{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T05:28:19Z","timestamp":1786426099474,"version":"build-2736575974"},"reference-count":63,"publisher":"MDPI AG","issue":"8","license":[{"start":{"date-parts":[[2026,8,8]],"date-time":"2026-08-08T00:00:00Z","timestamp":1786147200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004040","name":"KU Leuven","doi-asserted-by":"publisher","award":["C2M\/23\/060"],"award-info":[{"award-number":["C2M\/23\/060"]}],"id":[{"id":"10.13039\/501100004040","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004040","name":"KU Leuven","doi-asserted-by":"publisher","award":["CPLUS\/24\/012"],"award-info":[{"award-number":["CPLUS\/24\/012"]}],"id":[{"id":"10.13039\/501100004040","id-type":"DOI","asserted-by":"publisher"}]},{"award":["C2M\/23\/060"],"award-info":[{"award-number":["C2M\/23\/060"]}],"id":[{"id":"https:\/\/ror.org\/05f950310","id-type":"ROR","asserted-by":"publisher"}]},{"award":["CPLUS\/24\/012"],"award-info":[{"award-number":["CPLUS\/24\/012"]}],"id":[{"id":"https:\/\/ror.org\/05f950310","id-type":"ROR","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004543","name":"China Scholarship Council","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100004543","id-type":"DOI","asserted-by":"crossref"}]},{"id":[{"id":"https:\/\/ror.org\/04atp4p48","id-type":"ROR","asserted-by":"publisher"}]},{"name":"FWO PhD fellowship","award":["1162826N"],"award-info":[{"award-number":["1162826N"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Brain Sci.","Brain Sciences"],"abstract":"<jats:p>Background\/Objectives: Upper limb rehabilitation in chronic stroke is often suboptimal, and somatosensory integration is frequently neglected. The aim of this study was to investigate the feasibility and potential effects of an integrated sensorimotor therapy. Methods: Individuals with chronic stroke and persistent sensorimotor and functional upper limb deficits were included. For four weeks, participants received standard care (control), followed by 48 h of integrated sensorimotor upper limb therapy (ROBUST) over four weeks in addition to their standard care (intervention). ROBUST combined robotic, therapist-led, and home exercises. Feasibility was assessed through adherence, motivation, experiences, and adverse events. Potential effects of the intervention were evaluated via a multimodal assessment approach at baseline (T1), post-control (T2), and post-intervention (T3), with the Action Research Arm Test (ARAT) as the primary outcome. Results: Ten participants were included in this study, of whom nine completed the protocol. Therapy session adherence was 100%, and home program adherence 67%. Motivation remained stable over the intervention period, participants were positive, and no adverse events occurred. Six participants (67%) improved more than the minimal clinically important difference for ARAT, with further relevant improvements in clinical, kinematic, and patient-reported outcomes observed. Conclusions: The novel integrated sensorimotor upper limb therapy (ROBUST) is feasible and shows promising potential for people after stroke in the chronic stage. A randomised controlled trial is warranted. Trial registration: (identifier: NCT06870682).<\/jats:p>","DOI":"10.3390\/brainsci16080844","type":"journal-article","created":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T10:23:50Z","timestamp":1786357430000},"page":"844","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Feasibility of ROBUST: An Integrated Sensorimotor Upper Limb Therapy for People in the Chronic Phase After Stroke"],"prefix":"10.3390","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-3449-2203","authenticated-orcid":false,"given":"Charlotte","family":"Heremans","sequence":"first","affiliation":[{"name":"Department of Rehabilitation Sciences, KU Leuven, 3001 Leuven, Belgium"},{"name":"Leuven Brain Institute, KU Leuven, 3000 Leuven, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-0138-2727","authenticated-orcid":false,"given":"In\u00eas Alves","family":"Martins","sequence":"additional","affiliation":[{"name":"Leuven Brain Institute, KU Leuven, 3000 Leuven, Belgium"},{"name":"Department of Movement Sciences, KU Leuven, 3001 Leuven, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-3570-9554","authenticated-orcid":false,"given":"Siqi","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Sciences, KU Leuven, 3001 Leuven, Belgium"},{"name":"Leuven Brain Institute, KU Leuven, 3000 Leuven, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jolien","family":"Gooijers","sequence":"additional","affiliation":[{"name":"Leuven