses often on efficacy, added value, implementation issues, use and satisfaction, whereas adverse effects are underexposed. A better understanding of possible adverse effects might be a starting point to improve the positive impact of eHealth-based health care delivery.

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Section: General Characteristicsmentioning

confidence: 99%

Section: General Characteristicsmentioning

confidence: 99%

Section: Study Participantsmentioning

confidence: 99%

Section: Study Participantsmentioning

confidence: 99%

Section: Safetymentioning

confidence: 99%

See 3 more Smart Citations

eHealth Apps Replacing or Complementing Health Care Contacts: Scoping Review on Adverse Effects (Preprint)

Stevens¹,

Sande²,

Beijer³

et al. 2018

Preprint

View full text Add to dashboard Cite

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Physical fitness training for stroke patients

Saunders

Sanderson

Hayes

et al. 2016

Cochrane Database of Systematic Reviews

321

187

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Wearable myoelectric interface enables high‐dose, home‐based training in severely impaired chronic stroke survivors

Hung

Paul

Prakash

et al. 2021

Ann Clin Transl Neurol

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Background High‐intensity occupational therapy can improve arm function after stroke, but many people lack access to such therapy. Home‐based therapies could address this need, but they don’t typically address abnormal muscle co‐activation, an important aspect of arm impairment. An earlier study using lab‐based, myoelectric computer interface game training enabled chronic stroke survivors to reduce abnormal co‐activation and improve arm function. Here, we assess feasibility of doing this training at home using a novel, wearable, myoelectric interface for neurorehabilitation training (MINT) paradigm. Objective Assess tolerability and feasibility of home‐based, high‐dose MINT therapy in severely impaired chronic stroke survivors. Methods Twenty‐three participants were instructed to train with the MINT and game for 90 min/day, 36 days over 6 weeks. We assessed feasibility using amount of time trained and game performance. We assessed tolerability (enjoyment and effort) using a customized version of the Intrinsic Motivation Inventory at the conclusion of training. Results Participants displayed high adherence to near‐daily therapy at home (mean of 82 min/day of training; 96% trained at least 60 min/day) and enjoyed the therapy. Training performance improved and co‐activation decreased with training. Although a substantial number of participants stopped training, most dropouts were due to reasons unrelated to the training paradigm itself. Interpretation Home‐based therapy with MINT is feasible and tolerable in severely impaired stroke survivors. This affordable, enjoyable, and mobile health paradigm has potential to improve recovery from stroke in a variety of settings. Clinicaltrials.gov: NCT03401762.

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Community-Based Exercise for Upper Limb Paresis

Abstract: Home- and community-based exercise for arm paresis is safe and effective. Telerehabilitation interventions will need additional enhancements to improve effectiveness. The optimal upper extremity exercise prescription poststroke remains to be established.

Cited by 52 publications

References 44 publications

eHealth Apps Replacing or Complementing Health Care Contacts: Scoping Review on Adverse Effects (Preprint)

eHealth Apps Replacing or Complementing Health Care Contacts: Scoping Review on Adverse Effects (Preprint)

Physical fitness training for stroke patients

Wearable myoelectric interface enables high‐dose, home‐based training in severely impaired chronic stroke survivors

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