Tablet technology during stroke recovery: a survivor’s perspective

White, Jennifer; Janssen, Heidi; Jordan, Louise; Pollack, Michael

doi:10.3109/09638288.2014.958620

Cited by 65 publications

(74 citation statements)

References 21 publications

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“…In addition to improving functional recovery, several qualitative data demonstrates high acceptance and satisfaction of iPad-based rehabilitation programmes by stroke survivors [27][28][29][30][31]50]. Qualitative data presented by White et al (2014) from 12 stroke survivors investigated stroke survivors' acceptability of iPad-based rehabilitation in the first 3 months of recovery [30].…”

Section: Patients' Acceptability Of Ipad-based Rehabilitation and Selmentioning

confidence: 99%

iPad Use in Stroke Neuro-Rehabilitation

Ameer¹,

Ali²

2017

Preprint

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Neuro-rehabilitation services are essential in reducing post-stroke impairments, enhancing independence, and improving recovery in hospital and post-discharge. However these services are therapist-dependent and resource intensive. Patients' disengagement and boredom in stroke units are common which adversely affect functional and psychological outcomes. Novel techniques such as use of iPads™ are increasingly researched to overcome such challenges. The aim of this review is to determine the feasibility, effectiveness, acceptability, and barriers to the use of iPads™ in stroke neuro-rehabilitation. Four databases and manual literature search were used to identify published studies using the terms "iPad", "Stroke", and "neuro-rehabilitation". Studies were included in accordance with the review selection criteria. A total of 16 articles were included in the review. The majority of the studies focused on iPads use in speech and language therapy. Although of small scale, the studies highlighted that iPads are feasible, have the potential to improve rehabilitation outcomes, and can improve patient's social isolation. Patients' stroke severity and financial limitations are some of the barriers highlighted in this review. This review presents preliminary data supportive for the use of iPad technology in stroke neuro-rehabilitation. However, further research is needed to determine impact on rehabilitation goals acquisition, clinical efficacy, and cost-efficiency.

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Section: Patients' Acceptability Of Ipad-based Rehabilitation and Selmentioning

confidence: 99%

iPad Use in Stroke Neuro-Rehabilitation

Ameer¹,

Ali²

2017

Preprint

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“…Despite a lack of trials in this area (Laver et al, 2013), e‐health technology seems promising and is increasingly used (Gregory et al, 2011; White et al, 2014). The functionality and content of the current app and telerehabilitation services in C4S can be expanded.…”

Section: Discussionmentioning

confidence: 99%

“…We hypothesize that this app can support adherence to the programme by patient and caregiver and promote self‐management (Gregory, Alexander, & Satinsky, 2011; White, Janssen, Jordan, & Pollack, 2014). …”

Section: Methodsmentioning

confidence: 99%

Description of the CARE4STROKE programme: A caregiver‐mediated exercises intervention with e‐health support for stroke patients

Vloothuis

Bruin

Mulder

et al. 2018

Physiotherapy Res Intl

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BackgroundIntensity of practice and task and context specificity are key factors for improving functional outcome in stroke survivors. Novel methods are needed to augment intensity of practice with minimal use of resources and costs. Caregiver‐mediated exercises (CMEs) focused on mobility, in which a caregiver acts as an exercise coach and can increase the intensity of practice. There is preliminary evidence that CME can improve functional outcome, reduce length of stay, and allow early supported discharge, without an increase in caregiver burden. In the CARE4STROKE programme (C4S), CME therapy and e‐health support are combined to promote a smoother transition from the inpatient setting to the home environment, with active rehabilitation continuing in the community.The objective of this paper is to describe the content of the C4S intervention in detail and explain implementation of this intervention in practice using the Template for Intervention Description and Replication checklist.MethodsContent, timing and intensity of the programme, participant screening and selection, and intervention procedures were described using the Template for Intervention Description and Replication checklist. Mobility exercises and use of a video application on tablet/smartphone are explained. The role of the caregiver as provider of the intervention is illustrated.DiscussionC4S prescribes an additional exercise dose of 1,200 min and may be a promising novel and effective method to augment the pallet of therapeutic options for stroke rehabilitation. Important aspects for successful implementation are availability and suitability of a caregiver. Suggestions for additional use of e‐health technology are described.Implications for physiotherapy practiceThe presented description of C4S gives physical therapists practical guidelines to facilitate implementation of the CME intervention.

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“…In particular, tablet computers are of interest as they are compact yet large enough to be easily manipulated by stroke survivors. Recently, there have been a number of studies exploring the feasibility and effectiveness of various tablet-based stroke therapies and stakeholder perspectives on their usage [14]- [18]. Although these studies are typically small pilot studies of varying quality, they reflect the growing interest in tablets as a means of providing therapy.…”

Section: The Mhealth Strategymentioning

confidence: 99%

Mobile Tablet-Based Stroke Rehabilitation: Using mHealth Technology to Improve Access to Early Stroke Rehabilitation

Pugliese

Wilson

Guerinet

et al. 2017

Int. J. Interact. Mob. Technol.

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<p class="Abstract">Mobile health (mHealth) technology represents a means through which more stroke survivors could access early stroke rehabilitation. Although rehabilitation is most effective when begun early post-stroke, limited resources (facilities, therapists) prevent survivors from initiating therapy. Furthermore, the coupling of an aging population with advances in acute therapy has led to an increase in the absolute number of individuals suffering from and surviving strokes which in turn has put further strain on already scarce rehabilitation resources. There is an urgency to conduct high-quality research exploring cost-effective and creative mHealth devices for early rehabilitation in the acute setting. Mobile technology allows therapists to prescribe apps based on standard cognitive/physical assessments in the acute setting, remotely monitor patient progress across individual carepaths, and update prescribed therapies based on patient feedback and recovery. Recognition of the growing problem of accessing early stroke rehabilitation, and the possibilities offered by mHealth technology led to the development of the RecoverNow platform for stroke rehabilitation in the acute setting. RecoverNow is a custom built, tablet-based stroke rehabilitation platform that houses a variety of previously existing apps with activities analogous or identical to exercises in speech language and/or occupational therapy. While RecoverNow represents how mobile technology can be utilized to address a growing public health issue, the feasibility, acceptability and efficacy of tablet-based stroke rehabilitation are unknown. Studies with the goal of establishing feasibility of early tablet-based stroke rehabilitation are needed and, if appropriate, a randomized controlled trial to establish efficacy.</p>

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Tablet technology during stroke recovery: a survivor’s perspective

Cited by 65 publications

References 21 publications

iPad Use in Stroke Neuro-Rehabilitation

iPad Use in Stroke Neuro-Rehabilitation

Description of the CARE4STROKE programme: A caregiver‐mediated exercises intervention with e‐health support for stroke patients

Mobile Tablet-Based Stroke Rehabilitation: Using mHealth Technology to Improve Access to Early Stroke Rehabilitation

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