An Innovative STRoke Interactive Virtual thErapy (STRIVE) online platform for community-dwelling stroke survivors : A randomized controlled trial

Journal article

Johnson, Liam, Bird, Marie-Louise, Muthalib, Makii and Teo, Wei-Peng. (2020). An Innovative STRoke Interactive Virtual thErapy (STRIVE) online platform for community-dwelling stroke survivors : A randomized controlled trial. Archives of Physical Medicine and Rehabilitation. 101, pp. 1131-1137. https://doi.org/10.1016/j.apmr.2020.03.011
AuthorsJohnson, Liam, Bird, Marie-Louise, Muthalib, Makii and Teo, Wei-Peng
Abstract

Objective
To investigate the STRoke Interactive Virtual thErapy (STRIVE) intervention on upper-extremity clinical outcomes in community-dwelling stroke survivors.

Design
Assessor-blinded randomized controlled trial.

Setting
Study screening and testing was conducted in a university clinic. Participants completed the virtual therapy (VT) intervention in a community-based stroke support group setting.

Participants
Of 124 stroke survivors initially assessed, 60 participants were recruited (time poststroke, 13.4±8.9 y). Participants were allocated to either VT or control group using a block randomization design and were stratified by sex.

Interventions
Participants were randomized to receive 8 weeks of VT or usual care. The intervention consisted of approximately 45 minutes of twice weekly VT training on the Jintronix Rehabilitation System.

Main Outcome Measures
Between-group differences in the Fugl-Meyer Upper Extremity scale and Action Research Arm Test score were joint primary outcomes in this study.

Results
Significant between-group differences for the Fugl-Meyer Upper Extremity scale were seen at the end of the intervention (F1, 1=5.37, P=.02, d=0.41). No significant differences were observed with the Action Research Arm Test. No adverse events were reported.

Conclusions
We demonstrated clinically meaningful improvements in gross upper extremity motor function and use of the affected arm after a VT intervention delivered via a community-based stroke support group setting. This data adds to the contexts in which VT can be used to improve upper limb function. Use of VT in community-based rehabilitation in chronic stroke recovery is supported.

Keywordsexercise; stroke; technology; upper limb; virtual reality
Year2020
JournalArchives of Physical Medicine and Rehabilitation
Journal citation101, pp. 1131-1137
PublisherW.B. Saunders
ISSN0003-9993
Digital Object Identifier (DOI)https://doi.org/10.1016/j.apmr.2020.03.011
Scopus EID2-s2.0-85085282652
Research or scholarlyResearch
Page range1131-1137
Publisher's version
License
All rights reserved
File Access Level
Controlled
Output statusPublished
Publication dates
Online10 Apr 2020
Publication process dates
Deposited28 Jul 2021
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