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Effectiveness of tele rehabilitation in the management of adults with stroke: a mini review


MOJ Sports Medicine
Md. Waliul Islam,1 Sulakshna Shyama Biswas,1 Shahinoor Bente Khan,1 Mithun Adhikari2

Abstract

Background: Tele rehabilitation can deliver rehabilitation services with the use of
technology to increase patient options, deliver services more efficiently and overcome
geographical barriers to healthcare access. Despite its popularity, there is conflicting
evidence for its effectiveness. Therefore, the aim of this systematic review was to update
the current evidence base on the effectiveness of tele rehabilitation for stroke.
Objective: We aimed to provide an updated systematic review on the efficacy of telerehabilitation
interventions for stroke survivors.
Method: PubMed, Google scholar, Physiotherapy Evidence Database (PEDro),
Cochrane Library were searched, and the studies which were RCT, had tele-rehabilitation
interventions, Published in English language, had moderate to high methodological quality
(PEDro scoring 5 or more than 5).
Results: Out of 218 studies, 04 randomised controlled trials met the eligibility criteria and
quality assessment and were selected for the present systematic review. A diverse range of
interventions were delivered through a variety of tele rehabilitation systems. Summarized
findings from the heterogeneous evidence base indicate that tele rehabilitation may have a
positive impact on a range of primary and secondary outcomes.
Conclusion: Tele rehabilitation, as an alternate form of rehabilitation for people with
stroke, shows potential. This updated systematic review provides evidence to suggest that
tele-rehabilitation interventions have either better or equal salutary effects. However, due to
methodological and practical concerns, an unequivocal recommendation cannot be made.
Findings from this review may inform future policies and practices regarding the use of tele
rehabilitation for stroke patients.

Keywords

stroke, tele rehabilitation, telemedicine, virtual reality, virtual rehabilitation

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