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Best practice for arm recovery post stroke: an international application.
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2016 (English)In: Physiotherapy, ISSN 0031-9406, E-ISSN 1873-1465, Vol. 102, no 1Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: To develop an evidence-based application ('app') for post-stroke upper extremity rehabilitation that can be used globally by therapists.

PARTICIPANTS: Twenty-three experienced neurorehabilitation therapists, applied scientists and physicians, and 10 consultants dedicated to the provision of best practice to stroke survivors.

DESIGN: This team evaluated the evidence to support the timely and appropriate provision of interventions and the most defensible outcome measures during a 4-year voluntary information gathering and assimilation effort, as a basis for the sequencing of an algorithm informed by the data and directed by changes in impairment and chronicity.

OUTCOME MEASURES: The primary outcome was the formulation of a testable app that will be available for minimal user cost. The app is for a smartphone, and the comments of a focus group (audience at a World Confederation for Physical Therapy 2015 presentation, approximate n=175) during a 30-minute 'Questions and Answers' session were assessed.

RESULTS: Analysis of documented, extensive input offered by the audience indicated a highly favourable disposition towards this novel tool, with provision of concrete suggestions prior to launching the final version. Suggestions centred on: inclusion of instructions; visuals and demonstrations; monitoring of adverse responses; availability of updates; autonomous use by patients; and potential to characterise practice.

CONCLUSIONS: A simple, user-friendly app for decision making in the treatment of upper extremity impairments following stroke is feasible and welcomed.

Place, publisher, year, edition, pages
2016. Vol. 102, no 1
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Research subject
URN: urn:nbn:se:umu:diva-124828DOI: 10.1016/ 26573327OAI: diva2:955769
Available from: 2016-08-26 Created: 2016-08-26 Last updated: 2016-08-26

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