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Related Experiment Video

Updated: Jun 17, 2025

Author Spotlight: Enhancing Post-Stroke Upper Limb Rehabilitation with Robotic Technologies for Improved Motor Recovery and Functional Outcomes
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Improving Movement Behavior in People after Stroke with the RISE Intervention: A Randomized Multiple Baseline Study.

Wendy Hendrickx1,2,3, Roderick Wondergem4, Cindy Veenhof2,3,5

  • 1Research Group Empowering Healthy Behavior, Department of Health Innovations and Technology, Fontys University of Applied Sciences, 5600 AH Eindhoven, The Netherlands.

Journal of Clinical Medicine
|August 10, 2024
PubMed
Summary

The RISE intervention effectively reduced sedentary time in stroke survivors. Adding social support enhanced these positive results, showing promise for reducing cardiovascular disease risk.

Keywords:
behavior changecardiovascular diseasesmovement behaviorsphysical activitysedentary behaviorsedentary timesitting timestroke

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Area of Science:

  • Rehabilitation Medicine
  • Public Health
  • Behavioral Science

Background:

  • High sedentary behavior is a significant risk factor for cardiovascular disease.
  • Community-dwelling individuals post-stroke often exhibit high levels of sedentary behavior.
  • Reducing and interrupting sedentary time is crucial for improving health outcomes in this population.

Purpose of the Study:

  • To assess the preliminary effectiveness and feasibility of the RISE intervention for reducing and interrupting sedentary time in people with stroke.
  • To determine the added value of incorporating participatory support within the intervention.

Main Methods:

  • A randomized, multiple-baseline study involving 14 participants.
  • The RISE intervention included a 15-week blended behavioral approach with a physiotherapist, eCoaching system, activity monitor, and app.
  • Participants were randomized to receive either the intervention alone or with added participatory support from a social network member.

Main Results:

  • Significant reductions in total sedentary time (average 1.3 hours) and increased fragmentation of sedentary time were observed (p < 0.01).
  • Subgroup analysis indicated significant improvements in both outcomes exclusively in the group receiving participatory support.
  • High adherence (92.9%), no adverse events, and sufficient participant satisfaction were reported.

Conclusions:

  • The RISE intervention shows promise for helping sedentary individuals post-stroke reduce and interrupt their sedentary time.
  • Participatory support appears to be a key factor in achieving greater positive outcomes.
  • The intervention is feasible and well-tolerated by participants.