Brain Institute, KU Leuven, 3000 Leuven, Belgium"},{"name":"Department of Movement Sciences, KU Leuven, 3001 Leuven, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4603-7939","authenticated-orcid":false,"given":"Jean-Jacques","family":"Orban de Xivry","sequence":"additional","affiliation":[{"name":"Leuven Brain Institute, KU Leuven, 3000 Leuven, Belgium"},{"name":"Department of Movement Sciences, KU Leuven, 3001 Leuven, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3095-8175","authenticated-orcid":false,"given":"Geert","family":"Verheyden","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Sciences, KU Leuven, 3001 Leuven, Belgium"},{"name":"Leuven Brain Institute, KU Leuven, 3000 Leuven, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,8,8]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"508","DOI":"10.1093\/eurheartj\/ehx628","article-title":"European Society of Cardiology: Cardiovascular Disease Statistics 2017","volume":"39","author":"Timmis","year":"2018","journal-title":"Eur. Heart J."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"186","DOI":"10.1097\/NPT.0000000000000138","article-title":"Associations between Sensorimotor Impairments in the Upper Limb at 1 Week and 6 Months after Stroke","volume":"40","author":"Meyer","year":"2016","journal-title":"J. Neurol. Phys. Ther."},{"key":"ref_3","unstructured":"Kitago, T., and Krakauer, J.W. (2013). Motor Learning Principles for Neurorehabilitation. Handbook of Clinical Neurology, Elsevier."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"e2026676118","DOI":"10.1073\/pnas.2026676118","article-title":"Critical Period After Stroke Study (CPASS): A Phase II Clinical Trial Testing an Optimal Time for Motor Recovery after Stroke in Humans","volume":"118","author":"Dromerick","year":"2021","journal-title":"Proc. Natl. Acad. Sci. USA"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"350","DOI":"10.1152\/jn.00762.2018","article-title":"A Critical Time Window for Recovery Extends beyond One-Year Post-Stroke","volume":"122","author":"Ballester","year":"2019","journal-title":"J. Neurophysiol."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"2309","DOI":"10.1161\/STROKEAHA.110.588723","article-title":"The EXCITE Stroke Trial: Comparing Early Ad Delayed Constraint-Induced Movement Therapy","volume":"41","author":"Wolf","year":"2010","journal-title":"Stroke"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"457","DOI":"10.1310\/tsr1906-457","article-title":"Time to Rethink Long-Term Rehabilitation Management of Stroke Patients","volume":"19","author":"Teasell","year":"2012","journal-title":"Top. Stroke Rehabil."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1186\/s42466-021-00164-7","article-title":"Long-Term Recovery of Upper Limb Motor Function and Self-Reported Health: Results from a Multicenter Observational Study 1 Year after Discharge from Rehabilitation","volume":"3","author":"Ingwersen","year":"2021","journal-title":"Neurol. Res. Pract."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"216","DOI":"10.1016\/j.physio.2019.10.001","article-title":"Recovery of Upper Limb Function Is Greatest Early after Stroke but Does Continue to Improve during the Chronic Phase: A Two-Year, Observational Study","volume":"107","author":"Borschmann","year":"2020","journal-title":"Physiotherapy"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1177\/1545968307305456","article-title":"Time Course of Trunk, Arm, Leg, and Functional Recovery after Ischemic Stroke","volume":"22","author":"Verheyden","year":"2008","journal-title":"Neurorehabilit. Neural Repair"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"403","DOI":"10.1177\/1545968320907075","article-title":"Is Recovery of Somatosensory Impairment Conditional for Upper-Limb Motor Recovery Early After Stroke?","volume":"34","author":"Zandvliet","year":"2020","journal-title":"Neurorehabil. Neural Repair"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"3059","DOI":"10.1080\/09638288.2022.2120097","article-title":"Stroke Survivors\u2019 Views on Their Priorities for Upper-Limb Recovery and the Availability of Therapy Services after Stroke: A Longitudinal, Phenomenological Study","volume":"45","author":"Purton","year":"2023","journal-title":"Disabil. Rehabil."