{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T23:50:59Z","timestamp":1777506659443,"version":"3.51.4"},"reference-count":42,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2025,3,13]],"date-time":"2025-03-13T00:00:00Z","timestamp":1741824000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Can J Occup Ther"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:p>\n                    <jats:bold>Background.<\/jats:bold>\n                    Technology-enabled upper limb (UL) rehabilitation improves therapy intensity and impairment outcomes, however clinical usage remains low and evidence for functional outcomes is limited. While benefits of single-mode technologies have been demonstrated, a combination of technology modes or \u201chybrid\u201d approach is an emerging option with shoulder to fingertip capability. Investigation of this approach within a hospital setting is warranted to inform occupational therapy practice with neurological patients.\n                    <jats:bold>Purpose.<\/jats:bold>\n                    This study examines feasibility of hybrid technology-enabled UL rehabilitation for in-patients with neurological impairments.\n                    <jats:bold>Method and Analyses.<\/jats:bold>\n                    A Phase II feasibility randomized controlled trial (RCT) will compare usual care versus hybrid technology intervention using three technology modes (robotics, virtual reality, sensor-based therapy) plus usual care. Pre-post outcomes for UL impairment, activity, participation and self-reported function will be analyzed using 2\u2009\u00d7\u20092 repeated measures ANOVA. Effect sizes will inform a power analysis for a full-scale RCT. Field observations and participant surveys will capture feasibility factors. It is anticipated hybrid technology for UL neurorehabilitation will be feasible in a hospital setting and show preliminary effectiveness for improving UL use in daily activities.\n                    <jats:bold>Ethics and Dissemination.<\/jats:bold>\n                    Ethics granted from RBWH Human Research Ethics Committee (HREC\/2020\/QRBW\/67076) and The University of Queensland (2021\/HE002211).\n                  <\/jats:p>","DOI":"10.1177\/00084174251316105","type":"journal-article","created":{"date-parts":[[2025,3,13]],"date-time":"2025-03-13T10:13:56Z","timestamp":1741860836000},"page":"196-207","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Technology-Enabled Upper Limb Rehabilitation for Neurological Impairment: A Feasibility Randomized-Controlled Trial Protocol"],"prefix":"10.1177","volume":"92","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3031-7255","authenticated-orcid":false,"given":"Giovanna","family":"Tornatore","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4238-4033","authenticated-orcid":false,"given":"Hannah","family":"Gullo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5603-2410","authenticated-orcid":false,"given":"Jennifer","family":"Fleming","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,3,13]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/0269215512474942"},{"key":"e_1_3_3_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10072-017-2995-5"},{"key":"e_1_3_3_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2009.02.002"},{"issue":"1356","key":"e_1_3_3_5_1","first-page":"76","article-title":"Improving healthcare through the use of co-design","volume":"125","author":"Boyd H.","year":"2012","unstructured":"Boyd H., McKernon S., Mullin B., Old A. 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The effectiveness of wearable upper limb assistive devices in degenerative neuromuscular diseases: A systematic review and meta-analysis. Frontiers in Bioengineering & Biotechnology, 7(450), 1\u201316. https:\/\/doi\/10.3389\/fbioe.2019.00450","journal-title":"Frontiers in Bioengineering & Biotechnology"},{"key":"e_1_3_3_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.neuro.2016.05.001"},{"key":"e_1_3_3_19_1","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.121.034348"},{"key":"e_1_3_3_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2004.10.018"},{"key":"e_1_3_3_21_1","doi-asserted-by":"publisher","DOI":"10.1177\/1747493017711813"},{"key":"e_1_3_3_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/WCO.0000000000000256"},{"key":"e_1_3_3_23_1","article-title":"Virtual reality for stroke rehabilitation","volume":"11","author":"Laver K.","year":"2017","unstructured":"Laver K., Lange B., George S., Deutsch J., Saposnik G., Crotty M. (2017). 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