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.

Abstract

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.

Citation

Standen, P., Threapleton, K., Connell, L. A., Richardson, A., Brown, D. J., Battersby, S., Sutton, C. J., & 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), https://doi.org/10.2522/ptj.20130564

• Journal Article Type: Article
• Acceptance Date: Aug 28, 2014
• Publication Date: Mar 1, 2015
• Deposit Date: Mar 22, 2017
• Journal: Physical Therapy
• Print ISSN: 0031-9023
• Electronic ISSN: 1538-6724
• Publisher: Oxford University Press
• Peer Reviewed: Peer Reviewed
• Volume: 95
• Issue: 3
• DOI: https://doi.org/10.2522/ptj.20130564
• Keywords: 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)
• Public URL: https://nottingham-repository.worktribe.com/output/744106
• Publisher URL: https://doi.org/10.2522/ptj.20130564
• Related Public URLs: https://academic.oup.com/ptj/article-abstract/95/3/350/2686551/Patients-Use-of-a-Home-Based-Virtual-Reality?redirectedFrom=fulltext
• Contract Date: Mar 21, 2017