Community based technology enriched high intensity upper limb rehabilitation programme (HIULRP) in chronic stroke

Brouwers, Jakko; Harling, Sarah; Cooper, Alison; Kumar, Praveen

Abstract

Background and Aims: Post Stroke High Intensity Upper Limb Rehabilitation Programmes (HIULRP)
benefits have been reported from the Queen Square Upper Limb Programme. This case study evaluates
if an outpatient/day-case service in Wales is able to get similar results with 5 hours per day treatment
and gains additional benefits with a community focused follow-up. Improving translation from clinical
setting to home.
Methods: The patient had a Stroke in August 2019. She self-referred to the HIULR programme in
December 2020 and received 75 hours of therapy over 3 weeks (sensor based and robotic rehabilitation,
virtual reality repetitive functional task practice) followed by 12 weeks of one intensive physiotherapy
and one online session per week. Rehabilitation technology was also introduced at home.
Outcome measures were recorded at baseline and at 3 weeks. Time-in-motion and functional activity
logs were used at home to identify gaps in function, informing changes to the treatment.
Results: The patient was unable to complete the 9-hole peg test at baseline. In week 3, she completed
and scored 5:32. The ARAT improved from 35 to 44/66. Grip and pincer grip strength improved. Timein-motion and functional activity logs showed increasing involvement of the hemiplegic side in functional
activities at home.
Conclusions: The addition of intensive community follow-up with the HIULR programme allowed
problem solving of daily functional tasks and ensured carryover by practising functional tasks with
robotic or virtual reality equipment first before introduction and repetition in the patient’s own
environment.

• Presentation Conference Type: Poster
• Conference Name: World Stroke Congress, 2021
• Start Date: Oct 28, 2021
• End Date: Oct 29, 2020
• Deposit Date: Dec 13, 2022
• Public URL: https://uwe-repository.worktribe.com/output/10253212
• Related Public URLs: https://2021.worldstrokecongress.org/