Evidence map›Paper›PMID 27515583›Full record

Trial reportJournal of neuroengineering and rehabilitation2016

Self-directed arm therapy at home after stroke with a sensor-based virtual reality training system.

Frieder Wittmann, Jeremia P Held, Olivier Lambercy, Michelle L Starkey, Armin Curt, Raphael Höver, Roger Gassert, Andreas R Luft, Roman R Gonzenbach

2 registry-linked trialsOpen access · goldAbstract readClinical Trial
In one paragraph

Trial report in Journal of neuroengineering and rehabilitation, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 52 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 4 pooled it
11.4field-weighted citation impact, top 1% of its field
1 · What the graph read from 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.

2 · The registry

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.

NCT02098135 nacompletednot on this map

Phase 1 Study of a Home Therapy and Assessment for Patients With Arm Impairments

TypeinterventionalSponsorUniversity of ZurichRan2013 to 2015Enrolled14ConditionsStroke, Spinal Cord InjuryArmsArmeoSenso
NCT03985761 nacompletednot on this mapstarted 2019, after this paper: background citation

Utilizing Gaming Mechanics to Optimize Telerehabilitation Adherence in Persons With Stroke

TypeinterventionalSponsorRutgers, The State University of New JerseyRan2019 to 2023Enrolled33ConditionsStrokeArmsHome Telerehabilitation using HoVRS
3 · Its place in the literature

Who cites it

52 citing papers in PubMed, 4 syntheses or guidelines pooled it, 148 citations in OpenAlex.

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  4. Home-based technologies for stroke rehabilitation: A systematic review.International journal of medical informatics · 2019
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 1 country.

Frieder WittmannRehabilitation Engineering Laboratory, Department of Health Sciences and Technology, ETH Zurich, Switzerland.
Jeremia P HeldDivision of Vascular Neurology and Rehabilitation, Department of Neurology, University Hospital Zurich, Zurich, Switzerland. jeremia.held@uzh.ch.ORCID 0000-0001-5373-2000
Olivier LambercyRehabilitation Engineering Laboratory, Department of Health Sciences and Technology, ETH Zurich, Switzerland.
Michelle L StarkeySpinal Cord Injury Center, Balgrist University Hospital, Zurich, Switzerland.
Armin CurtSpinal Cord Injury Center, Balgrist University Hospital, Zurich, Switzerland.
Raphael HöverHocoma AG, Volketswil, Switzerland.
Roger GassertRehabilitation Engineering Laboratory, Department of Health Sciences and Technology, ETH Zurich, Switzerland.ORCID 0000-0002-6373-8518
Andreas R LuftDivision of Vascular Neurology and Rehabilitation, Department of Neurology, University Hospital Zurich, Zurich, Switzerland.
Roman R GonzenbachDivision of Vascular Neurology and Rehabilitation, Department of Neurology, University Hospital Zurich, Zurich, Switzerland.
ETH Zurich · CHUniversity Hospital of Zurich · CHUniversitätsklinik Balgrist · CHHocoma (Switzerland) · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe effect of rehabilitative training after stroke is dose-dependent. Out-patient rehabilitation training is often limited by transport logistics, financial resources and a lack of motivation/compliance. We studied the feasibility of an unsupervised arm therapy for self-directed rehabilitation therapy in patients' homes.

methodsAn open-label, single group study involving eleven patients with hemiparesis due to stroke (27 ± 31.5 months post-stroke) was conducted. The patients trained with an inertial measurement unit (IMU)-based virtual reality system (ArmeoSenso) in their homes for six weeks. The self-selected dose of training with ArmeoSenso was the principal outcome measure whereas the Fugl-Meyer Assessment of the upper extremity (FMA-UE), the Wolf Motor Function Test (WMFT) and IMU-derived kinematic metrics were used to assess arm function, training intensity and trunk movement. Repeated measures one-way ANOVAs were used to assess differences in training duration and clinical scores over time.

resultsAll subjects were able to use the system independently in their homes and no safety issues were reported. Patients trained on 26.5 ± 11.5 days out of 42 days for a duration of 137 ± 120 min per week. The weekly training duration did not change over the course of six weeks (p = 0.146). The arm function of these patients improved significantly by 4.1 points (p = 0.003) in the FMA-UE. Changes in the WMFT were not significant (p = 0.552). ArmeoSenso based metrics showed an improvement in arm function, a high number of reaching movements (387 per session), and minimal compensatory movements of the trunk while training.

conclusionsSelf-directed home therapy with an IMU-based home therapy system is safe and can provide a high dose of rehabilitative therapy. The assessments integrated into the system allow daily therapy monitoring, difficulty adaptation and detection of maladaptive motor patterns such as trunk movements during reaching.

trial registrationUnique identifier: NCT02098135 .

Indexed as

User-Computer InterfaceAgedArmBiomechanical PhenomenaFeasibility StudiesFemaleHumansMaleMiddle AgedMovement DisordersParesisRecovery of FunctionSelf CareStroke RehabilitationTherapy, Computer-AssistedTreatment OutcomeArmFeasibilityRehabilitationStrokeVideo gamesVirtual reality therapy

Identifiers

PMID27515583
PMCPMC4982313
OpenAlexW2510442950

What OpenQuestion holds

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LicenceCC BY
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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.