Please use this identifier to cite or link to this item: http://hdl.handle.net/1942/36510
Title: Efficacy of a technology-based client-centred training system in neurological rehabilitation: a randomised controlled trial
Authors: KNIPPENBERG, Els 
TIMMERMANS, Annick 
Coolen, Jolijn
Neven, Katrien
Hallet, Peter
Lemmens , Jolien
SPOOREN, Annemie 
Issue Date: 2021
Publisher: BMC
Source: Journal of neuroengineering and rehabilitation, 18 (1) (Art N° 184)
Abstract: 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.
Notes: Knippenberg, E (corresponding author), PXL Univ Appl Sci & Arts, Ctr Expertise Innovat Care, Dept Healthcare, Guffenslaan 39, B-3500 Hasselt, Belgium.; Knippenberg, E (corresponding author), Hasselt Univ, Fac Rehabil Sci, REVAL, Gebouw A, B-3590 Diepenbeek, Belgium.
els.knippenberg@pxl.be
Keywords: Client-centred;Task-oriented;Rehabilitation;Technology;Efficacy
Document URI: http://hdl.handle.net/1942/36510
e-ISSN: 1743-0003
DOI: 10.1186/s12984-021-00977-2
ISI #: 000734839900002
Rights: The Author(s) 2021. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativeco mmons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
Category: A1
Type: Journal Contribution
Appears in Collections:Research publications

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