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An Innovative STRoke Interactive Virtual thErapy (STRIVE) Online Platform for Community-Dwelling Stroke Survivors: A Randomized Controlled Trial.
Arch Phys Med Rehabil. 2020 07; 101(7):1131-1137.AP

Abstract

OBJECTIVE

To investigate the STRoke Interactive Virtual thErapy (STRIVE) intervention on upper-extremity clinical outcomes in community-dwelling stroke survivors.

DESIGN

Assessor-blinded randomized controlled trial.

SETTING

Study screening and testing was conducted in a university clinic. Participants completed the virtual therapy (VT) intervention in a community-based stroke support group setting.

PARTICIPANTS

Of 124 stroke survivors initially assessed, 60 participants were recruited (time poststroke, 13.4±8.9 y). Participants were allocated to either VT or control group using a block randomization design and were stratified by sex.

INTERVENTIONS

Participants were randomized to receive 8 weeks of VT or usual care. The intervention consisted of approximately 45 minutes of twice weekly VT training on the Jintronix Rehabilitation System.

MAIN OUTCOME MEASURES

Between-group differences in the Fugl-Meyer Upper Extremity scale and Action Research Arm Test score were joint primary outcomes in this study.

RESULTS

Significant between-group differences for the Fugl-Meyer Upper Extremity scale were seen at the end of the intervention (F1, 1=5.37, P=.02, d=0.41). No significant differences were observed with the Action Research Arm Test. No adverse events were reported.

CONCLUSIONS

We demonstrated clinically meaningful improvements in gross upper extremity motor function and use of the affected arm after a VT intervention delivered via a community-based stroke support group setting. This data adds to the contexts in which VT can be used to improve upper limb function. Use of VT in community-based rehabilitation in chronic stroke recovery is supported.

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Authors+Show Affiliations

Johnson L
The Florey Institute of Neuroscience and Mental Health, University of Melbourne, Melbourne, Australia; Faculty of Behavioural and Health Sciences, Australian Catholic University, Melbourne, Australia; National Health and Medical Research Council Stroke Rehabilitation and Brain Recovery Centre of Research Excellence, The Florey Institute of Neuroscience and Mental Health, Melbourne, Australia.
Bird ML
College of Health and Medicine, University of Tasmania, Launceston, Australia; Department of Physical Therapy, University of British Columbia, Vancouver, Canada.
Muthalib M
Silverline Research, Brisbane, Australia; EuroMov, University of Montpellier, Montpellier, France.
Teo WP
Institute for Physical Activity and Nutrition, School of Exercise and Nutrition Sciences, Deakin University, Geelong, Australia; Physical Education and Sports Science Academic Group, National Institute of Education, Nanyang Technological University, Singapore. Electronic address: weipeng.teo@nie.edu.sg.

MeSH

AgedAged, 80 and overExercise TherapyFemaleFollow-Up StudiesHumansIndependent LivingInternationalityMaleMiddle AgedOccupational TherapyParesisRecovery of FunctionSingle-Blind MethodStatistics, NonparametricStrokeStroke RehabilitationSurvivorsTime FactorsTreatment OutcomeUpper ExtremityVirtual Reality Exposure Therapy

Pub Type(s)

Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

32283048

Clinical Trial Links

Enhancing Resilience in Young Stroke Survivors With Res-ET

Citation

Johnson, Liam, et al. "An Innovative STRoke Interactive Virtual thErapy (STRIVE) Online Platform for Community-Dwelling Stroke Survivors: a Randomized Controlled Trial." Archives of Physical Medicine and Rehabilitation, vol. 101, no. 7, 2020, pp. 1131-1137.
Johnson L, Bird ML, Muthalib M, et al. An Innovative STRoke Interactive Virtual thErapy (STRIVE) Online Platform for Community-Dwelling Stroke Survivors: A Randomized Controlled Trial. Arch Phys Med Rehabil. 2020;101(7):1131-1137.
Johnson, L., Bird, M. L., Muthalib, M., & Teo, W. P. (2020). An Innovative STRoke Interactive Virtual thErapy (STRIVE) Online Platform for Community-Dwelling Stroke Survivors: A Randomized Controlled Trial. Archives of Physical Medicine and Rehabilitation, 101(7), 1131-1137. https://doi.org/10.1016/j.apmr.2020.03.011
Johnson L, et al. An Innovative STRoke Interactive Virtual thErapy (STRIVE) Online Platform for Community-Dwelling Stroke Survivors: a Randomized Controlled Trial. Arch Phys Med Rehabil. 2020;101(7):1131-1137. PubMed PMID: 32283048.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - An Innovative STRoke Interactive Virtual thErapy (STRIVE) Online Platform for Community-Dwelling Stroke Survivors: A Randomized Controlled Trial. AU - Johnson,Liam, AU - Bird,Marie-Louise, AU - Muthalib,Makii, AU - Teo,Wei-Peng, Y1 - 2020/04/10/ PY - 2019/09/07/received PY - 2020/02/03/revised PY - 2020/03/06/accepted PY - 2020/4/14/pubmed PY - 2020/10/7/medline PY - 2020/4/14/entrez KW - Exercise KW - Stroke KW - Technology KW - Upper limb KW - Virtual reality SP - 1131 EP - 1137 JF - Archives of physical medicine and rehabilitation JO - Arch Phys Med Rehabil VL - 101 IS - 7 N2 - OBJECTIVE: To investigate the STRoke Interactive Virtual thErapy (STRIVE) intervention on upper-extremity clinical outcomes in community-dwelling stroke survivors. DESIGN: Assessor-blinded randomized controlled trial. SETTING: Study screening and testing was conducted in a university clinic. Participants completed the virtual therapy (VT) intervention in a community-based stroke support group setting. PARTICIPANTS: Of 124 stroke survivors initially assessed, 60 participants were recruited (time poststroke, 13.4±8.9 y). Participants were allocated to either VT or control group using a block randomization design and were stratified by sex. INTERVENTIONS: Participants were randomized to receive 8 weeks of VT or usual care. The intervention consisted of approximately 45 minutes of twice weekly VT training on the Jintronix Rehabilitation System. MAIN OUTCOME MEASURES: Between-group differences in the Fugl-Meyer Upper Extremity scale and Action Research Arm Test score were joint primary outcomes in this study. RESULTS: Significant between-group differences for the Fugl-Meyer Upper Extremity scale were seen at the end of the intervention (F1, 1=5.37, P=.02, d=0.41). No significant differences were observed with the Action Research Arm Test. No adverse events were reported. CONCLUSIONS: We demonstrated clinically meaningful improvements in gross upper extremity motor function and use of the affected arm after a VT intervention delivered via a community-based stroke support group setting. This data adds to the contexts in which VT can be used to improve upper limb function. Use of VT in community-based rehabilitation in chronic stroke recovery is supported. SN - 1532-821X UR - https://www.unboundmedicine.com/medline/citation/32283048/An_Innovative_STRoke_Interactive_Virtual_thErapy__STRIVE__Online_Platform_for_Community_Dwelling_Stroke_Survivors:_A_Randomized_Controlled_Trial_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0003-9993(20)30209-4 DB - PRIME DP - Unbound Medicine ER -