A prospective non-randomized feasibility study of an online membership-based fitness program for promoting physical activity in people with mobility impairments

My conclusion is you don't understand ONE GODDAMN THING ABOUT SURVIVOR MOTIVATION, DO YOU? You create EXACT 100% recovery protocols and your survivor will be motivated to do the millions of reps needed because they are looking forward to 100% recovery. GET THERE!

There would be no need for this useless research on promoting physical activity!

 A prospective non-randomized feasibility study of an online membership-based fitness program for promoting physical activity in people with mobility impairments

Pilot and Feasibility Studies. Volume 10(101)

NARIC Accession Number: J94159. What's this?
Author(s): Malone, Laurie A., Mehta, Tapan, Mendonca, Christen J., Mohanraj, Sangeetha, Thirumalai, Mohanraj.
Publication Year: 2024.

Abstract: 

 Study assessed the feasibility of delivering an online community membership-based fitness program for individuals with mobility impairments. Activity options included 16 pre-recorded videos and 9 live exercise classes. During the 8-week program, participants had an opportunity to earn three exercise incentives for reaching certain activity milestones. Enrollment percentage, attendance, and attrition were tracked to assess program feasibility and acceptability. Changes in participant-reported outcomes including self-reported physical activity, psychosocial outcomes, and health-related quality of life were examined using non-parametric analyses. Of the146 members who activated their online fitness account, 33 participants enrolled in the study and completed baseline assessments, and 31 were included in the analyses. Health conditions included stroke, post-polio, arthritis, neuropathy, cerebral palsy, and obesity. Ten participants used an assistive device to get around inside the home. Twenty-six participants (78.8 percent) completed the online program, and 5 participants earned all 3 participation incentives. The mean number of live Zoom exercise classes attended by the participants was 12.8 over 8 weeks; 3 of the 31 participants did not attend any classes. On average, participants watched 128 minutes of pre-recorded videos; 6 of 31 participants did not view any pre-recorded videos. Self-reported physical activity showed the largest improvement. The online program demonstrated preliminary effectiveness in increasing physical activity and was found to be feasible and acceptable.
Descriptor Terms: EXERCISE, FEASIBILITY STUDIES, INTERNET, MOBILITY IMPAIRMENTS, PHYSICAL DISABILITIES, PHYSICAL FITNESS, PROGRAMMED INSTRUCTION, TELEREHABILITATION.


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Citation: Malone, Laurie A., Mehta, Tapan, Mendonca, Christen J., Mohanraj, Sangeetha, Thirumalai, Mohanraj. (2024.) A prospective non-randomized feasibility study of an online membership-based fitness program for promoting physical activity in people with mobility impairments. Pilot and Feasibility Studies., 10(101) Retrieved 10/24/2024, from REHABDATA database.

The influence of scaffolding on intrinsic motivation and autonomous adherence to a game-based, sparsely supervised home rehabilitation program for people with upper extremity hemiparesis due to stroke. A randomized controlled trial.

My conclusion is you don't understand ONE GODDAMN THING ABOUT SURVIVOR MOTIVATION, DO YOU? You create EXACT 100% recovery protocols and your survivor will be motivated to do the millions of reps needed because they are looking forward to 100% recovery. GET THERE!

There would be no need for this useless research!

The problem is stroke researchers are not motivated to solve stroke. What the fuck is your solution to that failure? We still don't know how to motivate stroke medical 'professionals' to solve stroke to 100% recovery! 

 The influence of scaffolding on intrinsic motivation and autonomous adherence to a game-based, sparsely supervised home rehabilitation program for people with upper extremity hemiparesis due to stroke. A randomized controlled trial.

Journal of NeuroEngineering and Rehabilitation. Volume 21(143)

NARIC Accession Number: J94181. What's this?
Author(s): Fluet, Gerard, Qiu, Qinyin, Gross, Amanda, Gorin, Holly, Patel, Jigna, Merians, Alma, Adamovich, Sergei.
Publication Year: 2024.
Abstract: This randomized controlled trial examined motivation, adherence, and motor-function improvement in subjects with upper-extremity hemiparesis due to stroke who performed one of two different game-based, autonomous training programs at home. Thirty-three people with moderate-to-mild hemiparesis were taught to perform rehabilitation games using the home virtual rehabilitation system in their homes. Subjects were instructed to train twenty minutes per day for 12 weeks but were allowed to train as much as they chose. Seventeen subjects played scaffolded games, presenting eight to twelve discrete levels of increasing difficulty. Sixteen subjects performed the same activities controlled by success algorithms that modify game difficulty incrementally. Participants were evaluated using the Action Research Arm Test, Upper Extremity Fugl Meyer Assessment (UEFMA), Stroke Impact Scale, and Intrinsic Motivation Inventory (IMI) before and after training. Adherence was measured using timestamps generated by the gaming system. Group outcomes were compared. Correlations between subject demographics and adherence, as well as motor outcome, were evaluated using Pearson correlation coefficients. There were 5 dropouts and no adverse events. The main effect of time was statistically significant for four of the five clinical outcome measures. There were no significant training group-by-time interactions. Measures of adherence did not differ significantly between groups. Twenty-one subjects from both groups demonstrated improvements in UEFMA scores of at least 5 points, exceeding the minimal clinically important difference of 4.25. IMI scores were stable training. Scaffolding challenges during game-based rehabilitation did not elicit higher levels of adherence compared to algorithm control of game difficulty. Both sparsely supervised programs of game-based treatment in the home were sufficient to elicit clinically meaningful improvements in motor function.
Descriptor Terms: COMPLIANCE, HEMIPLEGIA, HOME BASED, LIMBS, MOTIVATION, MOTOR SKILLS, RECREATION, REHABILITATION, REHABILITATION TECHNOLOGY, STROKE, THERAPEUTIC TRAINING.


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Get this Document: https://jneuroengrehab.biomedcentral.com/articles/10.1186/s12984-024-01441-7(link is external).

Citation: Fluet, Gerard, Qiu, Qinyin, Gross, Amanda, Gorin, Holly, Patel, Jigna, Merians, Alma, Adamovich, Sergei. (2024.) The influence of scaffolding on intrinsic motivation and autonomous adherence to a game-based, sparsely supervised home rehabilitation program for people with upper extremity hemiparesis due to stroke. A randomized controlled trial. Journal of NeuroEngineering and Rehabilitation., 21(143) Retrieved 10/24/2024, from REHABDATA database.