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Exploring Person-Centredness in Technology-Based Gait Rehabilitation after Stroke: A Framework-Based Analysis of a Scoping Review [PCC186]

Wednesday May 6, 2026 09:00 - 11:15 Poster Arena

Track: Poster session, Digitalisation & eHealth

Stroke is a leading cause of disability worldwide, frequently resulting in gait impairments that compromise independence and quality of life. Technological innovations have expanded rehabilitation strategies, but their alignment with person-centred care principles remains unclear. This study explores the extent to which technology-based interventions for gait rehabilitation in stroke survivors reflect the domains of the Person-Centred Practice Framework (PCPF). A scoping review was conducted, guided by Arksey and O’Malley’s framework and reported in line with PRISMA-ScR guidelines. A comprehensive search across four databases (MEDLINE, CINAHL, Nursing & Allied Health Collection, and Cochrane Central) retrieved 775 records, of which 22 randomized controlled trials met the inclusion criteria. Interventions were analysed for their alignment with PCPF domains. The review identified six categories of technology-based interventions: auditory stimulation, visual and multisensory feedback, electrical stimulation, robotic-assisted gait training, stabilization training, and vibration therapy. Evidence of person-centredness was most apparent in the Person-Centred Processes domain, where interventions incorporated individualised adjustments, feedback mechanisms, and motivational strategies. Outcomes such as gait performance, balance, autonomy, and quality of life were also reported, though inconsistently. Professional competence reflected the Prerequisites domain, while aspects of The Practice Environment were occasionally described through specialised settings and equipment. However, no study explicitly addressed the Macro Context domain, and relational or organisational dimensions of care were rarely considered. In this presentation, we will examine how technology-based gait rehabilitation after stroke demonstrates implicit but inconsistent integration of person-centred principles. We will show how personalisation often emerged as a functional necessity rather than a deliberate commitment to person-centredness and discuss how adopting the PCPF prospectively as a design and evaluation framework can ensure that technological innovation enhances both functional recovery and positive outcomes for all actors involved.
Language

English

Conference

GCPCC

GCPCC Code

PCC186