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"1613","DOI":"10.1161\/STROKEAHA.115.009421","article-title":"Functional and Motor Outcome 5 Years after Stroke Is Equivalent to Outcome at 2 Months: Follow-Up of the Collaborative Evaluation of Rehabilitation in Stroke Across Europe","volume":"46","author":"Meyer","year":"2015","journal-title":"Stroke"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"45","DOI":"10.2340\/16501977-2282","article-title":"Upper-Limb Sensory Impairments after Stroke: Self-Reported Experiences of Daily Life and Rehabilitation","volume":"50","author":"Carlsson","year":"2018","journal-title":"J. Rehabil. Med."},{"key":"ref_15","unstructured":"Carlsson, H. (2022). Sensory Impairment of the Upper Limb after Stroke: Influence on Daily Life and Effects of a Novel Training Approach. [Ph.D. Thesis, Lund University, Faculty of Medicine]."},{"key":"ref_16","doi-asserted-by":"crossref","unstructured":"Sidarta, A., Lim, Y.C., Wong, R.A., Tan, I.O., Kuah, C.W.K., and Ang, W.T. (2022). Current Clinical Practice in Managing Somatosensory Impairments and the Use of Technology in Stroke Rehabilitation. PLoS ONE, 17.","DOI":"10.1371\/journal.pone.0270693"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"430","DOI":"10.1186\/s13063-021-05375-6","article-title":"SENSory Re-Learning of the UPPer Limb (SENSUPP) after Stroke: Development and Description of a Novel Intervention Using the TIDieR Checklist","volume":"22","author":"Carlsson","year":"2021","journal-title":"Trials"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"507","DOI":"10.1177\/1545968313478483","article-title":"Somatosensory-Related Limitations for Bimanual Coordination after Stroke","volume":"27","author":"Torre","year":"2013","journal-title":"Neurorehabil. Neural Repair"},{"key":"ref_19","doi-asserted-by":"crossref","unstructured":"Lv, Q., Zhang, J., Pan, Y., Liu, X., Miao, L., Peng, J., Song, L., Zou, Y., and Chen, X. (2022). Somatosensory Deficits After Stroke: Insights From MRI Studies. Front. Neurol., 13.","DOI":"10.3389\/fneur.2022.891283"},{"key":"ref_20","doi-asserted-by":"crossref","unstructured":"De Bruyn, N., Saenen, L., Thijs, L., Van Gils, A., Ceulemans, E., Essers, B., Lafosse, C., Michielsen, M., Beyens, H., and Schillebeeckx, F. (2020). Sensorimotor vs. Motor Upper Limb Therapy for Patients with Motor and Somatosensory Deficits: A Randomized Controlled Trial in the Early Rehabilitation Phase After Stroke. Front. Neurol., 11.","DOI":"10.3389\/fneur.2020.597666"},{"key":"ref_21","doi-asserted-by":"crossref","unstructured":"Rand, D. (2018). Proprioception Deficits in Chronic Stroke\u2014Upper Extremity Function and Daily Living. PLoS ONE, 13.","DOI":"10.1371\/journal.pone.0195043"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"391","DOI":"10.5014\/ajot.2018.025114","article-title":"Effects of Somatosensory Impairment on Participation after Stroke","volume":"72","author":"Carey","year":"2018","journal-title":"Am. J. Occup. Ther."},{"key":"ref_23","doi-asserted-by":"crossref","unstructured":"Asan, A.S., McIntosh, J.R., and Carmel, J.B. (2022). Targeting Sensory and Motor Integration for Recovery of Movement After CNS Injury. Front. Neurosci., 15.","DOI":"10.3389\/fnins.2021.791824"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1111\/1440-1630.12170","article-title":"Somatosensory Assessment and Treatment after Stroke: An Evidence-Practice Gap","volume":"62","author":"Pumpa","year":"2015","journal-title":"Aust. Occup. Ther. J."},{"key":"ref_25","first-page":"985","article-title":"Tracking Bimanual Recovery after Stroke: Grasp Function and Stroke Severity Predict 1-Year Performance","volume":"40","author":"Zou","year":"2025","journal-title":"Clin. Rehabil."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"e13387","DOI":"10.1097\/MD.0000000000013387","article-title":"Therapeutic Effects of Sensory Input Training on Motor Function Rehabilitation after Stroke","volume":"97","author":"Chen","year":"2018","journal-title":"Medicine"},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"304","DOI":"10.1177\/1545968310397705","article-title":"SENSe: Study of the Effectiveness of Neurorehabilitation on Sensation: A Randomized Controlled Trial","volume":"25","author":"Carey","year":"2011","journal-title":"Neurorehabil. Neural Repair"},{"key":"ref_28","unstructured":"Carey, L. (2025, November 06). Evidence-Based SENSe Therapy. Available online: https:\/\/sensetherapy.net.au\/health-professionals\/evidence-based-sense-therapy\/."},{"key":"ref_29","doi-asserted-by":"crossref","unstructured":"Winter, L., Huang, Q., Sertic, J.V.L., and Konczak, J. (2022). The Effectiveness of Proprioceptive Training for Improving Motor Performance and Motor Dysfunction: A Systematic Review. Front. Rehabil. Sci., 3.","DOI":"10.3389\/fresc.2022.830166"},{"key":"ref_30","unstructured":"Carey, L. (2025, November 06). SENSe Therapy Principles. Available online: https:\/\/sensetherapy.net.au\/sense-therapy\/sense-therapy-principles\/."