An Innovative STRoke Interactive Virtual thErapy (STRIVE) Online Platform for Community-Dwelling Stroke Survivors: A Randomized Controlled Trial

Objective: To investigate the STRoke Interactive Virtual thErapy (STRIVE) intervention on upper-extremity clinical outcomes in community-dwelling stroke survivors. Design: Assessor-blinded randomized controlled trial. Setting: Study screening and testing was conducted in a university clinic. Participants completed the virtual therapy (VT) intervention in a community-based stroke support group setting. Participants: Of 124 stroke survivors initially assessed, 60 participants were recruited (time poststroke, 13.4 +/- 8.9 y). Participants were allocated to either VT or control group using a block randomization design and were stratified by sex. Interventions: Participants were randomized to receive 8 weeks of VT or usual care. The intervention consisted of approximately 45 minutes of twice weekly VT training on the Jintronix Rehabilitation System. Main Outcome Measures: Between-group differences in the Fugl-Meyer Upper Extremity scale and Action Research Arm Test score were joint primary outcomes in this study. Results: Significant between-group differences for the Fugl-Meyer Upper Extremity scale were seen at the end of the intervention (F-1,F-1=5.37, P=.02, d=0.41). No significant differences were observed with the Action Research Arm Test. No adverse events were reported. Conclusions: We demonstrated clinically meaningful improvements in gross upper extremity motor function and use of the affected arm after a VT intervention delivered via a community-based stroke support group setting. This data adds to the contexts in which VT can be used to improve upper limb function. Use of VT in community-based rehabilitation in chronic stroke recovery is supported. (C) 2020 by the American Congress of Rehabilitation Medicine