Evidence map›Paper›PMID 32914639›Full record

Trial reportClinical rehabilitation2021

Evaluation of the enhanced upper limb therapy programme within the Robot-Assisted Training for the Upper Limb after Stroke trial: descriptive analysis of intervention fidelity, goal selection and goal achievement.

Helen Bosomworth, Helen Rodgers, Lisa Shaw, Leanne Smith, Lydia Aird, Denise Howel, Nina Wilson, Natasha Alvarado, Sreeman Andole, David L Cohen and 14 more

Open access · hybridAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Clinical rehabilitation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.2field-weighted citation impact, top 19% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 18 citations in OpenAlex.

  1. Effectiveness of the Functional and Cognitive Occupational Therapy (FaCInternational journal of environmental research and public health · 2021
    Trial
  2. Trial
  3. Trial
  4. Enhanced Muscle Activation Using Robotic Assistance Within the Electromechanical Delay: Implications for Rehabilitation?IEEE transactions on neural systems and rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society · 2024
    Article
  5. Article
  6. Article
  7. 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

24 authors at 13 institutions in 2 countries.

Helen BosomworthStroke Research Group, Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.ORCID https://orcid.org/0000-0002-4670-8827
Helen RodgersStroke Research Group, Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.
Lisa ShawStroke Research Group, Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.
Leanne SmithStroke Northumbria, Northumbria Healthcare NHS Foundation Trust, North Tyneside, UK.
Lydia AirdStroke Northumbria, Northumbria Healthcare NHS Foundation Trust, North Tyneside, UK.
Denise HowelPopulation Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.
Nina WilsonPopulation Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.
Natasha AlvaradoSchool of Healthcare, University of Leeds, Leeds, UK.
Sreeman AndoleBarking, Havering and Redbridge University Hospitals NHS Trust, Romford, UK.
David L CohenLondon North West Healthcare NHS Trust, Northwick Park, UK.ORCID https://orcid.org/0000-0001-7318-8567
Jesse DawsonInstitute of Cardiovascular and Medical Sciences, University of Glasgow, Glasgow, UK.
Cristina Fernandez-GarciaPopulation Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.
Tracy FinchNursing, Midwifery & Health, Northumbria University, Newcastle upon Tyne, UK.
Gary A FordMedical Sciences Division, University of Oxford, and Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
Richard FrancisStroke Research Group, Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.
Steven HoggLay investigator (contact Stroke Research Group, Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.
Niall HughesNHS Greater Glasgow and Clyde, Glasgow, UK.
Christopher I PriceStroke Research Group, Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.
Laura TernentPopulation Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.
Duncan L TurnerSchool of Health, Sport and Bioscience, University of East London, London, UK.
Luke ValePopulation Health Sciences Institute, Newcastle University, Newcastle upon Tyne, UK.
Scott WilkesSchool of Medicine, University of Sunderland, Sunderland, UK.
Hermano I KrebsMassachusetts Institute of Technology, Cambridge, USA.
Frederike van WijckSchool of Health and Life Sciences, Glasgow Caledonian University, Glasgow, UK.ORCID https://orcid.org/0000-0003-0855-799X
Newcastle University · GBNorthumbria Healthcare NHS Foundation Trust · GBBarking, Havering And Redbridge University Hospitals NHS Trust · GBGlasgow Caledonian University · GBLondon North West Healthcare NHS Trust · GBMassachusetts Institute of Technology · USNHS Greater Glasgow and Clyde · GBNorthumbria University · GBUniversity of East London · GBUniversity of Glasgow · GBUniversity of Leeds · GBUniversity of Oxford · GBUniversity of Sunderland · GB

Funding

Department of Health 11/26/05Medical Research Council MR/K02325X/1
6 · The paper itself

Abstract

objectiveTo report the fidelity of the enhanced upper limb therapy programme within the Robot-Assisted Training for the Upper Limb after stroke (RATULS) randomized controlled trial, the types of goals selected and the proportion of goals achieved.

designDescriptive analysis of data on fidelity, goal selection and achievement from an intervention group within a randomized controlled trial.

settingOut-patient stroke rehabilitation within four UK NHS centres. SUBJECTS: 259 participants with moderate-severe upper limb activity limitation (Action Research Arm Test 0-39) between one week and five years post first stroke.

interventionThe enhanced upper limb therapy programme aimed to provide 36 one-hour sessions, including 45 minutes of face-to-face therapy focusing on personal goals, over 12 weeks.

results7877/9324 (84%) sessions were attended; a median of 34 [IQR 29-36] per participant. A median of 127 [IQR 70-190] repetitions were achieved per participant per session attended. Based upon the Canadian Occupational Performance Measure, goal categories were: self-care 1449/2664 (54%); productivity 374/2664 (14%); leisure 180/2664 (7%) and 'other' 661/2664 (25%). For the 2051/2664 goals for which data were available, 1287 (51%) were achieved, ranging between 27% by participants more than 12 months post stroke with baseline Action Research Arm Test scores 0-7, and 88% by those less than three months after stroke with scores 8-19.

conclusionsIntervention fidelity was high. Goals relating to self-care were most commonly selected. The proportion of goals achieved varied, depending on time post stroke and baseline arm activity limitation.

Indexed as

Physical Therapy ModalitiesRoboticsStroke RehabilitationUpper ExtremityAdultAgedFemaleGoalsHumansMaleMiddle AgedMotivationStrokeTreatment Outcomefidelitygoalsrehabilitationrepetitive functional task practiceStrokeupper limb

Identifiers

PMID32914639
PMCPMC7814096
OpenAlexW3084878272

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.