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Please use this identifier to cite or link to this item: http://hdl.handle.net/123456789/13357

Title: Tele-Rehabilitation after Stroke: An Updated Systematic Review of the Literature
Authors: Sarfo, Fred Stephen
Ulasavets, Uladzislau
Opare-Sem, Ohene K.
Ovbiagele, Bruce
Keywords: Tele-rehabilitation
Poststroke recovery
motor function
Higher cortical dysfunction
Issue Date: Sep-2018
Publisher: Journal of Stroke and Cerebrovascular Diseases
Citation: Journal of Stroke and Cerebrovascular Diseases, Vol. 27, No. 9 (September), 2018: pp 2306–2318
Abstract: Background: Tele-rehabilitation for stroke survivors has emerged as a promising intervention for remotely supervised administration of physical, occupational, speech, and other forms of therapies aimed at improving motor, cognitive, and neuropsychiatric deficits from stroke. Objective: We aimed to provide an updated systematic review on the efficacy of tele-rehabilitation interventions for recovery from motor, higher cortical dysfunction, and poststroke depression among stroke survivors. Methods: We searched PubMed and Cochrane library from January 1, 1980 to July 15, 2017 using the following keywords: “Telerehabilitation stroke,” “Mobile health rehabilitation,” “Telemedicine stroke rehabilitation,” and “Telerehabilitation.” Our inclusion criteria were randomized controlled trials, pilot trials, or feasibility trials that included an intervention group that received any tele-rehabilitation therapy for stroke survivors compared with a control group on usual or standard of care. Results: This search yielded 49 abstracts. By consensus between 2 investigators, 22 publications met the criteria for inclusion and further review. Tele-rehabilitation interventions focused on motor recovery (n = 18), depression, or caregiver strain (n = 2) and higher cortical dysfunction (n = 2). Overall, tele-rehabilitation interventions were associated with significant improvements in recovery from motor deficits, higher cortical dysfunction, and depression in the intervention groups in all studies assessed, but significant differences between intervention versus control groups were reported in 8 of 22 studies in favor of tele-rehabilitation group while the remaining studies reported nonsignificant differences. Conclusion: This updated systematic review provides evidence to suggest that tele-rehabilitation interventions have either better or equal salutary effects on motor, higher cortical, and mood disorders compared with conventional face-to-face therapy.
Description: An article published in Journal of Stroke and Cerebrovascular Diseases, Vol. 27, No. 9 (September), 2018: pp 2306–2318
URI: http://hdl.handle.net/123456789/13357
Appears in Collections:College of Health Sciences

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