Page 59 - JCTR-11-3

Journal of Clinical and
Translational Research Telerehabilitation after stroke

Table 1. Articles included in the review
Authors (year) Sample Outcome Assessment Intervention Results
instrument
Emmerson 62 subacute (120 To determine whether Self-report diary, Duration: 4 weeks There was no significant
et al. (2017) 10 days) post-stroke patients have better Wolf Motor Function Control: Instructions for the difference between the groups
individuals with a adherence to a home Test, and satisfaction exercises in written format in adherence and satisfaction
functional deficit in exercise program questionnaire Intervention: Home levels, Wolf Motor Function
upper limbs; mean when they receive developed by the exercises delivered via Test indices, and the frequency
age (SD): 66 (16) technological support authors tablet, instructed, recorded, of performing the exercises
compared to a paper and commented on by the
prescription therapist; images were of the
patients themselves
Redzuan et al. 90 acute post-stroke To evaluate the Modified Barthel Duration: 3 months There was no significant
(2012) 13 individuals effectiveness of an Index (MBI), Control: weekly professionally difference between the groups;
Intervention group intervention that caregiver strain index guided therapy similar improvement among
(mean age [SD]): uses video in a home Intervention: Video-guided participants in the Barthel
63.7 (12) exercise program for therapeutic exercises and Index; reduction in the rate of
Control group people after a stroke instructions complications and stress level
(mean age [SD]): of caregivers
59.4 (11)
Asano et al. 124 individuals with To evaluate the impact Late-life function Duration: 3 months Both groups displayed similar
(2019) 14 acute stroke of an innovative and disability Control: Weekly 1-h improvements in all outcomes;
Intervention group telerehabilitation instrument (LLFDI); rehabilitation sessions (once no significant differences
(mean age): 63.8 intervention on the timed 5-m walk or twice a week), depending were seen in the disability
Control group self-reported test; 2-min walking on the needs of each patient, instrument (LLFDI) in either
(mean age): 64.4 functional outcomes distance; MBI; the considered as usual care for group
compared with usual Activities-Specific this study
care during the first 3 Balance Confidence Intervention: Access to a
months after stroke (ABC) scale; the telerehabilitation system and
EuroQoL (EQ-5D) a standardized rehabilitation
program for 3 months, and a
therapist determined the level
of difficulty and minimum
range of motion desired for
each exercise, according to
the individual needs of each
patient
Chen et al. 52 individuals with To determine the Fugl-Meyer Duration: 12 weeks From the results of the
(2020) 15 acute stroke effects of a 12-week assessment (FMA) Control: Completed superiority test, a significant
Intervention group home-based for upper and lower in-person rehabilitation difference was found for change
(mean age [SD]): motor-training limbs; MBI training in the outpatient in FMA score in a one-tailed
64.19 (9.42) telerehabilitation rehabilitation department test (p=0.011), with 97.5% CI of
Control group procedure in Intervention: Participated in 0.076 – 7.456, and no difference
(mean age [SD]): subcortical stroke home-based rehabilitation was observed for change in
59.42 (10.0) patients with motor training with the telemedicine MBI score
dysfunction by rehabilitation system (97.5% CI: 0.0856 – 11.098;
the combined use (TRS) under the guidance p=0.097)
of motor function of therapists; therapists
assessments and supervised patients to
multimodal magnetic conduct therapy via live
resonance imaging videoconferencing
analysis methods
Abbreviations: SD: Standard deviation; CI: Confidence interval.

Asano et al. investigated the effects of an innovative group (standardized rehabilitation system with therapeutic
14
telerehabilitation intervention on self-reported functional supervision) or a control group (weekly in-person sessions).
outcomes during the first 3-month post-stroke. In the study, Both groups demonstrated similar improvements, with no
124 individuals were assigned to either a telerehabilitation significant differences in functional outcomes.

Volume 11 Issue 3 (2025) 53 doi: 10.36922/jctr.8360