eCite Digital Repository

Connecting patients and therapists remotely using technology is feasible and facilitates exercise adherence after stroke


Simpson, DB and Bird, M-L and English, C and Gall, SL and Breslin, M and Smith, S and Schmidt, M and Callisaya, ML, Connecting patients and therapists remotely using technology is feasible and facilitates exercise adherence after stroke, Topics in Stroke Rehabilitation pp. 1-11. ISSN 1074-9357 (2019) [Refereed Article]

Copyright Statement

Copyright 2019 Taylor & Francis Group, LLC

DOI: doi:10.1080/10749357.2019.1690779


Purpose: Repetitive task practice after stroke is important to improve function, yet adherence to exercise is low. The aim of this study was to determine whether using the internet, a tablet application and chair sensor, that connected to a therapist was feasible in monitoring adherence and progressing a functional exercise at home.

Methods: Ten participants with stroke completed a 4-week sit-to-stand exercise using the technology at home (ACTRN12616000051448). A therapist remotely monitored exercise adherence, progressed goals, and provided feedback via the app. Measures of feasibility (design, recruitment/withdrawals, adherence, safety, participant satisfaction and estimates of effect on function) were collected.

Results: Participants mean age was 73.6 years [SD 9.9 years]. The system was feasible to deliver and monitor exercise remotely. All participants completed the study performing a mean 125% of prescribed sessions and 104% of prescribed repetitions. Participants rated the system usability (78%), enjoyment (70%) and system benefit (80%) as high. No adverse events were reported. Mean pre and post intervention difference in the total short performance physical battery score was 1.4 (95% CI 0.79, 2.00).

Conclusions: It was feasible and safe to prescribe and monitor exercises using an app and sensor-based system. A definitive trial will determine whether such technology could facilitate greater exercise participation after stroke.

Item Details

Item Type:Refereed Article
Keywords:mobile device applications, physical activity, stroke, rehabilitation, exercise therapy, adherence, technology
Research Division:Health Sciences
Research Group:Allied health and rehabilitation science
Research Field:Physiotherapy
Objective Division:Health
Objective Group:Provision of health and support services
Objective Field:Allied health therapies (excl. mental health services)
UTAS Author:Simpson, DB (Ms Dawn Simpson)
UTAS Author:Bird, M-L (Dr Marie-Louise Bird)
UTAS Author:Gall, SL (Associate Professor Seana Gall)
UTAS Author:Breslin, M (Dr Monique Breslin)
UTAS Author:Schmidt, M (Mr Matthew Schmidt)
UTAS Author:Callisaya, ML (Dr Michele Callisaya)
ID Code:135819
Year Published:2019
Web of Science® Times Cited:8
Deposited By:Menzies Institute for Medical Research
Deposited On:2019-11-15
Last Modified:2021-05-05

Repository Staff Only: item control page