Evidence map›Paper›PMID 36876946›Full record

ArticleNeurorehabilitation and neural repair

Telerehabilitation Initiated Early in Post-Stroke Recovery: A Feasibility Study.

Dylan Edwards, Sapna Kumar, Lorie Brinkman, Isabel Cardoso Ferreira, Alberto Esquenazi, Tiffany Nguyen, Michael Su, Stephanie Stein, Jaun May, Allison Hendrix and 3 more

Registry-linked trialAbstract read
In one paragraph

Article in Neurorehabilitation and neural repair. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04657770 (Telerehabilitation Early After Stroke), which is not on this map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing 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.

NCT04657770 nacompletednot on this map

Telerehabilitation Early After Stroke

TypeinterventionalSponsorUniversity of California, Los AngelesRan2021 to 2022Enrolled19ConditionsStrokeArmsTelerehabilitation
3 · Its place in the literature

Who cites it

17 citing papers in PubMed.

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  15. Advances in Stroke Neurorehabilitation.Journal of clinical medicine · 2023
    Review
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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

13 authors.

Dylan EdwardsMoss Rehabilitation Research Institute, Elkins Park, PA, USA.
Sapna KumarMoss Rehabilitation Research Institute, Elkins Park, PA, USA.ORCID 0000-0003-1907-2971
Lorie BrinkmanUCLA and California Rehabilitation Institute, Los Angeles, CA, USA.
Isabel Cardoso FerreiraUCLA and California Rehabilitation Institute, Los Angeles, CA, USA.
Alberto EsquenaziMossRehab, Elkins Park, PA, USA.
Tiffany NguyenUCLA and California Rehabilitation Institute, Los Angeles, CA, USA.
Michael SuUCLA and California Rehabilitation Institute, Los Angeles, CA, USA.
Stephanie SteinMossRehab, Elkins Park, PA, USA.
Jaun MayMossRehab, Elkins Park, PA, USA.
Allison HendrixMossRehab, Elkins Park, PA, USA.
Casey FinleyMossRehab, Elkins Park, PA, USA.
Emily HowardMossRehab, Elkins Park, PA, USA.
Steven C CramerUCLA and California Rehabilitation Institute, Los Angeles, CA, USA.ORCID 0000-0002-6214-6211

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEnhanced neural plasticity early after stroke suggests the potential to improve outcomes with intensive rehabilitation therapy. Most patients do not get such therapy, however, due to limited access, changing rehabilitation therapy settings, low therapy doses, and poor compliance.

objectiveTo examine the feasibility, safety, and potential efficacy of an established telerehabilitation (TR) program after stroke initiated during admission to an inpatient rehabilitation facility (IRF) and completed in the patient's home.

methodsParticipants with hemiparetic stroke admitted to an IRF received daily TR targeting arm motor function in addition to usual care. Treatment consisted of 36, 70-minute sessions (half supervised by a licensed therapist via videoconference), over a 6-week period, that included functional games, exercise videos, education, and daily assessments.

resultsSixteen participants of 19 allocated completed the intervention (age 61.3 ± 9.4 years; 6 female; baseline Upper Extremity Fugl-Meyer [UEFM] score 35.9 ± 6.4 points, mean ± SD; NIHSS score 4 (3.75, 5.25), median, IQR; intervention commenced 28.3 ± 13.0 days post-stroke). Compliance was 100%, retention 84%, and patient satisfaction 93%; 2 patients developed COVID-19 and continued TR. Post-intervention UEFM improvement was 18.1 ± 10.9 points (

conclusionsThese results support feasibility, safety, and potential efficacy of providing intense TR therapy early after stroke. CLINICAL

trial registrationclinicaltrials.gov; NCT04657770.

Indexed as

COVID-19StrokeStroke RehabilitationTelerehabilitationAgedFeasibility StudiesFemaleHumansMiddle AgedRecovery of FunctionTreatment OutcomeUpper Extremitycritical periodmotor activityparesisstroketelerehabilitationupper extremity

Identifiers

PMID36876946
PMCPMC10080366

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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.