Evidence map›Paper›PMID 31913131›Full record

SynthesisJournal of medical Internet research2020

Effectiveness of Upper Limb Wearable Technology for Improving Activity and Participation in Adult Stroke Survivors: Systematic Review.

Jack Parker, Lauren Powell, Susan Mawson

2 registry-linked trialsAbstract readSystematic Review
In one paragraph

Synthesis in Journal of medical Internet research, 2020. 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 26 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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.

NCT05416619 nacompletednot on this map

Effects of Hand MOtor Rehabilitation Using a sEMG-biofeedback, After Stroke: a Longitudinal Pilot Study

TypeinterventionalSponsorIRCCS San Camillo, Venezia, ItalyRan2017 to 2019Enrolled20ConditionsStroke, Stroke, Ischemic, Stroke Hemorrhagic, HemiparesisArmsREMO®
NCT05815368 naunknown statusnot on this mapstarted 2022, after this paper: background citation

REcovery of Hand Motor Function in Stroke Rehabilitation: Efficacy of a Task-Oriented Protocol Provided by a sEMG-biofeedback Wearable Device (REMO)

TypeinterventionalSponsorIRCCS San Camillo, Venezia, ItalyRan2022 to 2025Enrolled28ConditionsStroke, Stroke, Ischemic, Stroke Hemorrhagic, Stroke SequelaeArmsREMO, Task-Oriented Training
3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  14. Overview of the role of robots in upper limb disabilities rehabilitation: a scoping review.Archives of public health = Archives belges de sante publique · 2023
    Article
  15. Clinical Features to Predict the Use of a sEMG Wearable Device (REMOInternational journal of environmental research and public health · 2023
    Article
  16. Article
  17. Design of Spiral-Cable Forearm Exoskeleton to Assist Supination for Hemiparetic Stroke Subjects.IEEE ... International Conference on Rehabilitation Robotics : [proceedings] · 2022
    Article
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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

3 authors.

Jack ParkerUniversity of Derby, Derby, United Kingdom.ORCID 0000-0003-4684-7330
Lauren PowellUniversity of Derby, Derby, United Kingdom.ORCID 0000-0003-0230-8722
Susan MawsonUniversity of Derby, Derby, United Kingdom.ORCID 0000-0003-2795-8983

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWith advances in technology, the adoption of wearable devices has become a viable adjunct in poststroke rehabilitation. Upper limb (UL) impairment affects up to 77% of stroke survivors impacting on their ability to carry out everyday activities. However, despite an increase in research exploring these devices for UL rehabilitation, little is known of their effectiveness.

objectiveThis review aimed to assess the effectiveness of UL wearable technology for improving activity and participation in adult stroke survivors.

methodsRandomized controlled trials (RCTs) and randomized comparable trials of UL wearable technology for poststroke rehabilitation were included. Primary outcome measures were validated measures of activity and participation as defined by the International Classification of Functioning, Disability, and Health. Databases searched were MEDLINE, Web of Science (Core collection), CINAHL, and the Cochrane Library. The Cochrane Risk of Bias Tool was used to assess the methodological quality of the RCTs and the Downs and Black Instrument for the quality of non RCTs.

resultsIn the review, we included 11 studies with collectively 354 participants at baseline and 323 participants at final follow-up including control groups and participants poststroke. Participants' stroke type and severity varied. Only 1 study found significant between-group differences for systems functioning and activity (P≤.02). The 11 included studies in this review had small sample sizes ranging from 5 to 99 participants at an average (mean) age of 57 years.

conclusionsThis review has highlighted a number of reasons for insignificant findings in this area including low sample sizes and the appropriateness of the methodology for complex interventions. However, technology has the potential to measure outcomes, provide feedback, and engage users outside of clinical sessions. This could provide a platform for motivating stroke survivors to carry out more rehabilitation in the absence of a therapist, which could maximize recovery.

trial registrationPROSPERO CRD42017057715; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=57715.

Indexed as

HumansMiddle AgedStroke RehabilitationSurvivorsUpper ExtremityWearable Electronic Devicesrehabilitationstrokeupper extremitywearable electronic devices

Identifiers

PMID31913131
PMCPMC6996755

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.