Background Technology-based gait rehabilitation after stroke is expanding, however the extent to which interventions embody person-centred care remains unclear. Aims The objective of this review is to explore the extent to which technology-based interventions for gait rehabilitation in stroke survivors reflect the principles of person-centred practice. Methods A scoping review was conducted following the Arksey and O’Malley methodological framework and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guidelines. A comprehensive search was performed in MEDLINE Complete, CINAHL Complete, Nursing after screening, 21 randomised controlled trials were included. Extracted data were mapped to PCPF domains to identify explicit and implicit indicators of person-centredness. Representation was variable: Prerequisites, Practice Environment, Person-Centred Processes, and Outcomes appeared across studies, while Macro Context was absent. Alignment was evident via practitioner expertise and responsive parameter adjustments (Prerequisites), specialised, well-resourced settings (Practice Environment), and personalised goal setting, real-time feedback, and preference-sensitive features (Processes). Regarding outcomes, all studies reported performance-based measures (motor performance); one included biomarker outcomes and two used Patient-Reported Outcome Measures (quality of life). No Patient-Reported Experience Measures were reported. Conclusion Technology-focused gait trials remain predominantly biomedical in framing and reporting. Future studies should embed and report explicit person-centred processes and broaden outcomes to include patient-reported experience measures.
Fernandes et al. (Wed,) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: