Remote constraint induced therapy of the upper extremity (ReCITE): A feasibility study protocol

Area of Science:

• Neurorehabilitation
• Telehealth in Stroke Recovery
• Upper Extremity Motor Function

Background:

• Difficulty using the upper extremity is a common post-stroke challenge.
• Constraint-induced movement therapy (CIMT) is a recommended stroke rehabilitation intervention.
• Telehealth delivery of CIMT (TeleCIMT) requires further evaluation for feasibility and acceptability.

Purpose of the Study:

• To evaluate the feasibility and acceptability of TeleCIMT for stroke survivors.
• To explore therapists' experiences with an online support package for TeleCIMT delivery.
• To inform the design of future randomized controlled trials for TeleCIMT.

Main Methods:

• Prospective single-group study with 30 stroke survivors at three Sydney outpatient services.
• Occupational therapists utilized a COM-B informed support package for TeleCIMT implementation.
• Feasibility assessed by adherence to prescribed arm practice; acceptability via interviews and surveys.

Main Results:

• Data on feasibility and acceptability of TeleCIMT delivery and therapist support are being collected.
• Qualitative data will explore therapist and stroke survivor experiences with the intervention and support.

Conclusions:

• The study will provide crucial insights into the practicalities of delivering CIMT remotely to stroke survivors.
• Findings will guide the development of effective telehealth-based stroke rehabilitation strategies.
• Results will determine the viability of a larger randomized controlled trial for TeleCIMT.