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

Simpson, DB ORCID: 0000-0002-9386-4830, Bird, M-L, English, C, Gall, SL ORCID: 0000-0002-5138-2526, Breslin, M ORCID: 0000-0002-8135-3136, Smith, S, Schmidt, M ORCID: 0000-0001-9844-3296 and Callisaya, ML ORCID: 0000-0003-2122-1622 2019 , 'Connecting patients and therapists remotely using technology is feasible and facilitates exercise adherence after stroke' , Topics in Stroke Rehabilitation , pp. 1-11 , doi: 10.1080/10749357.2019.1690779.

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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 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. 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.

Item Type: Article
Authors/Creators:Simpson, DB and Bird, M-L and English, C and Gall, SL and Breslin, M and Smith, S and Schmidt, M and Callisaya, ML
Keywords: mobile device applications, physical activity, stroke, rehabilitation, exercise therapy, adherence, technology
Journal or Publication Title: Topics in Stroke Rehabilitation
Publisher: Taylor & Francis
ISSN: 1074-9357
DOI / ID Number: 10.1080/10749357.2019.1690779
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Copyright 2019 Taylor & Francis Group, LLC

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