Effect of a Home-based Gamified, Intensive, and Functional Tele-rehabilitation (Home-GIFT) program on improving upper limb function following stroke

All stroke patients in the neurology ward and the OPD of Kasturba Hospital will be screened. Informed consent will be obtained from patients willing to participate. Baseline assessment will be conducted (Demographics, ARAT, Fugl Meyer Assessment UE, Motricity index, mRS, SIS 3.0, visual fatigue scale, kinematic measures of upper extremity reach). For the experimental group, home-based gamified, intensive, functional telerehabilitation (Home-GIFT using ArmAble Mini device) will be provided for approximately 45 mins to 1 hour per day. The therapy will be delivered at home, with the telemonitoring to track progress and ensure adherence, while the control group will follow a task-oriented program for about 45 min to 1 hour per day. Both groups should perform their exercises at home for 6 days per week for 4 weeks. Additionally, both groups will receive conventional therapy for 1 hour/day, 6 days/week for 4 weeks, followed by a home-based, functional rehabilitation program for another 4 weeks (~30 min/day, 6 days/week). This will be followed by a home-based functional exercise program (30 min/day, 6 days a week for 4 weeks). All outcome measures will be measured at baseline, 4-week post-intervention, and at the Completion of the follow-up assessment at the 8th week. Data obtained will be analysed using R Studio software.