PMID- 34961531
OWN - NLM
STAT- MEDLINE
DCOM- 20220321
LR  - 20220321
IS  - 1743-0003 (Electronic)
IS  - 1743-0003 (Linking)
VI  - 18
IP  - 1
DP  - 2021 Dec 28
TI  - Efficacy of a technology-based client-centred training system in neurological 
      rehabilitation: a randomised controlled trial.
PG  - 184
LID - 10.1186/s12984-021-00977-2 [doi]
LID - 184
AB  - BACKGROUND: A client-centred task-oriented approach has advantages towards 
      motivation and adherence to therapy in neurorehabilitation, but it is costly to 
      integrate in practice. An intelligent Activity-based Client-centred Training 
      (i-ACT), a low-cost Kinect-based system, was developed which integrates a 
      client-centred and task-oriented approach. The objectives were (1) to investigate 
      the effect of additional i-ACT training on functioning. And (2) to assess whether 
      training with i-ACT resulted in more goal oriented training. METHODS: A 
      single-blind randomised controlled trial was performed in 4 Belgian 
      rehabilitation centres with persons with central nervous system deficits. 
      Participants were randomly allocated through an independent website-based code 
      generator using blocked randomisation (n = 4) to an intervention or control 
      group. The intervention group received conventional care and additional training 
      with i-ACT for 3 x 45 min/week during 6 weeks. The control group received solely 
      conventional care. Functional ability and performance, quality of life (QoL), 
      fatigue, trunk movement, and shoulder active range of motion (AROM) were assessed 
      at baseline, after 3 weeks and 6 weeks of training, and 6 weeks after cessation 
      of training. Data were analysed using non-parametric within and between group 
      analysis. RESULTS: 47 persons were randomised and 45 analysed. Both intervention 
      (n = 25) and control (n = 22) group improved over time on functional ability and 
      performance as measured by the Wolf Motor Function Test, Manual Ability 
      Measure-36, and Canadian Occupational Performance Measure, but no major 
      differences were found between the groups on these primary outcome measures. 
      Regarding QoL, fatigue, trunk movement, and shoulder AROM, no significant between 
      group differences were found. High adherence for i-ACT training was found (i.e. 
      97.92%) and no adverse events, linked to i-ACT, were reported. In the 
      intervention group the amount of trained personal goals (88%) was much higher 
      than in the control group (46%). CONCLUSIONS: Although additional use of i-ACT 
      did not have a statistically significant added value regarding functional outcome 
      over conventional therapy, additional i-ACT training provides more individualised 
      client-centred therapy, and adherence towards i-ACT training is high. A higher 
      intensity of i-ACT training may increase therapy effects, and should be 
      investigated in future research. TRIAL REGISTRATION: ClinicalTrials.gov 
      Identifier NCT02982811. Registered 29 November 2016.
CI  - (c) 2021. The Author(s).
FAU - Knippenberg, Els
AU  - Knippenberg E
AUID- ORCID: 0000-0002-9676-8633
AD  - Department of Healthcare, Centre of Expertise - Innovation in Care, PXL 
      University of Applied Sciences and Arts, Guffenslaan 39, 3500, Hasselt, Belgium. 
      els.knippenberg@pxl.be.
AD  - Faculty of Rehabilitation Sciences, REVAL, Hasselt University, Agoralaan, Gebouw 
      A, 3590, Diepenbeek, Belgium. els.knippenberg@pxl.be.
FAU - Timmermans, Annick
AU  - Timmermans A
AD  - Faculty of Rehabilitation Sciences, REVAL, Hasselt University, Agoralaan, Gebouw 
      A, 3590, Diepenbeek, Belgium.
FAU - Coolen, Jolijn
AU  - Coolen J
AD  - Noorderhart, Rehabilitation and MS Center, Boemerangstraat 2, 3900, Pelt, 
      Belgium.
FAU - Neven, Katrien
AU  - Neven K
AD  - St-Trudo Hospital, Diestersteenweg 100, 3800, St-Truiden, Belgium.
FAU - Hallet, Peter
AU  - Hallet P
AD  - Ziekenhuis Oost-Limburg, Campus Sint-Barbara, Bessemerstraat 478, 3620, Lanaken, 
      Belgium.
FAU - Lemmens, Jolien
AU  - Lemmens J
AD  - Department of Healthcare, Centre of Expertise - Innovation in Care, PXL 
      University of Applied Sciences and Arts, Guffenslaan 39, 3500, Hasselt, Belgium.
AD  - Sint-Gerardus, Multifunctioneel Centrum, Sint-Gerardusdreef 1, 3590, Diepenbeek, 
      Belgium.
FAU - Spooren, Annemie
AU  - Spooren A
AD  - Department of Healthcare, Centre of Expertise - Innovation in Care, PXL 
      University of Applied Sciences and Arts, Guffenslaan 39, 3500, Hasselt, Belgium.
AD  - Faculty of Rehabilitation Sciences, REVAL, Hasselt University, Agoralaan, Gebouw 
      A, 3590, Diepenbeek, Belgium.
LA  - eng
SI  - ClinicalTrials.gov/NCT02982811
PT  - Journal Article
PT  - Randomized Controlled Trial
PT  - Research Support, Non-U.S. Gov't
DEP - 20211228
PL  - England
TA  - J Neuroeng Rehabil
JT  - Journal of neuroengineering and rehabilitation
JID - 101232233
SB  - IM
MH  - Canada
MH  - Humans
MH  - *Neurological Rehabilitation
MH  - *Quality of Life
MH  - Single-Blind Method
MH  - Technology
PMC - PMC8712106
OTO - NOTNLM
OT  - Client-centred
OT  - Efficacy
OT  - Rehabilitation
OT  - Task-oriented
OT  - Technology
COIS- The authors declare that they have no competing interests.
EDAT- 2021/12/29 06:00
MHDA- 2022/03/22 06:00
PMCR- 2021/12/28
CRDT- 2021/12/28 05:39
PHST- 2021/07/06 00:00 [received]
PHST- 2021/11/30 00:00 [accepted]
PHST- 2021/12/28 05:39 [entrez]
PHST- 2021/12/29 06:00 [pubmed]
PHST- 2022/03/22 06:00 [medline]
PHST- 2021/12/28 00:00 [pmc-release]
AID - 10.1186/s12984-021-00977-2 [pii]
AID - 977 [pii]
AID - 10.1186/s12984-021-00977-2 [doi]
PST - epublish
SO  - J Neuroeng Rehabil. 2021 Dec 28;18(1):184. doi: 10.1186/s12984-021-00977-2.