{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T05:59:43Z","timestamp":1781243983446,"version":"3.54.1"},"reference-count":31,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T00:00:00Z","timestamp":1781222400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Rehabil. Sci."],"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Increased rehabilitation intensity may improve upper-limb recovery post-stroke. This study explored early preliminary evidence of effectiveness and participant experiences of a private, intensive, community, upper-limb rehabilitation program (Neuroboost).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Pre-post case series using a concurrent mixed methods design. People with chronic stroke and upper limb impairment enrolled in a six-week, 18-hour, rehabilitation program (Neuroboost) were invited to participate. Quantitative measures (pre-post) investigated upper-limb impairment\/activity (Fugl-Meyer Assessment Upper Extremity \u2013 FMA-UE; Action Research Arm Test \u2013 ARAT), self-efficacy (Stroke Self-Efficacy Questionnaire \u2013 SSEQ), and quality of life (EuroQol-5 Dimension Questionnaire \u2013 EQ-5D-5L; EuroQol Visual Analogue Scale \u2013 EQ-VAS). Semi-structed interviews were conducted within four-weeks of Neuroboost completion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Two participants were recruited (both female, 48 and 53 years). FMA-UE improved in both participants (3 and 6 points). ARAT (0 and 3 points), SSEQ (11 and \u221215 points), EQ-5D-5L (\u22120.01 and \u22120.29), and EQ-VAS (0 and 55 points) changes were variable. Participants reported themes of Commitment, Social, Technology, Arm Movement, Quality of Life, Expectations, and Environment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Preliminary findings from a small sample suggest that delivering intensive rehabilitation in a private setting may promote upper-limb recovery in chronic stroke survivors. A larger study appears worthy to establish evidence of effectiveness.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fresc.2026.1809550","type":"journal-article","created":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T05:46:21Z","timestamp":1781243181000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Evaluation of an intensive, private, community, upper limb rehabilitation program for people with chronic stroke: a mixed methods case series"],"prefix":"10.3389","volume":"7","author":[{"given":"Alana","family":"Spirou","sequence":"first","affiliation":[{"name":"Innovation, IMPlementation and Clinical Translation in Health (IIMPACT in Health), College of Health, Adelaide University","place":["Adelaide, SA, Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ines","family":"Serrada","sequence":"additional","affiliation":[{"name":"Innovation, IMPlementation and Clinical Translation in Health (IIMPACT in Health), College of Health, Adelaide University","place":["Adelaide, SA, Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kate","family":"Smedley","sequence":"additional","affiliation":[{"name":"ONE Rehabilitation Service","place":["Ashford, SA, Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julian","family":"Sartoretto","sequence":"additional","affiliation":[{"name":"ONE Rehabilitation Service","place":["Ashford, SA, Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brenton","family":"Hordacre","sequence":"additional","affiliation":[{"name":"Innovation, IMPlementation and Clinical Translation in Health (IIMPACT in Health), College of Health, Adelaide University","place":["Adelaide, SA, Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,6,12]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"795","DOI":"10.1016\/S1474-4422(21)00252-0","article-title":"Global, regional, and national burden of stroke and its risk factors, 1990-2019: a systematic analysis for the global burden of disease study 2019","volume":"20","author":"Feigin","year":"2021","journal-title":"Lancet Neurol"},{"key":"B2","doi-asserted-by":"publisher","first-page":"1170","DOI":"10.1016\/j.apmr.2020.01.018","article-title":"Survivors of chronic stroke experience continued impairment of dexterity but not strength in the nonparetic upper limb","volume":"101","author":"Barry","year":"2020","journal-title":"Arch Phys Med Rehabil"},{"key":"B3","doi-asserted-by":"publisher","first-page":"949","DOI":"10.1152\/japplphysiol.00078.2021","article-title":"Quantifying upper limb motor impairment in chronic stroke: a physiological profiling approach","volume":"131","author":"Ingram","year":"2021","journal-title":"J Appl Physiol"},{"key":"B4","doi-asserted-by":"publisher","first-page":"307","DOI":"10.1177\/1545968321992330","article-title":"Evidence for a window of enhanced plasticity in the human motor cortex following ischemic stroke","volume":"35","author":"Hordacre","year":"2021","journal-title":"Neurorehabil Neural Repair"},{"key":"B5","doi-asserted-by":"publisher","first-page":"498","DOI":"10.1136\/jnnp-2018-319954","article-title":"Intensive upper limb neurorehabilitation in chronic stroke: outcomes from the queen square programme","volume":"90","author":"Ward","year":"2019","journal-title":"J Neurol Neurosurg Psychiatry"},{"key":"B6","doi-asserted-by":"publisher","first-page":"789","DOI":"10.1177\/15459683251348199","article-title":"Boot camp: a randomised cross-over trial of intensive upper-limb rehabilitation after chronic stroke","volume":"39","author":"Hordacre","year":"2025","journal-title":"Neurorehabil Neural Repair"},{"key":"B7","doi-asserted-by":"publisher","first-page":"2529","DOI":"10.1161\/01.STR.0000143153.76460.7d","article-title":"Effects of augmented exercise therapy time after stroke: a meta-analysis","volume":"35","author":"Kwakkel","year":"2004","journal-title":"Stroke"},{"key":"B8","doi-asserted-by":"publisher","first-page":"2053","DOI":"10.1161\/STROKEAHA.114.004695","article-title":"Is more better? 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