Telerehabilitation Following Stroke - 19/03/24

Doi : 10.1016/j.pmr.2023.06.005

Steven C. Cramer, MD ^a,^b,^⁎ , Brittany M. Young, MD, PhD ^a,^b, Anne Schwarz, PT, PhD ^a,^b, Tracy Y. Chang, MD ^a,^b, Michael Su, MD ^a,^b
^a Department of Neurology, UCLA, Los Angeles, CA, USA
^b California Rehabilitation Institute, 2070 Century Park East, Los Angeles, CA 90067-1907, USA

^∗Corresponding author. Dept. Neurology, UCLA, 710 Westwood Plaza, Reed C239, Los Angeles, CA 90095-1769.Dept. NeurologyUCLA710 Westwood PlazaReed C239Los AngelesCA90095-1769

Résumé

Stroke remains a major cause of disability. Intensive rehabilitation therapy can improve outcomes, but most patients receive limited doses. Telehealth methods can overcome obstacles to delivering intensive therapy and thereby address this unmet need. A specific example is reviewed in detail, focused on a telerehabilitation system that targets upper extremity motor deficits after stroke. Strengths of this system include provision of daily therapy associated with very high patient compliance, safety and feasibility in the inpatient or home setting, comparable efficacy to dose-matched therapy provided in-clinic, and a holistic approach that includes assessment, education, prevention, and activity-based therapy.

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Keywords : Stroke, Motor, Telehealth, Rehabilitation, Therapy