Remotely Delivered Task-Oriented Training and Evaluation (reTOTE) for Stroke Rehabilitation.
Veronica T Rowe, Emily A Wilcox, Charlotte A Chatto and 1 others
PMID 40980536WHAT IT FOUND
After 8 remote task-oriented sessions combining CIMT, ASAP, CO-OP, neuroplasticity principles, and TOTE-Home, 12 stroke survivors self-reported better performance, satisfaction, arm use, and most quality-of-life domains.
Balance confidence did not change, and no control group was used.
Key findings
01COPM performance and satisfaction scores increased from before intervention to after and at 1-month follow-up.
02MAL amount and how well scores increased from before intervention to after and at follow-up.
03ABC scores did not show a statistically significant change across the 3 time points.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTs
Read the rest of this summary
You get three full summaries a month, free, and we do not ask for a card. Search, the TL;DRs and your library stay unlimited either way.
What it does not show
Only 12 of 14 consented participants completed the study; 2 dropped out because of lack of availability. There was no control group, so changes over time cannot be compared with usual recovery or another treatment. All outcomes were self-reported. Therapists known to investigators recruited participants, so self-selection bias is possible. The intervention was individualized around each participant's chosen tasks, so exact activities cannot be replicated. Participants already had safe ambulation, a caregiver, and no other formal therapy, so results may not apply to more dependent or concurrently treated patients. Therapists and participants received financial compensation upon study completion.
Declared interests
Therapists and stroke survivors received financial compensation upon study completion. The investigators reported no financial or nonfinancial disclosures.
The easy way to misread this
Do not conclude that reTOTE, or any single component such as CIMT, ASAP, CO-OP, neuroplasticity principles, or TOTE-Home, caused the reported improvements. The study had 12 completers, no control group, self-reported outcomes, a composite intervention, and balance confidence did not change, so the effect of any one part cannot be separated.
Summarised by AI from the full paper, without a clinician reviewing it. Check it against the source before it changes what you do. Read it on PubMed →