Evidence map›Paper›PMID 31893129›Full record

ArticlePilot and feasibility studies2019

Extra upper limb practice after stroke: a feasibility study.

Emma J Schneider, Louise Ada, Natasha A Lannin

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Pilot and feasibility studies, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05929027 (Self-Administered Gaming and Exercise at Home), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 33% 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.

NCT05929027 narecruitingnot on this mapstarted 2023, after this paper: background citation

Self-Administered Gaming and Exercise at Home (SAGEH)

TypeinterventionalSponsorJohns Hopkins UniversityRan2023 to 2027Enrolled60ConditionsStroke, Hand WeaknessArmsNoNo, occupational therapy - self directed
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 7 citations in OpenAlex.

  1. Article
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

3 authors at 2 institutions in 1 country.

Emma J Schneider1School of Allied Health (Occupational Therapy), College of Science, Health and Engineering, La Trobe University, Plenty Road and Kingsbury Drive, Melbourne, Victoria 3086 Australia.ORCID https://orcid.org/0000-0001-9645-5429
Louise Ada3Discipline of Physiotherapy, Faculty of Health Sciences, The University of Sydney, 75 East Street, Lidcombe, New South Wales 2141 Australia.ORCID https://orcid.org/0000-0003-1369-5721
Natasha A Lannin1School of Allied Health (Occupational Therapy), College of Science, Health and Engineering, La Trobe University, Plenty Road and Kingsbury Drive, Melbourne, Victoria 3086 Australia.ORCID https://orcid.org/0000-0002-2066-8345
La Trobe University · AUThe University of Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is a need to provide a large amount of extra practice on top of usual rehabilitation to adults after stroke. The purpose of this study was to determine if it is feasible to add extra upper limb practice to usual inpatient rehabilitation and whether it is likely to improve upper limb activity and grip strength.

methodA prospective, single-group, pre- and post-test study was carried out. Twenty adults with upper limb activity limitations who had some movement in the upper limb completed an extra hour of upper limb practice, 6 days per week for 4 weeks. Feasibility was measured by examining recruitment, intervention (adherence, efficiency, acceptability, safety) and measurement. Clinical outcomes were upper limb activity (Box and Block Test, Nine-Hole Peg Test) and grip strength (dynamometry) measured at baseline (week 0) and end of intervention (week 4).

resultsOf the 212 people who were screened, 42 (20%) were eligible and 20 (9%) were enrolled. Of the 20 participants, 12 (60%) completed the 4-week program; 7 (35%) were discharged early, and 1 (5%) withdrew. Participants attended 342 (85%) of the possible 403 sessions and practiced for 324 (95%) of the total 342 h. In terms of safety, there were no study-related adverse events. Participants increased 0.29 blocks/s (95% CI 0.19 to 0.39) on the Box and Block Test, 0.20 pegs/s (95% CI 0.10 to 0.30) on the Nine-Hole Peg Test, and 4.4 kg (95% CI 2.9 to 5.9) in grip strength, from baseline to end of intervention.

conclusionsIt appears feasible for adults who are undergoing inpatient rehabilitation and have some upper limb movement after stroke to undertake an hour of extra upper limb practice. The magnitude of the clinical outcomes suggests that further investigation is warranted and this study provides useful information for the design of a phase II randomized trial.

trial registrationAustralian and New Zealand Clinical Trial Registry (ACTRN12615000665538).

Indexed as

Occupational therapyPhysical therapyRehabilitationTask-specific motor training

Identifiers

PMID31893129
PMCPMC6936148
OpenAlexW2996902518

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.