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An innovative STRoke interactive virtual thErapy (STRIVE) online platform for community-dwelling stroke survivors: A randomized controlled trial

Johnson, L, Bird, ML ORCID: 0000-0001-9642-7196, Muthalib, M and Teo, WP 2020 , 'An innovative STRoke interactive virtual thErapy (STRIVE) online platform for community-dwelling stroke survivors: A randomized controlled trial' , Archives of Physical Medicine and Rehabilitation, vol. 101, no. 7 , pp. 1131-1137 , doi: 10.1016/j.apmr.2020.03.011.

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Abstract

Objective: To investigate the STRoke Interactive Virtual thErapy (STRIVE) intervention on upper-extremity clinical outcomes in community-dwelling stroke survivors.Design: Assessor-blinded randomized controlled trial.Setting: Study screening and testing was conducted in a university clinic. Participants completed the virtual therapy (VT) intervention in a community-based stroke support group setting.Participants: Of 124 stroke survivors initially assessed, 60 participants were recruited (time poststroke, 13.4±8.9 y). Participants were allocated to either VT or control group using a block randomization design and were stratified by sex.Interventions: Participants were randomized to receive 8 weeks of VT or usual care. The intervention consisted of approximately 45 minutes of twice weekly VT training on the Jintronix Rehabilitation System.Main outcome measures: Between-group differences in the Fugl-Meyer Upper Extremity scale and Action Research Arm Test score were joint primary outcomes in this study.Results: Significant between-group differences for the Fugl-Meyer Upper Extremity scale were seen at the end of the intervention (F1, 1=5.37, P=.02, d=0.41). No significant differences were observed with the Action Research Arm Test. No adverse events were reported.Conclusions: We demonstrated clinically meaningful improvements in gross upper extremity motor function and use of the affected arm after a VT intervention delivered via a community-based stroke support group setting. This data adds to the contexts in which VT can be used to improve upper limb function. Use of VT in community-based rehabilitation in chronic stroke recovery is supported.

Item Type: Article
Authors/Creators:Johnson, L and Bird, ML and Muthalib, M and Teo, WP
Keywords: exercise, stroke technology, upper limb, virtual reality
Journal or Publication Title: Archives of Physical Medicine and Rehabilitation
Publisher: Elsevier Inc.
ISSN: 0003-9993
DOI / ID Number: 10.1016/j.apmr.2020.03.011
Copyright Information:

Copyright 2020 by the American Congress of Rehabilitation Medicine

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