Abstract:
: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 (ARAT and 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.
journal_name
J Telemed Telecarejournal_title
Journal of telemedicine and telecareauthors
Huijgen BC,Vollenbroek-Hutten MM,Zampolini M,Opisso E,Bernabeu M,Van Nieuwenhoven J,Ilsbroukx S,Magni R,Giacomozzi C,Marcellari V,Marchese SS,Hermens HJdoi
10.1258/jtt.2008.080104subject
Has Abstractpub_date
2008-01-01 00:00:00pages
249-56issue
5eissn
1357-633Xissn
1758-1109pii
14/5/249journal_volume
14pub_type
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