Cited by 260Stroke Rehabilitation and RecoveryTranscranial Magnetic Stimulation StudiesSpatial Neglect and Hemispheric Dysfunction

A Self-Administered Graded Repetitive Arm Supplementary Program (GRASP) Improves Arm Function During Inpatient Stroke Rehabilitation: A Multi-Site Randomized Controlled Trial

Harris, Jocelyn E., Eng, Janice J., Miller, William C., Dawson, Andrew S.·2009·Stroke

Abstract

Background and Purpose— More than 70% of individuals who have a stroke experience upper limb deficits that impact daily activities. Increased amount of upper limb therapy has positive effects; however, practical and inexpensive methods of therapy are needed to deliver this increase in therapy. Methods— This was a multi-site single blind randomized controlled trial to determine the effectiveness of a 4-week self-administered graded repetitive upper limb supplementary program (GRASP) on arm recovery in stroke. 103 inpatients with stroke were randomized to the experimental group (GRASP group, n=53) or the control group (education protocol, n=50). The primary outcome measure was the Chedoke Arm and Hand Activity Inventory (CAHAI), a measure of upper limb function in activities of daily living. Secondary measures were used to evaluate grip strength and paretic upper limb use outside of therapy time. Intention-to-treat analysis was performed. Group differences were tested using analysis of covariance. Results— At the end of the 4-week intervention (approximately 7 weeks poststroke), the GRASP group showed greater improvement in upper limb function (CAHAI) compared to the control group (mean difference 6.2; 95% CI: 3.4 to 9.0; P <0.001). The GRASP group maintained this significant gain at 5 months poststroke. Significant differences were also found in favor of the GRASP protocol for grip strength and paretic upper limb use. No serious adverse effects were experienced. Conclusion— A self-administered homework exercise program provides a cost-, time-, and treatment-effective delivery model for improving upper limb recovery in subacute stroke.

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.1161/strokeaha.108.544585

Cites

39 of 39 references verified0 citation errors · 0 not checkable

Statistics

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • In the study by Rand et al., clinical test scores showed motor and functional improvements while upper extremity accelerometry data did not change.

    “in the study by Rand et al. [16], there was a discrepancy between the clinical test scores and accelerometry: clinical test scores showed motor and functional improvements while upper extremity accelerometry data (mean activity counts) did not change”

    From Accelerometer measurement of upper extremity movement after stroke: a systematic review of clinical studies (2014) · cites this paper as [16]

    The Results (page not available) report improved clinical measures of arm function in Harris et al.’s GRASP trial. Our copy does not report a study by Rand et al. or upper-extremity accelerometry data, so it does not support the claimed discrepancy between clinical scores and unchanged activity counts. (LLM, conf=0.84)

    Experimental — accuracy not yet measured

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Cites

Flagged first, then by citations

1 of the 40 references couldn’t be matched to a known paper.

Cited by

Sorted by citations

Authors
Harris, J. E., Eng, J. J., Miller, W. C., & Dawson, A. S.
Affiliations
University of British Columbia (CA)
Venue
Stroke
Published
2009-06
Volume
40
Issue
6
Pages
2123-2128
ISSN
  • 0039-2499 (ISSN-L)
  • 1524-4628
OpenAlex
W1998855961
Cited by
259
References
40
Citations by year
2026: 10 · 2025: 21 · 2024: 16 · 2023: 20 · 2022: 21 · 2021: 14 · 2020: 19 · 2019: 18 · 2018: 15 · 2017: 17 · 2016: 19 · 2015: 28 · 2014: 11 · 2013: 7 · 2012: 9
FWCI
7.81
Type
journal article
Language
en
Open access
closed
Locations
  • Stroke (publishedVersion)
  • PubMed (publishedVersion)
Funders
Strong
Topics
  • Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
  • Life Sciences › Neuroscience › Neurology › Transcranial Magnetic Stimulation Studies
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Spatial Neglect and Hemispheric Dysfunction
Keywords
stroke rehabilitation, upper limb recovery, inpatient rehabilitation, upper limb function, grip strength, activities of daily living, Chedoke Arm and Hand Activity Inventory, subacute stroke
MeSH terms
Stroke Rehabilitation, Activities of Daily Living, Aged, Analysis of Variance, Arm, Exercise Therapy, Female, Humans, Male, Pilot Projects, Single-Blind Method, Treatment Outcome, Hand Strength, Muscle Strength

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review