Stroke survivors’ perceptions of participating in a high repetition arm training trial early after stroke

Hammerbeck, U ORCID: https://orcid.org/0000-0003-2657-4347, Hargreaves, M, Hollands, K ORCID: https://orcid.org/0000-0002-3691-9532 and Tyson, S ORCID: https://orcid.org/0000-0001-6301-8791 2021, 'Stroke survivors’ perceptions of participating in a high repetition arm training trial early after stroke' , Disability and Rehabilitation , pp. 1-8.

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Abstract

Purpose The study explored the acceptability of high repetition arm training as part of a randomised controlled trial, early after stroke, when fatigue levels and emotional strain are often high.
Materials and methods 36 sub-acute stroke survivors (61 years+/-15) attended for assessment sessions at 3, 6, and 12 weeks after stroke. Individuals were randomised to receive 6 high repetition arm training sessions between 3 and 6 weeks (intervention) or the control group. Semi-structured interviews were conducted at trial completion. Interview transcripts were analysed through framework analysis conducted independently by 2 researchers.
Results Stroke survivors participated despite high levels of fatigue because they hoped for personal benefit or to potentially benefit future patients. Benefits reported from participation included physical improvements, psychological benefit, improved understanding of their condition as well as a feeling of hope and distraction. The arm training at three weeks after stroke, aiming for 420 movement repetitions was not considered to be too intensive or too early, and most individuals felt lucky to have been, or would have preferred to be in the early training group.
Conclusion High repetition arm training early after stroke was acceptable to participants. Study participation was generally viewed as a positive experience, suggesting that early intervention may not only be physically beneficial but also psychologically.
Implications for rehabilitation Stroke survivors report that high repetition arm training early after stroke is acceptable.
Participation in rehabilitation research early after stroke provides stroke survivors with hope and meaning despite the high prevalence of fatigue.
Complex information needs to be repeated and provided in a number of formats early after stroke.

Item Type: Article
Additional Information: ** Article version: VoR ** From Crossref journal articles via Jisc Publications Router ** Licence for VoR version of this article starting on 09-08-2021: http://creativecommons.org/licenses/by-nc-nd/4.0/ **Journal IDs: pissn 0963-8288; eissn 1464-5165 **History: issued 09-08-2021; published_online 09-08-2021
Schools: Schools > School of Health and Society
Journal or Publication Title: Disability and Rehabilitation
Publisher: Taylor & Francis
ISSN: 0963-8288
Related URLs:
Funders: Stroke Association Post-doctoral Fellowship TSA
SWORD Depositor: Publications Router
Depositing User: Publications Router
Date Deposited: 19 Aug 2021 07:05
Last Modified: 28 Aug 2021 10:28
URI: http://usir.salford.ac.uk/id/eprint/61628

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