Trial reportJournal of the American Heart Association2025
Rehabilitation Your Way: A Randomized Trial Comparing 2 Home-Based and Self-Managed Programs After Stroke.
Trial report in Journal of the American Heart Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03484182 (Efficacy of an Interactive Web-Based Home Therapy Program in the Recovery of Arm and Hand Function Following Stroke), which is not on this map. Not yet cited in PubMed.
What it found
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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.
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.
Efficacy of an Interactive Web-Based Home Therapy Program in the Recovery of Arm and Hand Function Following Stroke: a Randomized Trial
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHome-based, self-managed stroke rehabilitation is needed to supplement limited clinical resources. This study compared a home-based online self-managed program, Stroke Rehabilitation Online Guide (STRONG), versus paper exercise program (PEP) for improving upper extremity function after stroke.
methodsIn this randomized trial, 43 participants with stroke were stratified by motor ability and self-efficacy, then assigned to either STRONG (n=22) or PEP (n=21). A 6-week intervention phase (>1 hour, 5 days weekly) was followed by 6 weeks of optional training. STRONG included self-selected upper extremity task practice with optional web-based video games and guided exercises. PEP included written upper extremity exercises. Primary outcomes were Fugl-Meyer Upper Extremity Assessment and Wolf Motor Function Test-Timed. Secondary outcomes included Motor Activity Log amount of use and movement quality, Wolf Motor Function Test-Function, Stroke Motivation Scale, and Self-Efficacy Scale.
resultsSTRONG did not demonstrate superiority in Fugl-Meyer Upper Extremity Assessment or Wolf Motor Function Test-Timed. Within-group Fugl-Meyer Upper Extremity Assessment improvements were similar (STRONG: 1.8 points versus PEP: 2.1 points at post training; 3.3 versus 1.9 at follow-up). However, STRONG participants reported better quality and increased arm and hand use in daily activities (Motor Activity Log-quality of movement and Motor Activity Log-amount of use) at post training and follow-up. Additionally, STRONG participants showed higher self-efficacy post training, though not maintained at follow-up.
conclusionBoth programs produced modest motor improvements. Although STRONG did not outperform PEP in primary outcomes, participants reported improved daily arm and hand use and movement quality and higher program continuation. Home-based, self-managed rehabilitation focused on daily tasks and optional exercises appears beneficial in individuals with stroke. Larger studies are needed to confirm these results. REGISTRATION: URL: https://www.clinicaltrials.gov; Unique identifier: NCT03484182.
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