Recent trends in telerehabilitation of stroke patients: A narrative review.
NeuroRehabilitation
; 51(1): 1-22, 2022.
Article
in English
| MEDLINE | ID: covidwho-1834302
ABSTRACT
BACKGROUND:
Stroke is the main reason for disabilities worldwide leading to motor dysfunction, spatial neglect and cognitive problems, aphasia, and other speech-language pathologies, reducing the life quality. To overcome disabilities, telerehabilitation (TR) has been recently introduced.OBJECTIVE:
The aim of this review was to analyze current TR approaches for stroke patients' recovery.METHODS:
We searched 6 online databases from January 2018 to October 2021, and included 70 research and review papers in the review. We analyzed TR of 995 individuals, which was delivered synchronously and asynchronously.RESULTS:
Findings show TR is feasible improving motor function, cognition, speech, and language communication among stroke patients. However, the dose of TR sessions varied significantly. We identified the followinglimitations:
lack of equipment, software, and space for home-based exercises, insufficient internet capacity and speed, unavailability to provide hands on guidance, low digital proficiency and education, high cognitive demand, small samples, data heterogeneity, and no economic evaluation.CONCLUSIONS:
The review shows TR is superior or similar to conventional rehabilitation in clinical outcomes and is used as complementary therapy or as alternative treatments. More importantly, TR provides access to rehabilitation services of a large number of patients with immobility, living in remote areas, and during COVID-19 pandemic or similar events.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Aphasia
/
Stroke
/
Telerehabilitation
/
Stroke Rehabilitation
/
COVID-19
Type of study:
Experimental Studies
/
Prognostic study
/
Reviews
Topics:
Traditional medicine
Limits:
Humans
Language:
English
Journal:
NeuroRehabilitation
Journal subject:
Neurology
/
Rehabilitation
Year:
2022
Document Type:
Article
Affiliation country:
NRE-210330
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