Evidence map›Paper›PMID 39727287›Full record

Trial reportNeurorehabilitation and neural repair2025

A Randomized Control Trial of a Virtually Delivered Program for Increasing Upper Limb Activity After Stroke.

Lisa A Simpson, Ruth Barclay, Mark T Bayley, Penelope M A Brasher, Sean P Dukelow, Bradley J MacIntosh, Marilyn MacKay-Lyons, Carlo Menon, W Ben Mortenson, Tzu-Hsuan Peng and 6 more

Abstract readRandomized Controlled TrialMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Neurorehabilitation and neural repair, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. 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

16 authors.

Lisa A SimpsonDepartment of Physical Therapy, University of British Columbia, Vancouver, BC, Canada.
Ruth BarclayDepartment of Physical Therapy, University of Manitoba, Winnipeg, MB, Canada.
Mark T BayleyDivision of Physical Medicine and Rehabilitation, University of Toronto, Toronto, ON, Canada.
Penelope M A BrasherCentre for Clinical Epidemiology and Evaluation, Vancouver Coastal Health Research Institute, Vancouver, BC, Canada.
Sean P DukelowDepartment of Clinical Neurosciences and Hotchkiss Brain Institute, University of Calgary, Calgary, AB, Canada.ORCID 0000-0002-0609-981X
Bradley J MacIntoshSandra E Black Centre for Brain Resilience and Recovery, Hurvitz Brain Sciences Program, Sunnybrook Health Sciences Centre, Toronto, ON, Canada.
Marilyn MacKay-LyonsSchool of Physiotherapy, Dalhousie University, Halifax, NS, Canada.ORCID 0000-0002-9917-3117
Carlo MenonDepartment of Health Sciences and Technology, ETH Zurich, Zurich, Switzerland.
W Ben MortensonDepartment of Occupational Science and Occupational Therapy, University of British Columbia, Vancouver, BC, Canada.
Tzu-Hsuan PengDepartment of Physical Therapy, University of British Columbia, Vancouver, BC, Canada.
Courtney L PollockDepartment of Physical Therapy, University of British Columbia, Vancouver, BC, Canada.
Sepideh PooyaniaDivision of Physical Medicine and Rehabilitation, University of Manitoba, Winnipeg, MB, Canada.ORCID 0000-0002-7906-9953
Noah D SilverbergDepartment of Psychology, University of British Columbia, Vancouver, BC, Canada.
Robert TeasellDepartment of Physical Medicine and Rehabilitation, Western University, London, ON, Canada.
Jennifer YaoDivision of Physical Medicine and Rehabilitation, University of British Columbia, Vancouver, BC, Canada.
Janice J EngDepartment of Physical Therapy, University of British Columbia, Vancouver, BC, Canada.ORCID 0000-0002-2093-0788

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BackgroundUpper limb activity following stroke is low, which may limit recovery. We investigated whether a virtually-delivered upper limb program, that included a wearable device with reach-to-grasp feedback, would increase upper limb activity after stroke.MethodsThis was a parallel-group, assessor-blinded, randomized control trial conducted at 6 sites across 5 provinces of the CanStroke Recovery Trials Platform between 2020 to 2022. Participants (n = 73) were community-living, less than 1 year post stroke, and had residual arm movement and upper limb use limitations. Participants were randomized via a central web-based randomization service to receive a virtually delivered program (Virtual Arm Boot Camp [V-ABC], n = 36) or waitlist control (n = 37) receiving usual care. V-ABC consisted of a home exercise program, feedback from a wrist-worn device to monitor reach-to-grasp counts, and 6 virtual sessions with a trained therapist over 3 weeks. The primary outcome was the average daily reach-to-grasp counts over 3 days at 4 weeks post baseline assessment. Secondary outcomes included upper limb function, self-reported use, and quality of life. Within-subject changes between pre, post treatment, and 2 months follow up for all participants were also examined as a tertiary analysis.ResultsThe V-ABC group demonstrated greater average daily reach-to-grasp counts (primary outcome) at 4 weeks compared to control (mean difference = 368, 95% confidence interval = 6-730,

Indexed as

Exercise TherapyOutcome Assessment, Health CareStrokeStroke RehabilitationUpper ExtremityWearable Electronic DevicesAgedFemaleHand StrengthHumansMaleMiddle AgedRecovery of FunctionSingle-Blind Methodactivity monitorrandomized control trialstroke rehabilitationtelerehabilitationupper extremity

Identifiers

PMID39727287
PMCPMC11921204

What OpenQuestion holds

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LicenceCC BY-NC
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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.