Evidence map›Paper›PMID 40810494›Full record

ArticlePhysical therapy2025

An Intensive Upper Extremity Program Coupled With a Wearable Device for Poststroke Rehabilitation: A Qualitative Study of the Perspectives of People With Stroke.

Chieh-Ling Yang, Lisa A Simpson, Sharon Jang, Ruth Barclay, Mark T Bayley, Sean P Dukelow, Bradley J MacIntosh, Marilyn MacKay-Lyons, Carlo Menon, W Ben Mortenson and 7 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Physical therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Trial
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

17 authors.

Chieh-Ling YangDepartment of Occupational Therapy and Graduate Institute of Behavioral Sciences, College of Medicine, Chang Gung University, Taoyuan City 333, Taiwan.ORCID 0000-0002-5115-2608
Lisa A SimpsonDepartment of Physical Therapy, University of British Columbia, Vancouver, BC V6T 1Z3, Canada.
Sharon JangDepartment of Physical Therapy, University of British Columbia, Vancouver, BC V6T 1Z3, Canada.
Ruth BarclayDepartment of Physical Therapy, University of Manitoba, Winnipeg, MB R3E 0W2, Canada.
Mark T BayleyDivision of Physical Medicine and Rehabilitation, University of Toronto, Toronto, ON M5S 3H2, Canada.
Sean P DukelowDepartment of Clinical Neurosciences and Hotchkiss Brain Institute, University of Calgary, Calgary, AB T2N 1N4, Canada.
Bradley J MacIntoshDr. Sandra Black Centre for Brain Resilience and Recovery, Hurvitz Brain Sciences Program, Sunnybrook Health Sciences Centre, Toronto, ON M4N 3M5, Canada.
Marilyn MacKay-LyonsSchool of Physiotherapy, Dalhousie University, Halifax, NS B3H 4R2, Canada.
Carlo MenonDepartment of Health Sciences and Technology, ETH  Zurich, 8092 Zurich, Switzerland.
W Ben MortensonDepartment of Occupational Science and Occupational Therapy, University of British Columbia, Vancouver, BC V6T 2B5, Canada.
Tzu-Hsuan PengDepartment of Physical Therapy, University of British Columbia, Vancouver, BC V6T 1Z3, Canada.
Courtney L PollockDepartment of Physical Therapy, University of British Columbia, Vancouver, BC V6T 1Z3, Canada.
Sepideh PooyaniaRiverview Health Centre, Winnipeg, MB R3L 2P4, Canada.
Noah D SilverbergDepartment of Psychology, University of British Columbia, Vancouver, BC V6T 1Z4, Canada.ORCID 0000-0001-6378-148X
Robert TeasellDepartment of Physical Medicine and Rehabilitation, Western University, London, ON N6C 5J1, Canada.
Jennifer YaoDivision of Physical Medicine and Rehabilitation, University of British Columbia, Vancouver, BC V5Z 2G9, Canada.
Janice J EngDepartment of Physical Therapy, University of British Columbia, Vancouver, BC V6T 1Z3, Canada.ORCID 0000-0002-2093-0788

Funding

Canada Brain Research Fund (CanStroke Recovery Trials Platform)Canada Research Chair ProgramCIHR FDN 143340Collaborative Health Research Project from the Canadian Institute of Health Research CPG-170611Heart and Stroke Foundation Canadian Partnership for Stroke RecoveryNational Health Research Institutes in Taiwan NHRI-EX114-11210PCNational Science and Technology Council in Taiwan 111-2314-B-182-004-MY2National Science and Technology Council in Taiwan 113-2314-B-182-073-MY3Natural Sciences and Engineering Research Council of Canada CHRP 549589-20
6 · The paper itself

Abstract

objectiveThe Virtual Arm Boot Camp program (V-ABC) was one of the first virtually delivered upper extremity exercise programs coupled with a novel wearable device that provided reach-to-grasp feedback for individuals with stroke. Understanding the experience of participants is critical to improving the implementation of rehabilitation interventions that embed biosensor technology within rehabilitation.

designA qualitative study embedded within a multi-center randomized controlled trial conducted on the CanStroke Recovery Trials Platform was used to investigate the experiences of participants post-stroke with the V-ABC program. A qualitative descriptive methodology was used to examine the acceptability of the program, factors influencing its effectiveness, and key elements for practical implementation. Semi-structured interviews were conducted via video conferencing with participants who had completed the program. Conventional content analysis was conducted to analyze the data. Strategies including triangulation, regular analytical meetings, peer examination, and reflexivity were used to increase the trustworthiness.

settingInterviews were conducted via videoconferencing using Zoom software.

participantsNineteen participants post-stroke (10 males/8 females, mean age = 60.2 [SD = 12.2] years; mean length of time since stroke = 217.0 [SD = 109.2] days) after completion of the program.

interventionThe 3-week V-ABC program consisted of exercise, feedback from a wearable device on the use of the paretic upper extremity, and therapist support.

resultsThree themes describing the experiences of participants with the program were identified: (1) V-ABC provided motivating practice; (2) equipment and technology setup provided accessibility but posed challenges; and (3) increased use of the paretic hand can be integrated into daily life with varying degrees of success.

conclusionsAn intensive, virtually delivered upper extremity exercise program coupled with biosensing feedback on hand use from a wearable device was reported to be motivating, accessible, and facilitated use of paretic hands in daily life. The findings may help improve the future implementation of the V-ABC program and similar approaches involving telerehabilitation and wearable technology.

Indexed as

Exercise TherapyStroke RehabilitationUpper ExtremityWearable Electronic DevicesAgedFemaleHumansInterviews as TopicMaleMiddle AgedMulticenter Studies as TopicQualitative ResearchRandomized Controlled Trials as TopicQualitative StudyRehabilitationStrokeUpper LimbWearable Technology

Identifiers

PMID40810494
PMCPMC12463442

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.