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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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