Evidence map›Paper›PMID 35672074›Full record

ArticleBMJ open2022

Rehabilitation using virtual gaming for Hospital and hOMe-Based training for the Upper limb post Stroke (RHOMBUS II): protocol of a feasibility randomised controlled trial.

Cherry Kilbride, Alyson Warland, Victoria Stewart, Basaam Aweid, Arul Samiyappan, Jennifer Ryan, Tom Butcher, Dimitrios A Athanasiou, Karen Baker, Guillem Singla-Buxarrais and 4 more

Abstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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.

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

4 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Article
  4. 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

14 authors.

Cherry KilbrideCollege of Health, Medicine and Life Sciences, Brunel University London, Uxbridge, Middlesex, UK Cherry.Kilbride@brunel.ac.uk.ORCID 0000-0002-2045-1883
Alyson WarlandCollege of Health, Medicine and Life Sciences, Brunel University London, Uxbridge, Middlesex, UK.
Victoria StewartAlderbourne Unit, Hillingdon Hospital, Uxbridge, Middlesex, UK.ORCID 0000-0003-4077-8848
Basaam AweidStroke Unit, Hillingdon Hospitals NHS Foundation Trust, Uxbridge, Middlesex, UK.
Arul SamiyappanAdult Services, Central and North West London NHS Foundation Trust, London, UK.
Jennifer RyanCollege of Health, Medicine and Life Sciences, Brunel University London, Uxbridge, Middlesex, UK.ORCID 0000-0003-3768-2132
Tom ButcherCollege of Health, Medicine and Life Sciences, Brunel University London, Uxbridge, Middlesex, UK.
Dimitrios A AthanasiouNeurofenix, London, UK.
Karen BakerNeurofenix, London, UK.
Guillem Singla-BuxarraisNeurofenix, London, UK.
Nana AnokyeCollege of Health, Medicine and Life Sciences, Brunel University London, Uxbridge, Middlesex, UK.
Carole PoundFaculty of Health and Social Sciences, Bournemouth University, Poole, Dorset, UK.
Francesca GowingCollege of Health, Medicine and Life Sciences, Brunel University London, Uxbridge, Middlesex, UK.
Meriel NorrisCollege of Health, Medicine and Life Sciences, Brunel University London, Uxbridge, Middlesex, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionUpper limb (UL) rehabilitation is most effective early after stroke, with higher doses leading to improved outcomes. For the stroke survivor, the repetition may be monotonous. For clinicians, providing a clinically meaningful level of input can be challenging. As such, time spent engaged in UL activity among subacute stroke survivors remains inadequate. Opportunities for the stroke survivor to engage with UL rehabilitation in a safe, accessible and engaging way are essential to improving UL outcomes following stroke. The NeuroBall is a non-immersive virtual reality (VR) digital system designed for stroke rehabilitation, specifically for the arm and hand. The aim of the Rehabilitation using virtual gaming for Hospital and hOMe-Based training for the Upper limb post Stroke study is to determine the safety, feasibility and acceptability of the NeuroBall as a rehabilitation intervention for the UL in subacute stroke. METHODS AND ANALYSIS: A feasibility randomised controlled trial (RCT) will compare the NeuroBall plus usual care with usual care only, in supporting UL rehabilitation over 7 weeks. Twenty-four participants in the subacute poststroke phase will be recruited while on the inpatient or early supported discharge (ESD) stroke pathway. Sixteen participants will be randomised to the intervention group and eight to the control group. Outcomes assessed at baseline and 7 weeks include gross level of disability, arm function, spasticity, pain, fatigue and quality of life (QoL). Safety will be assessed by recording adverse events and using pain, spasticity and fatigue scores. A parallel process evaluation will assess feasibility and acceptability of the intervention. Feasibility will also be determined by assessing fidelity to the intervention. Postintervention, semistructured interviews will be used to explore acceptability with 12 participants from the intervention group, four from the usual care group and with up to nine staff involved in delivering the intervention. ETHICS AND DISSEMINATION: This trial has ethical approval from Brunel University London's Research Ethics Committee 25257-NHS-Oct/2020-28121-2 and the Wales Research Ethics Committee 5 Bangor (Health and Care Research Wales) REC ref: 20/WA/0347. The study is sponsored by Brunel University London. CONTACT: Dr Derek Healy, Chair, University Research Ethics committee (Derek.healy@brunel.ac.uk). Trial results will be submitted for publication in peer-reviewed journals, presented at national and international conferences and distributed to people with stroke. TRIAL REGISTRATION NUMBER: ISRCTN11440079; Pre-results.

Indexed as

StrokeStroke RehabilitationVideo GamesFatigueFeasibility StudiesHospitalsHumansMuscle SpasticityPainQuality of LifeRandomized Controlled Trials as TopicUpper ExtremityNEUROLOGYREHABILITATION MEDICINEStroke

Identifiers

PMID35672074
PMCPMC9174817

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.