TY  - JOUR
AU  - Amatya, B
AU  - Khan, F
AU  - Windle, I
AU  - Lowe, M
AU  - Galea, MP
Y2  - 2020/12/14
Y1  - 2020/01/01
SN  - 1650-1977
UR  - http://hdl.handle.net/11343/254149
AB  - OBJECTIVE: To evaluate the effectiveness and feasibility of an intensive technology-assisted inpatient enriched environmental programme for upper limb function. METHODS: Patients consecutively admitted to the rehabilitation unit randomly allocated to an intervention (enriched environmental programme, n = 46)) or a control group (usual ward activity, n = 46). Assessments were performed at baseline (T0), discharge (T1) and 3 months (T2) using validated measures. RESULTS: At T1, the enriched environmental group showed significant improvement in upper limb func-tion, compared with the control group: Action Research Arm Test (ARAT) "Total" (p = 0.002), and "Grip", "Pinch" and "Gross" subscales (p < 0.05 for all), with small effect size = 0.04-0.16. Most participants in the enriched environmental group had clinically significant improvement > 5.7 points on the ARAT "Total" compared with the control group (83% vs 44%, p < 0.001). Participants in the enriched environmental group were more involved in various forms of activities during waking hours. At T2, despite no significant between-group difference in ARAT scores, the majority of participants in the enriched environmental group maintained the improvement (> 5.7 points) on ARAT "Total" compared with the control group (91% vs 61%, p = 0.001). Both groups improved in other measures at both T1 and T2. CONCLUSION: An enriched environmental programme was feasible and effective in improving upper limb function and increasing the activity of patients during their inpatient subacute care.
LA  - English
PB  - FOUNDATION REHABILITATION INFORMATION
T1  - EVALUATION OF A TECHNOLOGY-ASSISTED ENRICHED ENVIRONMENTAL ACTIVITIES PROGRAMME FOR UPPER LIMB FUNCTION: A RANDOMIZED CONTROLLED TRIAL
DO  - 10.2340/16501977-2526
IS  - Journal of Rehabilitation Medicine
VL  - 52
IS  - 1
ER  -