Evidence map›Paper›PMID 39091094›Full record

Trial reportClinical rehabilitation2024

Allied rehabilitation using caregiver-mediated exercises combined with telerehabilitation for stroke (ARMed4Stroke): A randomised controlled trial.

Marijn Mulder, Corien Dm Nikamp, Erik C Prinsen, Rinske Hm Nijland, Matthijs van Dorp, Jaap Buurke, Gert Kwakkel, Erwin Eh van Wegen

Abstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Clinical rehabilitation, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Review
  4. Review
  5. Article
  6. Article
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  8. 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

8 authors.

Marijn MulderAmsterdam Rehabilitation Research Centre, Reade, Amsterdam, the Netherlands.ORCID 0000-0002-7845-5799
Corien Dm NikampRoessingh Research and Development, Enschede, the Netherlands.
Erik C PrinsenRoessingh Research and Development, Enschede, the Netherlands.
Rinske Hm NijlandAmsterdam Rehabilitation Research Centre, Reade, Amsterdam, the Netherlands.
Matthijs van DorpTelerevalidatie.nl, Enschede, the Netherlands.
Jaap BuurkeRoessingh Research and Development, Enschede, the Netherlands.
Gert KwakkelAmsterdam Rehabilitation Research Centre, Reade, Amsterdam, the Netherlands.
Erwin Eh van WegenDepartment of Rehabilitation Medicine, Amsterdam University Medical Center, VUmc, Amsterdam Movement Sciences, Amsterdam, the Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the added value of caregiver-mediated exercises combined with telerehabilitation in addition to usual care compared to usual care alone on the self-reported mobility outcome after subacute stroke.

designMulticentre, observer-blinded, parallel randomised controlled trial. An off-site researcher allocated treatments using minimisation.

settingFour rehabilitation centres in the Netherlands.

participantsForty-one patient-caregiver dyads within 3 months poststroke.

interventionEight-week blended care program with caregiver-mediated mobility exercises for 2.5 h per week supported by telerehabilitation and four face-to-face sessions in addition to usual care. MAIN MEASURES: Self-reported mobility domain of the Stroke Impact Scale postintervention. Secondary outcomes were functional outcome, dyads' psychosocial wellbeing, care transition to the community postintervention and after 6 months.

resultsForty-one dyads (21 intervention, 20 control) were randomised, and 37 (N = 18; N = 19) were analysed following intention-to-treat. The Stroke Impact Scale mobility was not significantly different between groups postintervention (B 0.8, 95% CI -6.8-8.5,

conclusionsCaregiver-mediated exercises combined with telerehabilitation yielded no differential effect on our primary outcome self-reported mobility. Although the trial is underpowered, current findings are in line with previous trials. Future studies should further explore beneficial effects of caregiver involvement in stroke rehabilitation targeting psychosocial wellbeing.

Indexed as

CaregiversExercise TherapyStroke RehabilitationTelerehabilitationAgedFemaleHumansMaleMiddle AgedNetherlandsSingle-Blind MethodStrokeTreatment Outcomecaregiversexerciserandomised controlled trialstroketelerehabilitationwalking

Identifiers

PMID39091094
PMCPMC11520259

What OpenQuestion holds

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Registered trials

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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.