},{"key":"ref_31","first-page":"100387","article-title":"Efficacy of Robot-Assisted Training on Upper Limb Motor Function After Stroke: A Systematic Review and Network Meta-Analysis","volume":"7","author":"Wang","year":"2025","journal-title":"Arch. Rehabil. Res. Clin. Transl."},{"key":"ref_32","unstructured":"Saenen, L., Orban de Xivry, J.-J., and Verheyden, G. (2022). Upper Limb Sensory Processing: Development of a Robotic Paradigm. [Ph.D. Thesis, KU Leuven]."},{"key":"ref_33","doi-asserted-by":"crossref","unstructured":"Toh, S.F.M., Chia, P.F., and Fong, K.N.K. (2022). Effectiveness of Home-Based Upper Limb Rehabilitation in Stroke Survivors: A Systematic Review and Meta-Analysis. Front. Neurol., 13.","DOI":"10.3389\/fneur.2022.964196"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"874","DOI":"10.3109\/09638288.2016.1162853","article-title":"H-GRASP: The Feasibility of an Upper Limb Home Exercise Program Monitored by Phone for Individuals Post Stroke","volume":"39","author":"Simpson","year":"2017","journal-title":"Disabil. Rehabil."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"5815","DOI":"10.1080\/09638288.2024.2313121","article-title":"The Feasibility of the Adapted H-GRASP Program for Perceived and Actual Daily-Life Upper Limb Activity in the Chronic Phase Post-Stroke","volume":"46","author":"Essers","year":"2024","journal-title":"Disabil. Rehabil."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1097\/PHM.0000000000002821","article-title":"Canadian Stroke Best Practice Recommendations Rehabilitation, Recovery, and Community Participation Following Stroke, Part Two: Delivery of Stroke Rehabilitation to Optimize Functional Recovery, 7th Edition Update 2025","volume":"105","author":"Salbach","year":"2025","journal-title":"Am. J. Phys. Med. Rehabil."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"840","DOI":"10.2522\/ptj.20080285","article-title":"Psychometric Comparisons of 4 Measures for Assessing Upper-Extremity Function in People With Stroke","volume":"89","author":"Lin","year":"2009","journal-title":"Phys. Ther."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1177\/154596839701100404","article-title":"Impaired Touch Discrimination After Stroke: A Quantiative Test","volume":"11","author":"Carey","year":"1997","journal-title":"Neurorehabil. Neural Repair"},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"4532","DOI":"10.1080\/09638288.2023.2271837","article-title":"Validity of a Sensorimotor Adaptation of the Action Research Arm Test (SARAT) in Chronic Stroke","volume":"46","author":"Saenen","year":"2024","journal-title":"Disabil. Rehabil."},{"key":"ref_40","unstructured":"Borg, G. (1998). Borg\u2019s Perceived Exertion and Pain Scales, Human Kinetics."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1186\/s12984-021-00804-8","article-title":"Robot Enhanced Stroke Therapy Optimizes Rehabilitation (RESTORE): A Pilot Study","volume":"18","author":"Keeling","year":"2021","journal-title":"J. Neuroeng. Rehabil."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"1103","DOI":"10.1080\/09638288.2023.2191011","article-title":"Perseverance with Home-Based Upper Limb Practice after Stroke: Perspectives of Stroke Survivors and Their Significant Others","volume":"46","author":"Neibling","year":"2024","journal-title":"Disabil. Rehabil."},{"key":"ref_43","doi-asserted-by":"crossref","unstructured":"Yoshida, T., Otaka, Y., Kitamura, S., Ushizawa, K., Kumagai, M., Kurihara, Y., Yaeda, J., and Osu, R. (2022). Development and Validation of New Evaluation Scale for Measuring Stroke Patients\u2019 Motivation for Rehabilitation in Rehabilitation Wards. PLoS ONE, 17.","DOI":"10.1371\/journal.pone.0265214"},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1177\/1545968307305353","article-title":"A Standardized Approach to Performing the Action Research Arm Test","volume":"22","author":"Yozbatiran","year":"2008","journal-title":"Neurorehabil. Neural Repair"},{"key":"ref_45","unstructured":"World Health Organization (2002). Towards a Common Language for Functioning, Disability, and Health: ICF, World Health Organization."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1053\/apmr.2001.18668","article-title":"The Intra- and Interrater Reliability of the Action Research Arm Test: A Practical Test of Upper Extremity Function in Patients with Stroke","volume":"82","author":"Beckerman","year":"2001","journal-title":"Arch. Phys. Med. Rehabil."