Viability of using a computer tablet to monitor an upper limb home exercise program in stroke.

Aims: To evaluate the feasibility of using a tablet computer to monitor the amount of upper limb practice completed by stroke patients prescribed with a home program and to explore factors that influence adherence. Method: Ten consecutive participants randomized to the intervention arm of a randomiz...

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Published in:Physiotherapy Theory & Practice Vol. 37; no. 2; pp. 331 - 342
Main Authors: Levy, Tamina, Killington, Maggie, Lannin, Natasha, Crotty, Maria
Format: research tables/charts randomized controlled trial Journal Article
Published: Taylor & Francis Ltd Feb2021
Online Access:View this record in EBSCOhost
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      dt: Feb2021
      vid: 37
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.1080/09593985.2019.1625092
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        atl: Viability of using a computer tablet to monitor an upper limb home exercise program in stroke.
      aug:
        au:
          Levy, Tamina
          Killington, Maggie
          Lannin, Natasha
          Crotty, Maria
        affil: Flinders Medical Centre, Rehabilitation and Palliative Services, Adelaide, Australia
      sug:
        subj:
          Computers, Portable Utilization
          Computer Peripherals Utilization
          Upper Extremity Physiology
          Exercise Physiology
          Stroke
          Human
          Middle Age
          Aged
          Random Assignment
          Randomized Controlled Trials
          Descriptive Statistics
          Self Report
          Physical Therapists
          Pilot Studies
          Data Analysis Software
          Self-Efficacy
          Short Portable Mental Status Questionnaire
          Scales
          Questionnaires
          Middle Aged: 45-64 years
          Aged: 65+ years
      ab: Aims: To evaluate the feasibility of using a tablet computer to monitor the amount of upper limb practice completed by stroke patients prescribed with a home program and to explore factors that influence adherence. Method: Ten consecutive participants randomized to the intervention arm of a randomized controlled trial investigating therapy after spasticity management for stroke patients (ACTRN 12615000616572) were recruited for this sub-study. Participants were asked to perform and record a prescribed 60-min upper limb program, based on the Graded Arm Supplementary Program, on a tablet computer daily. Four randomly selected recorded sessions for each participant were analyzed by the physiotherapist to assess adherence to the amount of exercise and content. Results: Mean score for the System Usability Scale was 85.5 (range 47.5–100) indicating that participants were accepting of the technology. Participants performed exercises on average for 50.32 min (range 26.42–68.37). Self-reported practice time was 59.44 min (range 48–67.5). Conclusion: Monitoring of patient practice using a tablet computer is feasible and may prove more reliable than self-report. There is variability in the amount of upper limb exercise stroke patients do at home.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Unknown
    language: English
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