دورية أكاديمية
أعرض في EDS

Telerehabilitation Initiated Early in Post-Stroke Recovery: A Feasibility Study.

التفاصيل البيبلوغرافية
العنوان: Telerehabilitation Initiated Early in Post-Stroke Recovery: A Feasibility Study.
المؤلفون: Edwards D; Moss Rehabilitation Research Institute, Elkins Park, PA, USA., Kumar S; Moss Rehabilitation Research Institute, Elkins Park, PA, USA., Brinkman L; UCLA and California Rehabilitation Institute, Los Angeles, CA, USA., Ferreira IC; UCLA and California Rehabilitation Institute, Los Angeles, CA, USA., Esquenazi A; MossRehab, Elkins Park, PA, USA., Nguyen T; UCLA and California Rehabilitation Institute, Los Angeles, CA, USA., Su M; UCLA and California Rehabilitation Institute, Los Angeles, CA, USA., Stein S; MossRehab, Elkins Park, PA, USA., May J; MossRehab, Elkins Park, PA, USA., Hendrix A; MossRehab, Elkins Park, PA, USA., Finley C; MossRehab, Elkins Park, PA, USA., Howard E; MossRehab, Elkins Park, PA, USA., Cramer SC; UCLA and California Rehabilitation Institute, Los Angeles, CA, USA.
المصدر: Neurorehabilitation and neural repair [Neurorehabil Neural Repair] 2023 Feb-Mar; Vol. 37 (2-3), pp. 131-141. Date of Electronic Publication: 2023 Mar 06.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Sage Publications Country of Publication: United States NLM ID: 100892086 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1552-6844 (Electronic) Linking ISSN: 15459683 NLM ISO Abbreviation: Neurorehabil Neural Repair Subsets: MEDLINE
أسماء مطبوعة: Publication: 2002- : Thousand Oaks, CA : Sage Publications
Original Publication: New York, NY : Demos Medical Pub., c1999-
مواضيع طبية MeSH: Stroke Rehabilitation*/methods , Telerehabilitation*/methods , COVID-19* , Stroke*, Humans ; Female ; Middle Aged ; Aged ; Feasibility Studies ; Upper Extremity ; Treatment Outcome ; Recovery of Function
مستخلص: Background: Enhanced neural plasticity early after stroke suggests the potential to improve outcomes with intensive rehabilitation therapy. Most patients do not get such therapy, however, due to limited access, changing rehabilitation therapy settings, low therapy doses, and poor compliance.
Objective: To examine the feasibility, safety, and potential efficacy of an established telerehabilitation (TR) program after stroke initiated during admission to an inpatient rehabilitation facility (IRF) and completed in the patient's home.
Methods: Participants with hemiparetic stroke admitted to an IRF received daily TR targeting arm motor function in addition to usual care. Treatment consisted of 36, 70-minute sessions (half supervised by a licensed therapist via videoconference), over a 6-week period, that included functional games, exercise videos, education, and daily assessments.
Results: Sixteen participants of 19 allocated completed the intervention (age 61.3 ± 9.4 years; 6 female; baseline Upper Extremity Fugl-Meyer [UEFM] score 35.9 ± 6.4 points, mean ± SD; NIHSS score 4 (3.75, 5.25), median, IQR; intervention commenced 28.3 ± 13.0 days post-stroke). Compliance was 100%, retention 84%, and patient satisfaction 93%; 2 patients developed COVID-19 and continued TR. Post-intervention UEFM improvement was 18.1 ± 10.9 points ( P  < .0001); Box and Blocks, 22.4 ± 9.8 blocks ( P  = .0001). Digital motor assessments, acquired daily in the home, were concordant with these gains. The dose of rehabilitation therapy received as usual care during this 6-week interval was 33.9 ± 20.3 hours; adding TR more than doubled this to 73.6 ± 21.8 hours ( P  < .0001). Patients enrolled in Philadelphia could be treated remotely by therapists in Los Angeles.
Conclusions: These results support feasibility, safety, and potential efficacy of providing intense TR therapy early after stroke.
Clinical Trial Registration: clinicaltrials.gov; NCT04657770.
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فهرسة مساهمة: Keywords: critical period; motor activity; paresis; stroke; telerehabilitation; upper extremity
سلسلة جزيئية: ClinicalTrials.gov NCT04657770
تواريخ الأحداث: Date Created: 20230306 Date Completed: 20230407 Latest Revision: 20230413
رمز التحديث: 20230413
مُعرف محوري في PubMed: PMC10080366
DOI: 10.1177/15459683231159660
PMID: 36876946
قاعدة البيانات: MEDLINE
الوصف
تدمد:1552-6844
DOI:10.1177/15459683231159660