FeSTivAPP: an app to deliver functional strength training to people after stroke Norfolk and Norwich University Hospitals NHS Foundation Trust

Loss of arm movement is a significant problem for people after stroke. The most important factor driving movement recovery is for stroke survivors to consistently do the exercises that are prescribed to them. However, physiotherapists often find that patients may not be motivated to complete their exercises, or find the paper-based diagrams difficult to follow. 

This project involved developing an app that delivers a prescribed exercise programme via video demonstrations of arm exercises. The project team recruited 37 people with an arm weakness to take part in a pilot study testing the feasibility of using the app versus exercise prescription in paper format. 

Through the app, physiotherapists can select an appropriate package of arm exercises which are tailored to the level of movement recovery experienced by the patient at that time. The paper-based group used a diary to track their adherence to the exercises.

Both the app group and the paper-based group saw improved arm function. With such a small number of participants, it was not possible to detect whether the app had a significant effect. However, the app received good feedback from both patients and therapists.

The main challenges were around functionality problems with the app. The project team learned that they need to consider what the control group would be in the future, as the method used in the study does not reflect usual care and led to increased adherence.

The project team is now seeking further funding to develop the app into a product that has greater potential for spread, before seeking to embed it within health care delivery teams.

Contact information

For more information about this project, please contact Dr Kathryn Mares, Lecturer in Physiotherapy, University of East Anglia.