SynthesisJournal of neuroengineering and rehabilitation2021
Perseverance with technology-facilitated home-based upper limb practice after stroke: a systematic mixed studies review.
Synthesis in Journal of neuroengineering and rehabilitation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.
What it found
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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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
18 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Patient-centered insights into virtual reality rehabilitation for stroke: a systematic review and qualitative meta-synthesis.Journal of neuroengineering and rehabilitation · 2025Pooled it
- Poststroke eHealth Technologies-Based Rehabilitation for Upper Limb Recovery: Systematic Review.Journal of medical Internet research · 2025Pooled it
- Trial
- Feasibility and Acceptability of the Living My Life Program for Rural and Remote Stroke Survivors.The Australian journal of rural health · 2026Trial
- User Requirements of the Integrated Home-Based Rehabilitation Tool, Neurorehabilitation Ecosystem for Sustained Therapy: Multicenter Focus Group Study With Stroke Survivors, Caregivers, and Health Care Professionals.JMIR rehabilitation and assistive technologies · 2026Article
- Article
- Pre-Implementation Analysis of the Usability and Acceptability of a Poststroke Complex Telehealth Biofeedback Intervention.The American journal of occupational therapy : official publication of the American Occupational Therapy Association · 2024Article
- Article
- Examining Usability, Acceptability, and Adoption of a Self-Directed, Technology-Based Intervention for Upper Limb Rehabilitation After Stroke: Cohort Study.JMIR rehabilitation and assistive technologies · 2023Article
- Home-based upper limb stroke rehabilitation mechatronics: challenges and opportunities.Biomedical engineering online · 2023Review
- Acceptability of a Telerehabilitation Biofeedback System Among Stroke Survivors: A Qualitative Analysis.OTJR : occupation, participation and health · 2023Article
- A Review of the Role of Artificial Intelligence in Healthcare.Journal of personalized medicine · 2023Review
- ICTs and interventions in telerehabilitation and their effects on stroke recovery.Frontiers in neurology · 2023Review
- A Literature Review of High-Tech Physiotherapy Interventions in the Elderly with Neurological Disorders.International journal of environmental research and public health · 2022Review
- A Dynamic Wheelchair Armrest for Promoting Arm Exercise and Mobility After Stroke.IEEE transactions on neural systems and rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society · 2022Article
- Using Large-Scale Sensor Data to Test Factors Predictive of Perseverance in Home Movement Rehabilitation: Optimal Challenge and Steady Engagement.Frontiers in neurology · 2022Article
- Self-Directed Exergaming for Stroke Upper Limb Impairment Increases Exercise Dose Compared to Standard Care.Neurorehabilitation and neural repair · 2021Article
- Neurorehabilitation From a Distance: Can Intelligent Technology Support Decentralized Access to Quality Therapy?Frontiers in robotics and AI · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTechnology is being increasingly investigated as an option to allow stroke survivors to exploit their full potential for recovery by facilitating home-based upper limb practice. This review seeks to explore the factors that influence perseverance with technology-facilitated home-based upper limb practice after stroke.
methodsA systematic mixed studies review with sequential exploratory synthesis was undertaken. Studies investigating adult stroke survivors with upper limb disability undertaking technology-facilitated home-based upper limb practice administered ≥ 3 times/week over a period of ≥ 4 weeks were included. Qualitative outcomes were stroke survivors' and family members' perceptions of their experience utilising technology to facilitate home-based upper limb practice. Quantitative outcomes were adherence and dropouts, as surrogate measures of perseverance. The Mixed Methods Appraisal Tool was used to assess quality of included studies.
resultsForty-two studies were included. Six studies were qualitative and of high quality; 28 studies were quantitative and eight were mixed methods studies, all moderate to low quality. A conceptual framework of perseverance with three stages was formed: (1) getting in the game; (2) sticking with it, and; (3) continuing or moving on. Conditions perceived to influence perseverance, and factors mediating these conditions were identified at each stage. Adherence with prescribed dose ranged from 13 to 140%. Participants were found to be less likely to adhere when prescribed sessions were more frequent (6-7 days/week) or of longer duration (≥ 12 weeks).
conclusionFrom the mixed methods findings, we propose a framework for perseverance with technology-facilitated home-based upper limb practice. The framework offers opportunities for clinicians and researchers to design strategies targeting factors that influence perseverance with practice, in both the clinical prescription of practice and technology design. To confirm the clinical utility of this framework, further research is required to explore perseverance and the factors influencing perseverance. Registration: PROSPERO CRD42017072799- https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=72799.
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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.