Viability of using a computer tablet to monitor an upper limb home exercise program in stroke

The real reason survivors rarely exercise enough is because therapists don't have EXACT rehab protocols specifying what to do and repetitions needed.  If the protocol said, 'Do 1,301,000 repetitions and you will get this result', then the survivor will do that. Stop blaming the survivor for your failure to create protocols.  Solve the correct problem; lack of stroke protocols NOT adherence. This is just more blame the patient for their lack of recovery. The blame lies directly on the complete stroke medical world for not even attempting to solve all the problems in stroke or the nihilism in stroke that exists.

 

Viability of using a computer tablet to monitor an upper limb home exercise program in stroke

Tamina Levy , BSc, PT, Maggie Killington , PhD, PT, Natasha Lannin , PhD, OT & Maria Crotty , PhD, FAFRM

Received 11 Aug 2018, Accepted 28 Apr 2019, Published online: 07 Jun 2019

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• https://doi.org/10.1080/09593985.2019.1625092

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ABSTRACT

Aims: To evaluate the feasibility of using a tablet computer to monitor the amount of upper limb practice completed by stroke patients prescribed with a home program and to explore factors that influence adherence.
Method: Ten consecutive participants randomized to the intervention arm of a randomized controlled trial investigating therapy after spasticity management for stroke patients (ACTRN 12615000616572) were recruited for this sub-study. Participants were asked to perform and record a prescribed 60-min upper limb program, based on the Graded Arm Supplementary Program, on a tablet computer daily. Four randomly selected recorded sessions for each participant were analyzed by the physiotherapist to assess adherence to the amount of exercise and content.
Results: Mean score for the System Usability Scale was 85.5 (range 47.5–100) indicating that participants were accepting of the technology. Participants performed exercises on average for 50.32 min (range 26.42–68.37). Self-reported practice time was 59.44 min (range 48–67.5).
Conclusion: Monitoring of patient practice using a tablet computer is feasible and may prove more reliable than self-report. There is variability in the amount of upper limb exercise stroke patients do at home.

RecoverNow: A mobile tablet-based therapy platform for early stroke rehabilitation - raw data

Sounds good but NO factual results are mentioned. DOES IT WORK OR NOT?

RecoverNow: A mobile tablet-based therapy platform for early stroke rehabilitation - raw data

Title:	RecoverNow: A mobile tablet-based therapy platform for early stroke rehabilitation - raw data
Authors:	Pugliese, Michael Ramsay, Tim Shamloul, Rany Mallet, Karen Zakutney, Lise Corbett, Dale Dukelow, Sean Stotts, Grant Shamy, Michel Wilson, Kumanan Guerinet, Julien Dowlatshahi, Dar
Date:	2019
Abstract:	Stroke survivors frequently experience a range of post-stroke deficits. Specialized stroke rehabilitation improves recovery, especially if it is started early post-stroke. However, resource limitations often preclude early rehabilitation. Mobile technologies may provide a platform for stroke survivors to begin recovery when they might not be able to otherwise. The study objective was to demonstrate the feasibility of RecoverNow, a tablet-based stroke recovery platform aimed at delivering speech and cognitive therapy. We recruited a convenience sample of 30 acute stroke patients to use RecoverNow for up to 3 months. Allied health professionals assigned specific applications based on standard of care assessments. Participants were encouraged to take home the RecoverNow tablets upon discharge from acute care. The study team contacted participants to return for a follow-up interview 3 months after enrollment. The primary outcome of interest was feasibility, defined using 5 facets: recruitment rate, adherence rate, retention rate, the proportion of successful follow-up interventions, and protocol deviations. We tracked barriers to tablet-based care as a secondary outcome. We successfully recruited 30 of 62 eligible patients in 15 weeks (48% recruitment rate). Participants were non-adherent to tablet-based therapy inside and outside of acute care, using RecoverNow for a median of 12 minutes a day. Retention was high with 23 of 30 patients participating in follow-up interviews (77% retention rate) and all but 3 of the 23 interviews (87%) were successfully completed. Only 2 major protocol deviations occurred: one enrollment failure and one therapy protocol violation. Barriers to tablet-based care were frequently encountered by study participants with many expressing the assigned applications were either too easy or too difficult. Acute stroke patients are interested in attempting tablet-based stroke rehabilitation and are easily recruited early post-stroke. However, tablet-based therapy may be challenging due to patient, device and system-related barriers. Reducing the frequency of common barriers will be essential to keeping patients engaged in tablet-based therapy.
URL:	http://hdl.handle.net/10393/38663
Collection	Epidemiology and Community Medicine