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"221","DOI":"10.1016\/j.apmr.2011.09.015","article-title":"Clinical Reality of Measuring Upper-Limb Ability in Neurologic Conditions: A Systematic Review","volume":"93","author":"Connell","year":"2012","journal-title":"Arch. Phys. Med. Rehabil."},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"528","DOI":"10.1177\/1545968309356091","article-title":"Assessment of Upper-Limb Sensorimotor Function of Subacute Stroke Patients Using Visually Guided Reaching","volume":"24","author":"Coderre","year":"2010","journal-title":"Neurorehabil. Neural Repair"},{"key":"ref_49","unstructured":"BKIN Technologies Ltd. (2026, March 26). Kinarm Standard Tests. Available online: https:\/\/kinarm.com\/solutions\/kinarm-standard-tests\/."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"178","DOI":"10.1177\/1545968309345267","article-title":"Quantitative Assessment of Limb Position Sense Following Stroke","volume":"24","author":"Dukelow","year":"2010","journal-title":"Neurorehabil. Neural Repair"},{"key":"ref_51","doi-asserted-by":"crossref","unstructured":"Saenen, L., Orban de Xivry, J.J., and Verheyden, G. (2022). Development and Validation of a Novel Robot-Based Assessment of Upper Limb Sensory Processing in Chronic Stroke. Brain Sci., 12.","DOI":"10.3390\/brainsci12081005"},{"key":"ref_52","unstructured":"Heremans, C., Saenen, L., Shetty, C., Orban de Xivry, J.-J., and Verheyden, G. (2025). Reliability and Validity of a New Robot-Based Upper Limb Sensory Processing Assessment After Stroke, KU Leuven. Manuscript submitted."},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"950","DOI":"10.1016\/S0003-9993(03)00035-2","article-title":"Rasch Analysis of a New Stroke-Specific Outcome Scale: The Stroke Impact Scale11No Commercial Party Having a Direct Financial Interest in the Results of the Research Supporting This Article Has or Will Confer a Benefit upon the Author(s) or upon Any Organization with Which the Author(s) Is\/Are Associated","volume":"84","author":"Duncan","year":"2003","journal-title":"Arch. Phys. Med. Rehabil."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1097\/JCN.0000000000000145","article-title":"Psychometric Evaluation of the Stroke Impact Scale 3.0","volume":"30","author":"Vellone","year":"2015","journal-title":"J. Cardiovasc. Nurs."},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"435","DOI":"10.1007\/s11136-010-9597-5","article-title":"Psychometric Comparisons of the Stroke Impact Scale 3.0 and Stroke-Specific Quality of Life Scale","volume":"19","author":"Lin","year":"2010","journal-title":"Qual. Life Res."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1016\/j.psychsport.2012.07.007","article-title":"To Adjust or Not Adjust: Nonparametric Effect Sizes, Confidence Intervals, and Real-World Meaning","volume":"14","author":"Ivarsson","year":"2013","journal-title":"Psychol. Sport Exerc."},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1037\/0033-2909.112.1.155","article-title":"A Power Primer","volume":"112","author":"Cohen","year":"1992","journal-title":"Psychol. Bull."},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"279","DOI":"10.4300\/JGME-D-12-00156.1","article-title":"Using Effect Size\u2014Or Why the P Value Is Not Enough","volume":"4","author":"Sullivan","year":"2012","journal-title":"J. Grad. Med. Educ."},{"key":"ref_59","unstructured":"(2007). Fisher\u2019s Z Transformation. Encyclopedia of Measurement and Statistics, Sage Publications, Inc."},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1097\/MLR.0000000000001664","article-title":"Guidelines for Designing and Evaluating Feasibility Pilot Studies","volume":"60","author":"Teresi","year":"2022","journal-title":"Med. Care"},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"142","DOI":"10.1080\/10749357.2016.1200292","article-title":"Exercise after Stroke: Patient Adherence and Beliefs after Discharge from Rehabilitation","volume":"24","author":"Miller","year":"2017","journal-title":"Top. Stroke Rehabil."},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"791","DOI":"10.2522\/ptj.20110009","article-title":"Clinically Important Differences for the Upper-Extremity Fugl-Meyer Scale in People With Minimal to Moderate Impairment Due to Chronic Stroke","volume":"92","author":"Page","year":"2012","journal-title":"Phys. Ther."},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"626","DOI":"10.1016\/j.jpsychires.2010.10.008","article-title":"The Role and Interpretation of Pilot Studies in Clinical Research","volume":"45","author":"Leon","year":"2011","journal-title":"J. Psychiatr. 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