Evidence map›Paper›PMID 40247700›Full record

ArticleClinical rehabilitation2025

A technology-enriched approach to increasing rehabilitation dose after stroke: Clinical feasibility study.

Gillian Sweeney, Fiona Boyd, Maisie Keogh, Patrycja Lyczba, Elaine Forrest, Philip Rowe, Mark Barber, Andy Kerr

Registry-linked trialAbstract read
In one paragraph

Article in Clinical rehabilitation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07360613 (A Pilot Evaluation of the Effectiveness and Economic Impact of a Multi-Technology Rehabilitation Programme for Sub-acute Stroke Patients), which is not on this map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

NCT07360613 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

A Pilot Evaluation of the Effectiveness and Economic Impact of a Multi-Technology Rehabilitation Programme for Sub-acute Stroke Patients

TypeinterventionalSponsorUniversity of StrathclydeRan2026 to 2028Enrolled62ConditionsStroke, RehabilitationArmsTechnology Enriched Rehabilitation
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Intensive, Multi-Technology Rehabilitation Programme for Chronic Stroke Survivors: Outcomes of a Phase I Single-Arm Repeated-Measures Study.Physiotherapy research international : the journal for researchers and clinicians in physical therapy · 2026
    Article
  3. 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.

Gillian SweeneySouth Lanarkshire Stroke and Neuro Team, Udston Hospital, NHS Lanarkshire, Glasgow, UK.ORCID 0000-0002-1286-4979
Fiona BoydDepartment of Biomedical Engineering, University of Strathclyde, Glasgow, UK.ORCID 0009-0007-8901-7296
Maisie KeoghDepartment of Biomedical Engineering, University of Strathclyde, Glasgow, UK.ORCID 0000-0001-9589-4227
Patrycja LyczbaStroke Unit, University Hospital Wishaw, Wishaw, UK.ORCID 0009-0004-1026-0946
Elaine ForrestStroke Unit, University Hospital Wishaw, Wishaw, UK.ORCID 0009-0006-4662-8778
Philip RoweDepartment of Biomedical Engineering, University of Strathclyde, Glasgow, UK.ORCID 0000-0002-4877-8466
Mark BarberDepartment of Medicine for the Elderly Monklands Hospital, NHS Lanarkshire, Glasgow, UK.ORCID 0000-0002-2893-1566
Andy KerrDepartment of Biomedical Engineering, University of Strathclyde, Glasgow, UK.ORCID 0000-0002-7666-9283

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

ObjectiveTo assess the feasibility of a multi-technology, group based, approach to increasing rehabilitation dose early after stroke.MethodsMixed methods design reporting recruitment, dropout, safety, dose and acceptability.SettingAcute Hospital Stroke UnitParticipantsSixty stroke patients, 9.0 median (IQR 12.8) days after stroke, referred for rehabilitation, without contraindications to light exercise.InterventionPersonalised rehabilitation delivered in supervised groups, using a multi-technology rehabilitation gym, in addition to usual care.Main measuresFeasibility was based on achieving recruitment rates over 3.2 per month, dropout rates below 6%, absence of suspected unexpected serious adverse reactions and shoulder pain prevalence below 60%. Acceptability was derived from interviews with the clinical team. Dose (rehabilitation time) was recorded manually. Function was measured with the modified Rivermead Mobility Index and Therapy Outcome Measure.ResultsFeasibility was satisfactory with high recruitment rates (6 per month), low dropout (2%), no suspected unexpected serious adverse reactions and low prevalence (19%) of shoulder pain. Thematic analysis of interview data indicated the clinical team (n = 9) found the intervention acceptable and identified organisational constraints to higher doses. Participants attended an average of 9.1 (1-32) sessions during their hospital stay (23.0 days, SD 19.7), with sessions lasting 52 min (SD 15.7), on average. The modified Rivermead Mobility Index and Therapy Outcome Measure increased by 17.9 (SD 8.6) and 5.7 points (SD 2.4), respectively.ConclusionsStrong feasibility findings support future trials of multi-technology, group-based rehabilitation. This novel approach is an encouraging step toward achieving recommended doses of rehabilitation after stroke but needs further investigation.

Indexed as

Exercise TherapyStrokeStroke RehabilitationAgedFeasibility StudiesFemaleHumansMaleMiddle AgedTreatment Outcomeacute hospital stroke unitdoseenrichmentfeasibilitymulti-technologyStroke rehabilitation

Identifiers

PMID40247700
PMCPMC12141766

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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.