ArticleDisability and rehabilitation2017
H-GRASP: the feasibility of an upper limb home exercise program monitored by phone for individuals post stroke.
Article in Disability and rehabilitation, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07146789 (Effectiveness of the Home-Based Graded Repetitive Arm Supplementary Program Combined With Occupational Therapy Versus Conventional Occupational Therapy Alone on Quality of Life and Upper Limb Function After Stroke), which is not on this map. Cited by 23 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Effectiveness of the Home-Based Graded Repetitive Arm Supplementary Program Combined With Occupational Therapy Versus Conventional Occupational Therapy Alone on Quality of Life and Upper Limb Function After Stroke: A Randomized Controlled Trial
Who cites it
23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 45 citations in OpenAlex.
- The Effect of Music Therapy on Psychological Outcomes for Neurological Conditions: A Systematic Review.Medicina (Kaunas, Lithuania) · 2025Pooled it
- A systematic review of measures of adherence to physical exercise recommendations in people with stroke.Clinical rehabilitation · 2019Pooled it
- A Randomized Control Trial of a Virtually Delivered Program for Increasing Upper Limb Activity After Stroke.Neurorehabilitation and neural repair · 2025Trial
- Feasibility of ROBUST: An Integrated Sensorimotor Upper Limb Therapy for People in the Chronic Phase After Stroke.Brain sciences · 2026Article
- Strengths, limitations, and way forward of home-based rehabilitation practices after stroke: a scoping review.BMC health services research · 2026Article
- Introducing and Validating a Minimum Data Set and Core Functionalities for Remote Poststroke Home Monitoring: "A Cross-Sectional Study".Health science reports · 2026Article
- Article
- Association between depression and adherence to upper limb exercises among community-dwelling stroke survivors: A cross-sectional study.Health science reports · 2024Article
- The use of home-based digital technology to support post-stroke upper limb rehabilitation: A scoping review.Clinical rehabilitation · 2024Article
- Evaluating the Dissemination and Implementation Impact of a Rehabilitation Intervention: The Graded Repetitive Arm Supplementary Program (GRASP).Physiotherapy Canada. Physiotherapie Canada · 2023Article
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- Use of real-time multimodal sensory feedback home program improved backward stride and retention for people with Parkinson Disease: A pilot study.Clinical parkinsonism & related disorders · 2022Article
- Advancing motor rehabilitation for adults with chronic neurological conditions through increased involvement of kinesiologists: a perspective review.BMC sports science, medicine & rehabilitation · 2021Review
- Implementation and Evaluation of the Virtual Graded Repetitive Arm Supplementary Program (GRASP) for Individuals With Stroke During the COVID-19 Pandemic and Beyond.Physical therapy · 2021Article
- Implementation and Evaluation of the Graded Repetitive Arm Supplementary Program (GRASP) for People With Stroke in a Real World Community Setting: Case Report.Physical therapy · 2021Article
- Relationship Between Body-Specific Attention to a Paretic Limb and Real-World Arm Use in Stroke Patients: A Longitudinal Study.Frontiers in systems neuroscience · 2021Article
- Feasibility of ActivABLES to promote home-based exercise and physical activity of community-dwelling stroke survivors with support from caregivers: A mixed methods study.BMC health services research · 2020Article
- Using the Technology Acceptance Model to Identify Factors That Predict Likelihood to Adopt Tele-Neurorehabilitation.Frontiers in neurology · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo investigate the feasibility of a phone-monitored home exercise program for the upper limb following stroke.
methodsA pre-post double baseline repeated measures design was used. Participants completed an 8-week home exercise program that included behavioural strategies to promote greater use of the affected upper limb. Participants were monitored weekly by therapists over the phone. The following feasibility outcomes were collected: Process (e.g. recruitment rate); Resources (e.g. exercise adherence rate); Management (e.g. therapist monitoring) and Scientific (e.g. safety, effect sizes). Clinical outcomes included: The Chedoke Arm and Hand Inventory, Motor Activity Log, grip strength and the Canadian Occupational Performance Measure.
resultsEight individuals with stroke were recruited and six participants completed the exercise program. All but one of the six participants met the exercise target of 60 minutes/day, 6 days/week. Participants were stable across the baseline period. The following post-treatment effect sizes were observed: CAHAI (0.944, p = 0.046); MALQ (0.789, p = 0.03) grip strength (0.947, p = 0.046); COPM (0.789, p = 0.03). Improvements were maintained at three and six month follow ups.
conclusionsCommunity dwelling individuals with stroke may benefit from a phone-monitored upper limb home exercise program that includes behavioural strategies that promote transfer of exercise gains into daily upper limb use. Implications for Rehabilitation A repetitive, task-oriented home exercise program that utilizes telephone supervision may be an effective method for the treatment of the upper limb following stroke This program is best suited for individuals with mild to moderate level impairment and experience a sufficient level of challenge from the exercises An exercise program that includes behavioural strategies may promote transfer of exercise gains into greater use of the affected upper limb during daily activities.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.