Patients' use of a home-based virtual reality system to provide rehabilitation of the upper limb following stroke

Objective Effectiveness depends on adherence, so did patients use the intervention to the recommended level? If not, what reasons did they give? The purpose of this study was to investigate these and related questions. Design A prospective cohort study, plus qualitative analysis of intervie...

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Main Authors: Standen, Penny, Threapleton, Kate, Connell, Louise Anne, Richardson, Andy, Brown, David J., Battersby, Steven, Sutton, Catherine Jane, Platts, F.
Format: Article
Published: Oxford Academic 2015
Subjects:
Online Access:https://eprints.nottingham.ac.uk/41274/
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author Standen, Penny
Threapleton, Kate
Connell, Louise Anne
Richardson, Andy
Brown, David J.
Battersby, Steven
Sutton, Catherine Jane
Platts, F.
author_facet Standen, Penny
Threapleton, Kate
Connell, Louise Anne
Richardson, Andy
Brown, David J.
Battersby, Steven
Sutton, Catherine Jane
Platts, F.
author_sort Standen, Penny
building Nottingham Research Data Repository
collection Online Access
description Objective Effectiveness depends on adherence, so did patients use the intervention to the recommended level? If not, what reasons did they give? The purpose of this study was to investigate these and related questions. Design A prospective cohort study, plus qualitative analysis of interviews, was conducted. Methods Seventeen patients recovering from stroke recruited to the intervention arm of a feasibility trial had the equipment left in their homes for 8 weeks and were advised to use it 3 times a day for periods of no more than 20 minutes. Frequency and duration of use were automatically recorded. At the end of the intervention, participants were interviewed to determine barriers to using it in the recommended way. Results Duration of use and how many days they used the equipment are presented for the 13 participants who successfully started the intervention. These figures were highly variable and could fall far short of our recommendations. There was a weak positive correlation between duration and baseline reported activities of daily living. Participants reported lack of familiarity with technology and competing commitments as barriers to use, although they appreciated the flexibility of the intervention and found it motivating. Limitations The small sample size limits the conclusions that can be drawn. Conclusions Level of use is variable and can fall far short of recommendations. Competing commitments were a barrier to use of the equipment, but participants reported that the intervention was flexible and motivating. It will not suit everyone, but some participants recorded high levels of use. Implications for practice are discussed.
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spelling nottingham-412742020-05-04T17:01:47Z https://eprints.nottingham.ac.uk/41274/ Patients' use of a home-based virtual reality system to provide rehabilitation of the upper limb following stroke Standen, Penny Threapleton, Kate Connell, Louise Anne Richardson, Andy Brown, David J. Battersby, Steven Sutton, Catherine Jane Platts, F. Objective Effectiveness depends on adherence, so did patients use the intervention to the recommended level? If not, what reasons did they give? The purpose of this study was to investigate these and related questions. Design A prospective cohort study, plus qualitative analysis of interviews, was conducted. Methods Seventeen patients recovering from stroke recruited to the intervention arm of a feasibility trial had the equipment left in their homes for 8 weeks and were advised to use it 3 times a day for periods of no more than 20 minutes. Frequency and duration of use were automatically recorded. At the end of the intervention, participants were interviewed to determine barriers to using it in the recommended way. Results Duration of use and how many days they used the equipment are presented for the 13 participants who successfully started the intervention. These figures were highly variable and could fall far short of our recommendations. There was a weak positive correlation between duration and baseline reported activities of daily living. Participants reported lack of familiarity with technology and competing commitments as barriers to use, although they appreciated the flexibility of the intervention and found it motivating. Limitations The small sample size limits the conclusions that can be drawn. Conclusions Level of use is variable and can fall far short of recommendations. Competing commitments were a barrier to use of the equipment, but participants reported that the intervention was flexible and motivating. It will not suit everyone, but some participants recorded high levels of use. Implications for practice are discussed. Oxford Academic 2015-03-01 Article PeerReviewed Standen, Penny, Threapleton, Kate, Connell, Louise Anne, Richardson, Andy, Brown, David J., Battersby, Steven, Sutton, Catherine Jane and Platts, F. (2015) Patients' use of a home-based virtual reality system to provide rehabilitation of the upper limb following stroke. Physical Therapy, 95 (3). pp. 350-359. ISSN 1538-6724 Stroke (Geriatrics) Self-Care and home management Therapeutic exercise work and community reintegration Injuries and conditions Upper extremity motor control and motor learning stroke (Neurology) https://doi.org/10.2522/ptj.20130564 doi:10.2522/ptj.20130564 doi:10.2522/ptj.20130564
spellingShingle Stroke (Geriatrics)
Self-Care and home management
Therapeutic exercise work and community reintegration Injuries and conditions
Upper extremity motor control and motor learning stroke (Neurology)
Standen, Penny
Threapleton, Kate
Connell, Louise Anne
Richardson, Andy
Brown, David J.
Battersby, Steven
Sutton, Catherine Jane
Platts, F.
Patients' use of a home-based virtual reality system to provide rehabilitation of the upper limb following stroke
title Patients' use of a home-based virtual reality system to provide rehabilitation of the upper limb following stroke
title_full Patients' use of a home-based virtual reality system to provide rehabilitation of the upper limb following stroke
title_fullStr Patients' use of a home-based virtual reality system to provide rehabilitation of the upper limb following stroke
title_full_unstemmed Patients' use of a home-based virtual reality system to provide rehabilitation of the upper limb following stroke
title_short Patients' use of a home-based virtual reality system to provide rehabilitation of the upper limb following stroke
title_sort patients' use of a home-based virtual reality system to provide rehabilitation of the upper limb following stroke
topic Stroke (Geriatrics)
Self-Care and home management
Therapeutic exercise work and community reintegration Injuries and conditions
Upper extremity motor control and motor learning stroke (Neurology)
url https://eprints.nottingham.ac.uk/41274/
https://eprints.nottingham.ac.uk/41274/
https://eprints.nottingham.ac.uk/41274/