TY - JOUR
T1 - Feasibility of a home-based telerehabilitation system compared to usual care
T2 - Arm/hand function in patients with stroke, traumatic brain injury and multiple sclerosis
AU - Huijgen, Barbara C.H.
AU - Vollenbroek-Hutten, Miriam M.R.
AU - Zampolini, Mauro
AU - Opisso, Eloy
AU - Bernabeu, Montse
AU - van Nieuwenhoven, Johan
AU - Ilsbroukx, Stephan
AU - Magni, Riccardo
AU - Giacomozzi, Claudia
AU - Marcellari, Velio
AU - Marchese, Sandro Scattareggia
AU - Hermens, Hermie J.
PY - 2008/7
Y1 - 2008/7
N2 - We conducted a randomized controlled multicentre trial to investigate the feasibility of a telerehabilitation intervention for arm/hand function (the Home Care Activity Desk [HCAD] training) in a home setting. Usual care was compared to HCAD training. The hypothesis was that the clinical outcomes of the HCAD intervention would be at least the same as those measured after a period of usual care for patients with stroke, traumatic brain injury (TBI) and multiple sclerosis (MS) with respect to their arm/hand function. Eighty-one patients with affected arm/hand function resulting from either stroke, MS or TBI were recruited in Italy, Spain and Belgium; 11 were lost during follow-up (14%). The outcome measures were the Action Research Arm Test (ARAT) and the Nine Hole Peg Test (NHPT). There were no significant differences between the two groups on the outcome measures (ARATand NHPT); in both groups, patients maintained or even improved their arm/hand function. The HCAD training was found to be as feasible as usual care in terms of clinical outcomes, and both therapists and patients were satisfied with the HCAD intervention. A telerehabilitation intervention using HCAD may increase the efficiency of care.
AB - We conducted a randomized controlled multicentre trial to investigate the feasibility of a telerehabilitation intervention for arm/hand function (the Home Care Activity Desk [HCAD] training) in a home setting. Usual care was compared to HCAD training. The hypothesis was that the clinical outcomes of the HCAD intervention would be at least the same as those measured after a period of usual care for patients with stroke, traumatic brain injury (TBI) and multiple sclerosis (MS) with respect to their arm/hand function. Eighty-one patients with affected arm/hand function resulting from either stroke, MS or TBI were recruited in Italy, Spain and Belgium; 11 were lost during follow-up (14%). The outcome measures were the Action Research Arm Test (ARAT) and the Nine Hole Peg Test (NHPT). There were no significant differences between the two groups on the outcome measures (ARATand NHPT); in both groups, patients maintained or even improved their arm/hand function. The HCAD training was found to be as feasible as usual care in terms of clinical outcomes, and both therapists and patients were satisfied with the HCAD intervention. A telerehabilitation intervention using HCAD may increase the efficiency of care.
UR - https://www.scopus.com/pages/publications/56249125326
U2 - 10.1258/jtt.2008.080104
DO - 10.1258/jtt.2008.080104
M3 - Article
C2 - 18633000
AN - SCOPUS:56249125326
SN - 1357-633X
VL - 14
SP - 249
EP - 256
JO - JOURNAL OF TELEMEDICINE AND TELECARE
JF - JOURNAL OF TELEMEDICINE AND TELECARE
IS - 5
ER -