Evidence map›Paper›PMID 39758258›Full record

ArticleDigital health

Integrating telerehabilitation and serious gaming during home-based exercise intervention after stroke: A randomized controlled pilot trial of the DISKO-tool.

Elisabet Åkesson, Maria Bergqvist, Maja Eder, Nanna Bäckström, Erika Franzén, Jörgen Borg, Susanne Palmcrantz

Abstract read
In one paragraph

Article in Digital health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Home-Based Gait Interventions for Adults with Stroke: A Scoping Review.Archives of rehabilitation research and clinical translation · 2025
    Review
  2. 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

7 authors.

Elisabet ÅkessonR&D Unit, Stockholms Sjukhem, Stockholm, Sweden.ORCID https://orcid.org/0000-0002-8227-9118
Maria BergqvistUniversity Department of Rehabilitation Medicine, Danderyd Hospital, Stockholm, Sweden.
Maja EderR&D Unit, Stockholms Sjukhem, Stockholm, Sweden.
Nanna BäckströmR&D Unit, Stockholms Sjukhem, Stockholm, Sweden.
Erika FranzénR&D Unit, Stockholms Sjukhem, Stockholm, Sweden.ORCID https://orcid.org/0000-0001-5520-544X
Jörgen BorgUniversity Department of Rehabilitation Medicine, Danderyd Hospital, Stockholm, Sweden.
Susanne PalmcrantzUniversity Department of Rehabilitation Medicine, Danderyd Hospital, Stockholm, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: To support recovery after stroke, rehabilitative actions and innovations are needed in resource-limited health care and geographically distant regions. Objective: The first objective was to explore the feasibility of performing home-based training using the novel DISKO-tool including both telerehabilitation and serious gaming customized to target dynamic balance poststroke. The second objective was to assess the outcome using the Balance Evaluation Systems Test as the primary outcome. Methods: This randomized controlled pilot trial, included ambulatory patients ≥18 years of age with physical impairments 3-6 months poststroke. During primary care rehabilitation, patients were randomized to conventional and 6 weeks of DISKO-tool training in the home ( Results: The study design was feasible including safety, resource capacity, a retention rate of 87%, high compliance to the protocol (mean 30 training days), and highly rated experience of the tool (median 10 of 10) despite some technical issues. The recruitment rate was low. The DISKO-group presented improved balance, especially in anticipatory postural adjustment compared to the conventional group ( Conclusions: Applying the DISKO-tool in home-based stroke rehabilitation was feasible and the piloted methodology suited for a larger RCT, as long as a wider inclusion time window poststroke is applied to enhance the recruitment rate. Rapid development and a limited lifespan of off-the-shelf hardware products warrant continuous technical development.

Indexed as

home basedphysiotherapypilot randomized controlled trialserious gamingStroketelerehabilitation

Identifiers

PMID39758258
PMCPMC11696950

What OpenQuestion holds

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LicenceCC BY
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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.