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05:52
Mobile Game-based Virtual Reality Program for Upper Extremity Stroke Rehabilitation
Published on: March 8, 2018
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RecoverNow: A mobile tablet-based therapy platform for early stroke rehabilitation
Michael Pugliese1, Tim Ramsay1,2, Rany Shamloul2
1School of Epidemiology and Public Health, University of Ottawa, Ontario, Canada.
Plos One
|January 26, 2019
Summary
Tablet-based stroke rehabilitation shows promise for early intervention, but adherence challenges exist. Addressing patient and system barriers is crucial for successful mobile health in stroke recovery.
Area of Science:
- Neuroscience
- Rehabilitation Medicine
- Digital Health
Background:
- Stroke survivors often face persistent deficits impacting quality of life.
- Early, specialized stroke rehabilitation is critical for optimal recovery.
- Resource limitations frequently delay or prevent timely rehabilitation initiation.
Purpose of the Study:
- To assess the feasibility of RecoverNow, a tablet-based platform for speech and cognitive therapy in stroke survivors.
- To evaluate the potential of mobile technology to bridge gaps in early stroke rehabilitation.
Main Methods:
- A convenience sample of 30 acute stroke patients used the RecoverNow platform for up to 3 months.
- Feasibility was measured by recruitment, adherence, retention, follow-up success, and protocol deviations.
- Barriers to tablet-based care were documented as a secondary outcome.
Main Results:
- Recruitment rate was 48% (30/62 patients) within 15 weeks.
- Patient adherence to therapy was low (median 12 minutes/day), with many finding applications too easy or difficult.
- Retention was high (77%), with 87% of follow-up interviews successfully completed.
Conclusions:
- Acute stroke patients are receptive to early tablet-based rehabilitation, demonstrating good recruitment and retention.
- Significant patient, device, and system barriers hinder adherence to mobile health interventions.
- Overcoming common barriers is essential for sustained patient engagement in tablet-based stroke therapy.
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