Please use this identifier to cite or link to this item: http://bura.brunel.ac.uk/handle/2438/30628
Title: Rehabilitation Using Virtual Gaming For Hospital And Home- Based Training For The Upper Limb In Acute And Subacute Stroke (Rhombus Ii): Results Of A Feasibility RCT
Authors: Butcher, T
Warland, A
Stewart, V
Aweid, B
Samiyappan, A
Kal, E
Ryan, J
Athanasiou, D
Baker, K
Singla-Buxarrais, G
Anokye, N
Pound, C
Gowing, F
Norris, M
Kilbride, C
Issue Date: 12-Dec-2024
Publisher: SAGE Publications
Citation: Butcher, T. et al. (2024) 'Rehabilitation Using Virtual Gaming For Hospital And Home- Based Training For The Upper Limb In Acute And Subacute Stroke (Rhombus Ii): Results Of A Feasibility RCT', International Journal of Stroke, 19 (3 suppl: 19th UK Stroke Forum Conference, 3rd-5th December 2024, Liverpool ACC, UK), pp. 50-50. doi: 10.1177/17474930241300284.
Abstract: Introduction: Current provision of upper-limb (UL) rehabilitation during the early period post stroke is insufficient to optimise potential for recovery. Virtual reality systems, such as the Neurofenix platform, can help increase the intensity of UL rehabilitation across the stroke pathway. Method: A feasibility RCT was undertaken to determine the safety, feasibility and acceptability of the Neurofenix platform. Stroke survivors with UL weakness were recruited from in-patient or early supported discharge stroke teams. Both groups received usual care, the intervention group also had the Neurofenix platform for 7-weeks. Outcomes were assessed at baseline and 7-weeks. Safety was assessed through adverse events (AEs), pain, spasticity and fatigue. Feasibility was determined through training and support requirements, and acceptability through intervention fidelity and a satisfaction questionnaire. Results: 24 participants were randomised, n=16 to the intervention (13 women; mean (SD) age 66.5 (15) years; median (range) 9.5 (1-42) days post-stroke) and n=8 control group (4 women; mean (SD) age 64.6 (13.6) years; median (range) 17.5 (4-23) days post-stroke). 3 participants withdrew before 7-weeks, with 21 (intervention group n=15; control group n=6) included in the analysis. No significant between group differences in fatigue, spasticity, pain scores or total number of AEs. Median (IQR) time to train participants was 98 (64) minutes over 1-3 sessions. Participants trained with the platform for a median (range) of 11 (1-58) hours, equating to 94 minutes extra per week. Conclusion: The Neurofenix platform is safe, feasible and well-accepted across the hospital and home settings, supporting increased dose and intensity of essential early UL stroke rehabilitation.
Description: Conference poster presented at the 19th UK Stroke Forum Conference, 1st–3rd December 2024, Liverpool ACC, UK.
URI: https://bura.brunel.ac.uk/handle/2438/30628
DOI: https://doi.org/10.1177/17474930241300284
ISSN: 1747-4930
Other Identifiers: ORCiD: Tom Butcher https://orcid.org/0009-0005-4452-4679
ORCiD: Alyson Warland https://orcid.org/0000-0002-4629-0395
ORCiD: Victoria Stewart https://orcid.org/0000-0003-4077-8848
ORCiD: Elmar Kal https://orcid.org/0000-0002-1481-3016
ORCiD: Jennifer Ryan https://orcid.org/0000-0003-3768-2132
ORCiD: Karen Baker https://orcid.org/0000-0002-5354-3901
ORCiD: Nana Anokye https://orcid.org/0000-0003-3615-344X
ORCiD: Meriel Norris https://orcid.org/0000-0001-7779-5612
ORCiD: Cherry Kilbride https://orcid.org/0000-0002-2045-1883
Appears in Collections:Dept of Health Sciences Research Papers

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FullText.pdfCopyright © 2024 World Stroke Organization. Butcher T. et al. Rehabilitation Using Virtual Gaming For Hospital And Home- Based Training For The Upper Limb In Acute And Subacute Stroke (Rhombus Ii): Results Of A Feasibility RCT, International Journal of Stroke, 19 (3 suppl: 19th UK Stroke Forum Conference, 3rd-5th December 2024, Liverpool, UK), pp. 50-50. DOI: 10.1177/17474930241300284. (see: https://us.sagepub.com/en-us/nam/journal-author-archiving-policies-and-re-use).254.31 kBAdobe PDFView/Open


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