Telerehabilitation in Stroke

Laver, Kate; Osborne, Kate

doi:10.1016/b978-0-323-82486-6.00004-6

Cited by 4 publications

(3 citation statements)

References 43 publications

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“…Telemedicine and telerehabilitation platforms have seen important improvements in the last years owing to the challenges posed by the coronavirus pandemic. Electronic devices and virtual reality tools have been shown to yield positive results when it comes to stroke rehabilitation at a home setting, a field in which we aim to contribute with this study (20)(21)(22).…”

Section: Jrm-ccmentioning

confidence: 99%

Effect of resistance training through in-person and teleconferencing sessions in rehabilitation of acute stroke patients

Kintrilis,

Kontaxakis,

Philippou

2024

JRM-CC

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Objective: To determine whether application of a strength training regimen yields measurable results on stroke survivors and compare different methods for the proposed intervention. Design, Patients and Methods: Ninety stroke patients were recruited from the neurological clinic of a local third-level clinic. Sixty patients participated in a strength training regimen with trainings taking place 3 times a week for 12 weeks with the use of resistance bands. Thirty of these patients were given face-to-face sessions and 30 patients were given trainings through an on-line platform. The last 30 patients who comprised the control group only followed usual care after the stroke. Results: The applied strength regimen had a statistically significant effect on Visual Analog Scale scores of stroke patients who received it (p = 0.009), as well as in the teleconferencing group (p = 0.004). The measured arteriovenous oxygen difference was elevated for stroke patients who received the intervention as a whole (p = 0.007). Patients who were trained in person and the ones who were trained via teleconferencing yielded similar results as evaluated through the VAS index. Discussion and Conclusion: Administration of strength training 3 times weekly for 12 weeks to stroke patients yielded measurable results in terms of general function and quality of life.

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Section: Jrm-ccmentioning

confidence: 99%

Effect of resistance training through in-person and teleconferencing sessions in rehabilitation of acute stroke patients

Kintrilis,

Kontaxakis,

Philippou

2024

JRM-CC

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“…Telerehabilitation, the delivery of rehabilitation using technology, and use of remote monitoring sensors can be beneficial for patients due to their ability to support access to services where clients face limitations to attending in person, e.g. in cases of geographical isolation [16]. Telerehabilitation facilitates patients as they engage with rehabilitation in their own time and space [17], and has been suggested to promote engagement with rehabilitation practices [18].…”

Section: Introductionmentioning

confidence: 99%

Exploring stroke survivors’ and physiotherapists’ perspectives of the potential for markerless motion capture technology in community rehabilitation

Faux-Nightingale

Philp

Leone

et al. 2022

Preprint

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INTRODUCTION: Many stroke survivors do not receive the optimal levels of personalised therapy needed to support their recovery. Rehabilitation technology could offer a means to provide personalised guidance to stroke survivors struggling to access rehabilitation through other means. AIMS: The aim of this study was to explore stroke survivor and therapist experiences of stroke rehabilitation post discharge into the community and their thoughts about the potential use of markerless, 3D motion capture technology which could support rehabilitation, to contribute towards a better understanding of how technology can support stroke rehabilitation. METHODS: Focus groups and interviews were conducted with stroke survivors and therapists and the transcripts analysed using thematic analysis. RESULTS: Six themes were identified across the data: access and continuity of care for stroke survivors in the community, stroke survivor confusion and lack of education impacting service navigation and ability to access rehabilitation services, stroke survivor access to non-NHS/private facilities, impact of Covid on stroke services, potential use of technology to support post-stroke rehabilitation in the community and, stroke survivors willingness to try new technology. CONCLUSIONS: Stroke survivors and therapists identified problems with stroke survivors accessing rehabilitation services but were positive about the potential for technology to support stroke rehabilitation.

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“…Complex telehealth interventions for neurological recovery have the potential to facilitate remote delivery of occupational therapy services and improve access for people living with complex, chronic neurological conditions ( Coscia et al., 2019 ; Laver & Osborne, 2022 ). Although there is no clear delineation between “simple” and “complex” interventions, characteristics of complexity include (1) interacting components, (2) specialized patient or provider behaviors, (3) a heterogeneous target audience, (4) multiple outcomes, and (5) adaptability of the intervention ( Craig et al., 2008 ).…”

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confidence: 99%

Pre-Implementation Analysis of the Usability and Acceptability of a Poststroke Complex Telehealth Biofeedback Intervention

Donnelly,

Marin-Pardo,

Abdullah

et al. 2024

The American Journal of Occupational Therapy

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Importance: Complex telehealth interventions can facilitate remote occupational therapy services and improve access for people living with chronic neurological conditions. Understanding the factors that influence the uptake of these technologies is important. Objective: To explore the fit between electromyography (EMG) biofeedback and telerehabilitation for stroke survivors, optimize EMG biofeedback interventions, and, more broadly, support other efforts to develop complex telerehabilitation interventions. Design: Pre-implementation mixed-methods analysis of usability and acceptability data collected during a pilot and feasibility study. Setting: Community. Participants: Adult stroke survivors with hemiparesis (N = 11; M age = 54 yr). Intervention: Game-based EMG biofeedback system for arm sensorimotor rehabilitation, delivered via telehealth. Outcomes and Measures: Post-Study System Usability Questionnaire, an extended Unified Theory of Acceptance and Use of Technology model questionnaire, and semistructured interview. We coded the interview data using questionnaire constructs. Results: Participants used an EMG biofeedback intervention at home. Quantitative measures show high levels of perceived usability and acceptability, supported by qualitative findings describing specific facilitators and barriers. Conclusions and Relevance: Pre-implementation studies can improve the design and relevance of complex telehealth interventions. One major conclusion from this study is the influence of therapy providers on acceptability and usability of complex telehealth interventions. Plain-Language Summary: This study contributes to an emerging body of literature that examines the use of complex telehealth interventions with survivors of neurological injury. The findings highlight the value and support the development and use of complex telehealth interventions, which have the potential to improve remote access to occupational therapy for clients living with chronic neurological conditions. Complex telehealth interventions can open doors for survivors of neurological injury who face barriers to accessing occupational therapy and would benefit from technology-enabled therapy at home.

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Telerehabilitation in Stroke

Cited by 4 publications

References 43 publications

Effect of resistance training through in-person and teleconferencing sessions in rehabilitation of acute stroke patients

Effect of resistance training through in-person and teleconferencing sessions in rehabilitation of acute stroke patients

Exploring stroke survivors’ and physiotherapists’ perspectives of the potential for markerless motion capture technology in community rehabilitation

Pre-Implementation Analysis of the Usability and Acceptability of a Poststroke Complex Telehealth Biofeedback Intervention

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