ArticleFrontiers in rehabilitation sciences2026
Evaluation of an intensive, private, community, upper limb rehabilitation program for people with chronic stroke: a mixed methods case series.
Article in Frontiers in rehabilitation sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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5 authors.
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Abstract
Purpose: Increased rehabilitation intensity may improve upper-limb recovery post-stroke. This study explored early preliminary evidence of effectiveness and participant experiences of a private, intensive, community, upper-limb rehabilitation program (Neuroboost). Methods: Pre-post case series using a concurrent mixed methods design. People with chronic stroke and upper limb impairment enrolled in a six-week, 18-hour, rehabilitation program (Neuroboost) were invited to participate. Quantitative measures (pre-post) investigated upper-limb impairment/activity (Fugl-Meyer Assessment Upper Extremity - FMA-UE; Action Research Arm Test - ARAT), self-efficacy (Stroke Self-Efficacy Questionnaire - SSEQ), and quality of life (EuroQol-5 Dimension Questionnaire - EQ-5D-5L; EuroQol Visual Analogue Scale - EQ-VAS). Semi-structed interviews were conducted within four-weeks of Neuroboost completion. Results: Two participants were recruited (both female, 48 and 53 years). FMA-UE improved in both participants (3 and 6 points). ARAT (0 and 3 points), SSEQ (11 and -15 points), EQ-5D-5L (-0.01 and -0.29), and EQ-VAS (0 and 55 points) changes were variable. Participants reported themes of Commitment, Social, Technology, Arm Movement, Quality of Life, Expectations, and Environment. Conclusion: Preliminary findings from a small sample suggest that delivering intensive rehabilitation in a private setting may promote upper-limb recovery in chronic stroke survivors. A larger study appears worthy to establish evidence of effectiveness.
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