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Related Experiment Video

Updated: Aug 1, 2025

Author Spotlight: Enhancing Post-Stroke Upper Limb Rehabilitation with Robotic Technologies for Improved Motor Recovery and Functional Outcomes

Author Spotlight: Enhancing Post-Stroke Upper Limb Rehabilitation with Robotic Technologies for Improved Motor Recovery and Functional Outcomes

Published on: September 6, 2024

Protocol for a remote home-based upper extremity self-training program for community-dwelling individuals after

Grace J Kim¹, Amanda Gahlot¹, Camille Magsombol²

¹Department of Occupational Therapy, NYU Steinhardt School of Culture, Education, and Human Development, 82 Washington Square E, New York, NY, 10003, USA.

Contemporary Clinical Trials Communications

|April 28, 2023

Summary

This study protocol outlines a remote, home-based upper extremity (UE) self-training program for stroke survivors with hemiparesis. It uses motivational interviewing and ecological momentary assessments to improve engagement and adherence in UE rehabilitation.

Keywords:

Ecological momentary assessment Motivational interviewing Remote rehabilitation Stroke Telerehabilitation Upper extremity

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Last Updated: Aug 1, 2025

Author Spotlight: Enhancing Post-Stroke Upper Limb Rehabilitation with Robotic Technologies for Improved Motor Recovery and Functional Outcomes

Author Spotlight: Enhancing Post-Stroke Upper Limb Rehabilitation with Robotic Technologies for Improved Motor Recovery and Functional Outcomes

Published on: September 6, 2024

Author Spotlight: Rehabilitation of Stroke Patients With a Digital Occupational Training System

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Mobile Game-based Virtual Reality Program for Upper Extremity Stroke Rehabilitation

Mobile Game-based Virtual Reality Program for Upper Extremity Stroke Rehabilitation

Published on: March 8, 2018

Area of Science:

Neurorehabilitation
Stroke Recovery
Digital Health

Background:

Stroke survivors often experience chronic upper extremity (UE) hemiparesis, impacting daily function.
Remote rehabilitation offers a promising avenue to extend clinical gains and promote home-based UE use.
This protocol details a novel remote, home-based UE self-training program.

Purpose of the Study:

To describe the study protocol for a remote, home-based UE self-training program for stroke survivors.
To investigate the feasibility of using motivational interviewing (MI) and ecological momentary assessments (EMA) to enhance engagement and adherence.
To assess the impact of the program on UE function and recovery in community-dwelling individuals.

Main Methods:

A convergent mixed methods feasibility study involving 15 community-dwelling individuals with UE hemiparesis post-stroke.
A 4-week personalized UE self-training program incorporating MI and EMA.
Phases included interventionist training in MI, shared decision-making for customized plans, and the 4-week self-training period.

Main Results:

Feasibility will be evaluated by summarizing recruitment, retention, intervention delivery, acceptance, adherence, and safety.
Quantitative outcomes include changes in UE status measured by Fugl-Meyer Assessment, Motor Activity Log, and others.
Qualitative data from semi-structured interviews will explore participant experiences, facilitators, and barriers to adherence.

Conclusions:

This research will advance knowledge on using MI and EMA to improve adherence in remote UE self-training for stroke survivors.
The findings aim to enhance UE recovery for individuals transitioning back into the community.
The study protocol provides a framework for developing effective remote rehabilitation strategies.