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Neurotechnology-based intensive upper-extremity supplementary training for inpatients with sub-acute stroke: A feasibility study
Reut Binyamin-Netser;
Shirley Handelzalts;
Noy Goldhamer;
Inbar Avni;
Adi Yeshurun Tayer;
Yogev Koren;
Ofri Bibas Levy;
Shilo Kramer;
Simona Bar Haim;
Lior Shmuelof
ABSTRACT
Background:
Intensive and high-dose upper extremity training, concentrating on movement quality in the early phase after a stroke, can enhance motor recovery compared to standard care. Unfortunately, such programs do not exist due to limited resources, patient compliance, and administrative challenges.
Objective:
To examine the feasibility and potential efficacy, and to evaluate the resources of an intensive technology-based upper extremity training emphasizing movement quality during inpatient stroke rehabilitation.
Methods:
Twelve subjects with hemiparesis underwent 40 60-minute sessions over a 4-week period, in addition to standard care. The training included two game-based virtual reality platforms to practice proximal (tech 1) and distal (tech 2) movements with daily assessments.
Results:
Eight subjects completed the entire protocol, three subjects completed 34–38 sessions, and one subject completed only 27 sessions. The mean time on each task was 35±4 (tech 1) and 37±2 (tech 2) minutes per hour. The intervention was perceived as motivating and enjoyable [Intrinsic Motivation Inventory (IMI) enjoyment and interest= 6.49±0.66 out of 7] and was not associated with pain [Visual Analogue Scale (VAS) mean= 2.00±2.32]. Subjects showed large improvements in all impairment measurements (mean FMA delta= 16.5 points and ARAT delta= 22.9 points).
Conclusions:
The results support the feasibility of a high-dose high-intensity supplementary training protocol during sub-acute hospitalization and provide suggestive evidence of its efficacy. Clinical Trial: ClinicalTrials.gov (NCT04737395)
Citation
Please cite as:
Binyamin-Netser R, Handelzalts S, Goldhamer N, Avni I, Yeshurun Tayer A, Koren Y, Bibas Levy O, Kramer S, Bar Haim S, Shmuelof L
Neurotechnology-Based, Intensive, Supplementary Upper-Extremity Training for Inpatients With Subacute Stroke: Feasibility Study