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. 2020 Jan 31;2020(1):CD010255. doi: 10.1002/14651858.CD010255.pub3

NCT01655264.

Methods RCT
Participants Adults with stroke, aged between 18 and 80 years, and living at home eligible to participate. Participants needed to be 2 to 72 months post‐stroke, and no longer receiving rehabilitation as in or outpatient. They should have moderate impairment of the affected upper extremity determined by range of motion.
Interventions Each participant receives 12 x 45‐60‐minute sessions over 4 weeks while seated.
Telerehabilitation intervention: Gertner Tele‐Motion‐Rehabilitation System treatment of comparable duration and intensity to those in the conventional treatment group with remote online monitoring by the therapist. Treatment feedback given in the form of knowledge of results (game scores) and knowledge of performance (feedback of compensatory movements made while using the upper extremity) to enhance motor learning. The software generates a report which will include the duration and type of exercises performed by the participant. The Gertner TMR system is implemented via Microsoft's Kinect 3‐D camera‐based gesture recognition technology. Using the patient's natural hand and body movements to control all activity within customised computer games. The system runs off a standard desktop computer and is displayed on a large television screen.
Control intervention: the control group receives self‐training exercises that are based on conventional therapy using principles of motor control and includes training of upper extremity movements in order to achieve better use of the affected arm in ADL.
Outcomes Shoulder and elbow range of motion (measured with goniometer), Chedoke Arm and Hand Activity Inventory, Motor Activity Log, Functional Reach Test, Lawton's IADL, Fugl‐Meyer Motor Assessment, Visual Analogue Scale, Functional Independence Measure, Stroke Impact Scale
Notes