ABSTRACT
Introduction: Stroke is a leading cause of disability in the UK. Survivors often report feeling 'abandoned and alone' post hospital discharge. In 2020 the Covid-19 pandemic had a profound effect on NHS service delivery, resulting in reduced national access to stroke rehabilitation. A synchronous telerehabilitation service was established by the Oxfordshire Stroke Rehabilitation Unit to deliver ongoing support for stroke survivors post hospital discharge. This study explores the delivery and outcomes of the telerehabilitation service Method: Retrospective analysis of service data collected between April 2020 and January 2021 was completed. All patients discharged from the inpatient unit were contacted by the service. Appointment content and frequency were dictated by patient need. Result(s): Of 90 patients contacted, 63 participated in telerehabilitation intervention (defined as two or more sessions). Patients who received intervention were significantly (p=<0.05) more functionally independent than those who received a single session, as measured by a Modified Rankin Scale score of less than four. Telerehabilitation content was 45% exercise sessions and 55% advice and support. Those who participated in telerehabilitation saw significant improvement (p=<0.05) on one or more functional measures during the intervention period and 93% of patients would choose this model of rehabilitation again. Conclusion(s): Synchronous telerehabilitation may be able to meet the initial needs of some stroke survivors post hospital discharge. Those residing at home who can mobilise without assistance appear most likely to benefit. Education, advice, and support are important post discharge, alongside physical rehabilitation. Telerehabilitation appears to be acceptable for some stroke survivors.