Effectiveness of upper limb wearable technology for improving activity and participation in adult stroke survivors: Systematic review
Journal article
Parker, Jack, Powell, Lauren, Mawson, Susan and Parker, Jack 2020. Effectiveness of upper limb wearable technology for improving activity and participation in adult stroke survivors: Systematic review. Journal of Medical Internet Research. 22 (1), p. e15981. https://doi.org/10.2196/15981
| Authors | Parker, Jack, Powell, Lauren, Mawson, Susan and Parker, Jack |
|---|---|
| Abstract | With advances in technology, the adoption of wearable devices has become a viable adjunct in poststroke rehabilitation. Upper limb (UL) impairment affects up to 77% of stroke survivors impacting on their ability to carry out everyday activities. However, despite an increase in research exploring these devices for UL rehabilitation, little is known of their effectiveness. This review aimed to assess the effectiveness of UL wearable technology for improving activity and participation in adult stroke survivors. Randomized controlled trials (RCTs) and randomized comparable trials of UL wearable technology for poststroke rehabilitation were included. Primary outcome measures were validated measures of activity and participation as defined by the International Classification of Functioning, Disability, and Health. Databases searched were MEDLINE, Web of Science (Core collection), CINAHL, and the Cochrane Library. The Cochrane Risk of Bias Tool was used to assess the methodological quality of the RCTs and the Downs and Black Instrument for the quality of non RCTs. In the review, we included 11 studies with collectively 354 participants at baseline and 323 participants at final follow-up including control groups and participants poststroke. Participants’ stroke type and severity varied. Only 1 study found significant between-group differences for systems functioning and activity (P≤.02). The 11 included studies in this review had small sample sizes ranging from 5 to 99 participants at an average (mean) age of 57 years. |
| Keywords | Health Informatics; wearable electronic devices; stroke; rehabilitation; upper extremity |
| Year | 2020 |
| Journal | Journal of Medical Internet Research |
| Journal citation | 22 (1), p. e15981 |
| Publisher | JMIR Publications Inc. |
| ISSN | 1438-8871 |
| Digital Object Identifier (DOI) | https://doi.org/10.2196/15981 |
| Web address (URL) | http://hdl.handle.net/10545/624561 |
| http://creativecommons.org/publicdomain/zero/1.0/ | |
| hdl:10545/624561 | |
| Publication dates | 08 Jan 2020 |
| Publication process dates | |
| Deposited | 06 Mar 2020, 10:32 |
| Accepted | 03 Sep 2019 |
| Rights | CC0 1.0 Universal |
| Contributors | University of Derby |
| File | File Access Level Open |
| File | File Access Level Open |
| File | File Access Level Open |
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