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The feasibility of the adapted H-GRASP program for perceived and actual daily-life upper limb activity in the chronic phase post-stroke.
Essers, Bea; Veerbeek, Janne M; Luft, Andreas R; Verheyden, Geert.
Afiliación
  • Essers B; Department of Rehabilitation Sciences, KU Leuven, Leuven, Belgium.
  • Veerbeek JM; Neurocenter, Luzerner Kantonsspital, Lucerne, Switzerland.
  • Luft AR; Division of Vascular Neurology and Neurorehabilitation, Department of Neurology and Clinical Neuroscience Center, Neurocenter, University of Zurich and University Hospital Zurich, Zurich, Switzerland.
  • Verheyden G; Cereneo, Center for Neurology and Rehabilitation, Vitznau, Switzerland.
Disabil Rehabil ; : 1-16, 2024 Feb 08.
Article en En | MEDLINE | ID: mdl-38329448
ABSTRACT
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Purpose:

Assessing feasibility and initial impact of the Home-Graded Repetitive Arm Supplementary Program combined with in-home accelerometer-based feedback (AH-GRASP) on perceived and actual daily-life upper limb (UL) activity in stroke survivors during the chronic phase with good UL motor function but low perceived daily-life activity. Material and

methods:

A 4-week intervention program (4 contact hours, 48 h self-practice) encompassing task-oriented training, behavioral techniques, phone-based support, monitoring, and weekly feedback sessions using wrist-worn accelerometery was implemented using a pre-post double baseline repeated measures design. Feasibility, clinical assessments, patient-reported outcomes, and accelerometer data were investigated.

Results:

Of the 34 individuals approached, nineteen were included (recruitment rate 56%). Two dropped out, one due to increased UL pain (retention rate 89%). Seven (41%) achieved the prescribed exercise target (120 min/day, six days/week). Positive patient experiences and improvements in UL capacity, self-efficacy, and contribution of the affected UL to overall activity (p < 0.05, small to large effect sizes) were observed. Additionally, seven participants (41%) surpassed the minimal clinically important difference in perceived UL activity.

Conclusions:

A home-based UL exercise program with accelerometer-based feedback holds promise for enhancing perceived and actual daily-life UL activity for our subgroup of chronic stroke survivors.
Implementing a home-based exercise program with accelerometer-based feedback and telephone supervision may effectively improve upper limb activity after stroke.This program is most suitable for individuals with mild upper limb impairment and should be tailored to their abilities, preferences, and limitations to enhance engagement.The AH-GRASP program shows promising recruitment and retention rates, safety, and positive patient experiences.To improve adherence, consider dividing exercises into shorter sessions that accommodate patient's schedules, attention and endurance levels.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Aspecto: Implementation_research / Patient_preference Idioma: En Revista: Disabil Rehabil Asunto de la revista: REABILITACAO Año: 2024 Tipo del documento: Article País de afiliación: Bélgica Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Aspecto: Implementation_research / Patient_preference Idioma: En Revista: Disabil Rehabil Asunto de la revista: REABILITACAO Año: 2024 Tipo del documento: Article País de afiliación: Bélgica Pais de publicación: Reino Unido