Evidence map›Paper›PMID 41541098›Full record

ArticleFrontiers in stroke2023

The facilitators and barriers to home-based robotic rehabilitation in India: a pilot feasibility study.

Aravind Nehrujee, A T Prabhakar, Sathish Balaraman, Rasika Bombatkar, Henry Prakash, Selvaraj Samuelkamaleshkumar, Sanjith Aaron, Suranjan Bhattacharji, S Sujatha, Sivakumar Balasubramanian

Abstract read
In one paragraph

Article in Frontiers in stroke, 2023. 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. Article
  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

10 authors.

Aravind NehrujeeDepartment of Bioengineering, Christian Medical College Vellore, Vellore, Tamil Nadu, India.
A T PrabhakarDepartment of Neurological Sciences, Christian Medical College Vellore, Vellore, Tamil Nadu, India.
Sathish BalaramanDepartment of Mechanical Engineering, Indian Institute of Technology Madras, Chennai, Tamil Nadu, India.
Rasika BombatkarDepartment of Mechanical Engineering, Indian Institute of Technology Madras, Chennai, Tamil Nadu, India.
Henry PrakashDepartment of Physical Medicine and Rehabilitation, Christian Medical College Vellore, Vellore, Tamil Nadu, India.
Selvaraj SamuelkamaleshkumarDepartment of Physical Medicine and Rehabilitation, Christian Medical College Vellore, Vellore, Tamil Nadu, India.
Sanjith AaronDepartment of Neurological Sciences, Christian Medical College Vellore, Vellore, Tamil Nadu, India.
Suranjan BhattacharjiDepartment of Physical Medicine and Rehabilitation, Christian Medical College Vellore - Chittoor Campus, Chittoor, Andhra Pradesh, India.
S SujathaDepartment of Mechanical Engineering, Indian Institute of Technology Madras, Chennai, Tamil Nadu, India.
Sivakumar BalasubramanianDepartment of Bioengineering, Christian Medical College Vellore, Vellore, Tamil Nadu, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Robot-assisted rehabilitation has emerged as a promising approach for enhancing motor function in stroke survivors. However, the feasibility and effectiveness of home-based robotic training in this population are underexplored, especially in low/middle-income countries. Methods: This feasibility study aimed to address this gap by examining the feasibility and effectiveness of independent home-based training using PLUTO, a robotic device for hand training. A total of 7 chronic stroke survivors were recruited, with 5 completing the study. Results: The results revealed high engagement and adherence to the home-based training program, with participants averaging 1659.8 min of training over 24.8 days. The PLUTO system demonstrated excellent usability and elicited positive user perceptions. Significant improvements were observed in functional outcomes, as evidenced by a noteworthy increase in Fugl-Meyer Assessment scores (mean increase of 6.2 points, exceeding the minimal clinically important difference (MCID) of 5.35 points). Furthermore, participants showed improvements in the ABILHAND measure (mean improvement of 1.24 logits, surpassing the MCID of 0.2 logits) and the Barthel Index (mean increase of 8.8 points). Conclusion: These findings demonstrate the feasibility and effectiveness of home-based robotic rehabilitation for chronic stroke survivors. This has implications for expanding access to rehabilitation services in low- and middle-income countries, enhancing patient engagement and adherence, and improving functional outcomes. Larger controlled studies are warranted to evaluate the effectiveness of home-based robotic rehabilitation programs.

Indexed as

handhome-basedhome trehabilitationrehabilitation robotserious gamesstroketelerehabilitationusability

Identifiers

PMID41541098
PMCPMC12802776

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.