Evidence map›Paper›PMID 35791026›Full record

ArticlePilot and feasibility studies2022

Feasibility and cost description of highly intensive rehabilitation involving new technologies in patients with post-acute stroke-a trial of the Swiss RehabTech Initiative.

Corina Schuster-Amft, Jan Kool, J Carsten Möller, Raoul Schweinfurther, Markus J Ernst, Leah Reicherzer, Carina Ziller, Martin E Schwab, Simon Wieser, Markus Wirz and 1 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Pilot and feasibility studies, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03641651 (Feasibility and Cost Description of Intensive Rehabilitation Involving New Technologies in Patients With Sub-acute Stroke), which is not on this map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 38% 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.

NCT03641651 nacompletednot on this map

Feasibility and Cost Description of Intensive Rehabilitation Involving New Technologies in Patients With Sub-acute Stroke:A Multicenter Single Arm Trial of the Swiss RehabTech Initiative

TypeinterventionalSponsorMarkus WirzRan2018 to 2020Enrolled15ConditionsStroke, HemiplegiaArmsRehabilitation technology
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Review
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

11 authors at 9 institutions in 2 countries.

Corina Schuster-Amft *Research Department, Reha Rheinfelden, Rheinfelden, Switzerland.
Jan Kool *Rehabilitation Centre Valens, Valens, Switzerland.
J Carsten MöllerCenter for Neurological Rehabilitation, Zihlschlacht, Switzerland.
Raoul SchweinfurtherCenter for Neurological Rehabilitation, Zihlschlacht, Switzerland.
Markus J ErnstZHAW Zurich University of Applied Sciences, Institute of Physiotherapy, Katharina-Sulzer-Platz 9, Postfach, CH-8401, Winterthur, Switzerland.
Leah ReicherzerZHAW Zurich University of Applied Sciences, Institute of Physiotherapy, Katharina-Sulzer-Platz 9, Postfach, CH-8401, Winterthur, Switzerland.
Carina ZillerResearch Department, Reha Rheinfelden, Rheinfelden, Switzerland.
Martin E SchwabInstitute for Regenerative Medicine, University of Zurich, Zurich, Switzerland.
Simon WieserZHAW Zurich University of Applied Sciences, Winterthur Institute of Health Economics, Winterthur, Switzerland.
Markus WirzZHAW Zurich University of Applied Sciences, Institute of Physiotherapy, Katharina-Sulzer-Platz 9, Postfach, CH-8401, Winterthur, Switzerland. markus.wirz@zhaw.ch.ORCID http://orcid.org/0000-0001-6716-8527
SRTI study group
Sulzer (Switzerland) · CHBern University of Applied Sciences · CHPhilipps University of Marburg · DERehaklinik Zihlschlacht · CHReha Rheinfelden · CHUniversity of Zurich · CHValens Clinics · CHZHAW Zurich University of Applied Sciences · CHZHAW Zurich University of Applied Sciences · CH

Funding

anonymous n.a.
6 · The paper itself

Abstract

backgroundThere is a need to provide highly repetitive and intensive therapy programs for patients after stroke to improve sensorimotor impairment. The employment of technology-assisted training may facilitate access to individualized rehabilitation of high intensity. The purpose of this study was to evaluate the safety and acceptance of a high-intensity technology-assisted training for patients after stroke in the subacute or chronic phase and to establish its feasibility for a subsequent randomized controlled trial.

methodsA longitudinal, multi-center, single-group study was conducted in four rehabilitation clinics. Patients participated in a high-intensity 4-week technology-assisted trainings consisting of 3 to 5 training days per week and at least 5 training sessions per day with a duration of 45 min each. Feasibility was evaluated by examining recruitment, intervention-related outcomes (adherence, subjectively perceived effort and effectiveness, adverse events), patient-related outcomes, and efficiency gains. Secondary outcomes focused on all three domains of the International Classification of Functioning Disability and Health. Data were analyzed and presented in a descriptive manner.

resultsIn total, 14 patients after stroke were included. Participants exercised between 12 and 21 days and received between 28 and 82 (mean 46 ± 15) technology-assisted trainings during the study period, which corresponded to 2 to 7 daily interventions. Treatment was safe. No serious adverse events were reported. Minor adverse events were related to tiredness and exertion. From baseline to the end of the intervention, patients improved in several functional performance assessments of the upper and lower extremities. The efficiency gains of the trainings amounted to 10% to 58%, in particular for training of the whole body and for walking training in severely impaired patients.

conclusionsHighly intensive technology-assisted training appears to be feasible for in- and outpatients in the subacute or chronic phase after stroke. Further clinical trials are warranted in order to define the most comprehensive approach to highly intensive technology-assisted training and to investigate its efficacy in patients with neurological disorders.

trial registrationClinicalTrials.gov Identifier: NCT03641651 at August 31st 2018.

Indexed as

High intensityPhysical exertion (MeSH)Stroke rehabilitation (MeSH)Technology-assisted training

Identifiers

PMID35791026
PMCPMC9254509
OpenAlexW4283804144

What OpenQuestion holds

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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.