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Tytuł:
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Viability of using a computer tablet to monitor an upper limb home exercise program in stroke.
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Autorzy:
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Levy T; Flinders Medical Centre, Rehabilitation and Palliative Services , Adelaide, Australia.; College of Medicine and Public Health, Flinders University , Adelaide, Australia.
Killington M; Flinders Medical Centre, Rehabilitation and Palliative Services , Adelaide, Australia.; College of Medicine and Public Health, Flinders University , Adelaide, Australia.
Lannin N; School of Allied Health, La Trobe University , Bundoora, Australia.; Occupational Therapy, Alfred Health , Prahran, Australia.
Crotty M; Flinders Medical Centre, Rehabilitation and Palliative Services , Adelaide, Australia.; College of Medicine and Public Health, Flinders University , Adelaide, Australia.
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Źródło:
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Physiotherapy theory and practice [Physiother Theory Pract] 2021 Feb; Vol. 37 (2), pp. 331-341. Date of Electronic Publication: 2019 Jun 07.
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Typ publikacji:
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Journal Article; Randomized Controlled Trial
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Język:
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English
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Imprint Name(s):
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Publication: London : Informa Healthcare
Original Publication: London, UK ; Hillsdale, N.J. : Lawrence Erlbaum Associates, c1990-
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MeSH Terms:
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Computers, Handheld*
Patient Compliance*
Exercise Therapy/*methods
Stroke Rehabilitation/*methods
Upper Extremity/*physiopathology
Aged ; Feasibility Studies ; Female ; Humans ; Male ; Middle Aged ; Stroke Rehabilitation/instrumentation ; Surveys and Questionnaires
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Contributed Indexing:
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Keywords: Stroke; adherence; technology; upper limb
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Entry Date(s):
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Date Created: 20190608 Date Completed: 20210318 Latest Revision: 20210318
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Update Code:
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20240105
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DOI:
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10.1080/09593985.2019.1625092
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PMID:
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31172867
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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.
