Evidence map›Paper›PMID 41542231›Full record

ArticleFrontiers in stroke2024

EngageHealth: a mobile device application designed to deliver stroke rehabilitation exercises using asynchronous video recordings.

Andrew J Song, Leonel Lugo, Julie Muccini, Michael Mlynash, Maarten G Lansberg

Abstract read
In one paragraph

Article in Frontiers in stroke, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Andrew J SongStanford Stroke Center, Stanford University School of Medicine, Stanford, CA, United States.
Leonel LugoStanford Stroke Center, Stanford University School of Medicine, Stanford, CA, United States.
Julie MucciniStanford Stroke Center, Stanford University School of Medicine, Stanford, CA, United States.
Michael MlynashStanford Stroke Center, Stanford University School of Medicine, Stanford, CA, United States.
Maarten G LansbergStanford Stroke Center, Stanford University School of Medicine, Stanford, CA, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Stroke survivors who receive more rehabilitation therapy achieve better functional outcomes. The amount of rehabilitation that patients receive is, however, limited due to constraints of the healthcare system. Objective: To assess whether EngageHealth, a mobile device application designed to deliver stroke rehabilitation exercises using asynchronous video recordings, increases the amount of outpatient rehabilitation in stroke patients and improves their upper extremity function and quality of life. Design: Prospective single-arm study consisting of a 2-week pre-intervention phase without EngageHealth followed by a 4-week intervention period with EngageHealth. Setting: Ambulatory care. Participants: Twenty-four stroke patients with upper extremity impairment were recruited at the Stanford Stroke Center outpatient clinic. Interventions: Participants were instructed to use the EngageHealth application daily. Main outcome measures: Adherence, user experience, and change in the upper extremity Fugl-Meyer (UE-FM), Quality of Life in Neurological Disorders (Neuro-QoL), and Stroke Impact Scale (SIS). Results: Of 23 participants, five (22%) used the application for 17 days, six (26%) used the application for 9-16 days, and 12 (52%) used it < 9 days. Sixty-three percent of participants would recommend the application to other stroke survivors, with fifty percent indicating they would continue using the application, if available. During the pre-intervention phase, there were no changes in hand function. During the intervention period, participants improved by 4 points on the UE-FM ( Conclusions: Use of the EngageHealth application in the home environment may improve upper extremity function in subacute/chronic stroke patients. Additional support strategies should be implemented in future studies to improve adherence. These findings from a prospective single-arm study, support the design of a randomized controlled trial to determine the efficacy of long-term use of the EngageHealth application.

Indexed as

exercisemobile device applicationmotivationmotor recoverystroke rehabilitationtherapy

Identifiers

PMID41542231
PMCPMC12802795

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.