Compliance with Upper Limb Home-Based Exergaming Interventions for Stroke Patients: A Narrative Review.
Axelle Gelineau, Anaick Perrochon, Jean-Christophe Daviet and 1 others
PMID 35976767WHAT IT FOUND
Home exergaming compliance varies widely because prescriptions are inconsistent and technical barriers are common.
Patients often exceed time limits if allowed, but drop out due to pain, fatigue, or hardware failure. Successful programmes need familiarization, remote support, and realistic dosing to sustain engagement.
Key findings
01Compliance rates are highly variable, with some patients exceeding prescribed time while others drop out due to technical issues or fatigue.
02There is no consensus on optimal dose, but 30 minutes per day is often considered sub-therapeutic compared to recommended 1-2 hours.
03Facilitators such as familiarization, remote monitoring, and multi-user modes improve adherence, while barriers include hardware failures and lack of supervision.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTsWhat it means for SLPs
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What it does not show
The review is a narrative synthesis, not a systematic review, so the selection of studies may be biased. There is no standard definition of compliance or attrition across the included studies, making direct comparisons difficult. Many included studies were small pilots or feasibility studies with limited generalizability. Long-term compliance data is scarce, as most studies evaluated interventions for 6 weeks or less.
Declared interests
No funding sources or conflicts of interest were declared in the provided text.
The easy way to misread this
Do not assume that high compliance rates in these studies translate to clinical efficacy. The review focuses on whether patients used the technology, not whether the technology improved their upper limb function. Furthermore, do not prescribe a specific dose (e.g., 1 hour) as a standard of care, as the review explicitly states there is no consensus on the optimum amount or duration.