A Home-Based Telerehabilitation Program for Patients With Stroke

Neurorehabilitation and Neural Repair
Lucy DodakianSteven C Cramer

Abstract

Although rehabilitation therapy is commonly provided after stroke, many patients do not derive maximal benefit because of access, cost, and compliance. A telerehabilitation-based program may overcome these barriers. We designed, then evaluated a home-based telerehabilitation system in patients with chronic hemiparetic stroke. Patients were 3 to 24 months poststroke with stable arm motor deficits. Each received 28 days of telerehabilitation using a system delivered to their home. Each day consisted of 1 structured hour focused on individualized exercises and games, stroke education, and an hour of free play. Enrollees (n = 12) had baseline Fugl-Meyer (FM) scores of 39 ± 12 (mean ± SD). Compliance was excellent: participants engaged in therapy on 329/336 (97.9%) assigned days. Arm repetitions across the 28 days averaged 24,607 ± 9934 per participant. Arm motor status showed significant gains (FM change 4.8 ± 3.8 points, P = .0015), with half of the participants exceeding the minimal clinically important difference. Although scores on tests of computer literacy declined with age ( r = -0.92; P < .0001), neither the motor gains nor the amount of system use varied with computer literacy. Daily stroke education via the telerehabilita...Continue Reading

Associated Clinical Trials

Mar 9, 2018·Steven C. Cramer, MD, Steven C. Cramer, MD

References

Jan 1, 1991·Social Science & Medicine·C D Sherbourne, A L Stewart
Apr 1, 1994·Archives of Physical Medicine and Rehabilitation·H NakayamaT S Olsen
Nov 1, 1993·Physical Therapy·E M SluijsJ van der Zee
Oct 28, 1997·Stroke; a Journal of Cerebral Circulation·R KothariT Liu
Jul 2, 1999·Stroke; a Journal of Cerebral Circulation·L S WilliamsJ Biller
Oct 8, 1999·Stroke; a Journal of Cerebral Circulation·P W DuncanL J Laster
Jul 7, 2001·Stroke; a Journal of Cerebral Circulation·S C LewisM Sharpe
Oct 14, 2004·JAMA : the Journal of the American Medical Association·Kenneth J OttenbacherCarl V Granger
Oct 21, 2005·Journal of Medical Systems·George DemirisLaura H Schopp
Nov 2, 2006·JAMA : the Journal of the American Medical Association·Steven L WolfUNKNOWN EXCITE Investigators
Jan 17, 2007·Journal of Rehabilitation Medicine·Julie BernhardtJanice M Collier
Jan 20, 2007·Heart & Lung : the Journal of Critical Care·Julie ZerwicLaura Tucco
Apr 3, 2007·Archives of Physical Medicine and Rehabilitation·Mark T BayleyJeffrey W Jutai
Dec 18, 2007·American Journal of Preventive Medicine·Tom BaranowskiJanice Baranowski
Dec 25, 2007·Brain : a Journal of Neurology·Craig D TakahashiSteven C Cramer
Jan 31, 2008·Journal of Speech, Language, and Hearing Research : JSLHR·Jeffrey A Kleim, Theresa A Jones
Oct 6, 2009·Archives of Physical Medicine and Rehabilitation·Catherine E LangPatricia L Scheets
Mar 6, 2010·Stroke; a Journal of Cerebral Circulation·Xin TongMary G George
Dec 22, 2010·Journal of Rehabilitation Research and Development·Teresa Jacobson KimberleyCatherine E Lang
Apr 13, 2011·Brain : a Journal of Neurology·Steven C CramerSophia Vinogradov
Oct 13, 2011·Neurorehabilitation and Neural Repair·Bruce H Dobkin, Andrew Dorsch
Jan 1, 2011·Applied Clinical Informatics·E BroxT Tøllefsen
Jun 19, 2013·Neurorehabilitation and Neural Repair·Jill SeeSteven C Cramer
Oct 22, 2014·Current Opinion in Neurology·David Putrino
Feb 26, 2015·Journal of Telemedicine and Telecare·Michela AgostiniAndrea Turolla
Oct 1, 2010·International Journal of Telerehabilitation·David BrennanAlan Lee
Jun 14, 2015·Brain : a Journal of Neurology·Jennifer WuSteven C Cramer
Oct 21, 2015·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Jing ChenChuan-Cheng Ren
May 6, 2016·Stroke; a Journal of Cerebral Circulation·Carolee J WinsteinUNKNOWN American Heart Association Stroke Council, Council on Cardiovascular and Stroke Nursing, Council on Clinical Cardiology, and
Jun 24, 2016·Topics in Stroke Rehabilitation·Kristine K MillerArlene A Schmid

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Citations

Feb 7, 2018·Journal of Stroke·Steven C Cramer
Dec 21, 2018·Stroke; a Journal of Cerebral Circulation·David J LinSteven C Cramer
Apr 13, 2019·Journal of Neurology, Neurosurgery, and Psychiatry·Steven C Cramer
Jun 25, 2019·JAMA Neurology·Steven C CramerUNKNOWN National Institutes of Health StrokeNet Telerehab Investigators
Nov 5, 2019·Topics in Stroke Rehabilitation·Yu ChenSteven C Cramer
Aug 30, 2019·International Journal of Rehabilitation Research. Internationale Zeitschrift Für Rehabilitationsforschung. Revue Internationale De Recherches De Réadaptation·Michele TorrisiRocco Salvatore Calabrò
Aug 17, 2019·Neurorehabilitation and Neural Repair·Merav R Senesh, David J Reinkensmeyer
Sep 10, 2019·Stroke; a Journal of Cerebral Circulation·Michael L LevySteven C Cramer
Dec 14, 2019·Neuropsychological Rehabilitation·Anthony Chun ShekSara Katherine Simblett
Jan 30, 2020·International Journal of Environmental Research and Public Health·Mike JonesJohn Morris
Mar 11, 2020·International Journal of Technology Assessment in Health Care·Mohammad HosseiniravandiReza Safdari
Aug 25, 2019·Journal of Clinical Medicine·Michele SterlingScott F Farrell
Apr 25, 2020·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Kurt D KnepleyNoam Y Harel
Apr 1, 2020·Continuum : Lifelong Learning in Neurology·Steven C Cramer
Jan 7, 2021·Journal of Central Nervous System Disease·Rosa Grazia BellomoRaoul Saggini
Mar 7, 2021·International Journal of Environmental Research and Public Health·Jesús Martínez de la CalInmaculada Carmen Lara-Palomo
Feb 23, 2021·Frontiers in Neurology·Steven C CramerJutta Heckhausen
Apr 28, 2021·Journal of Neuroengineering and Rehabilitation·Shih-Ching ChenChien-Hung Lai
May 7, 2021·Journal of Rehabilitation and Assistive Technologies Engineering·Michael J SobreperaMichelle J Johnson
Jun 3, 2021·Healthcare·Paulina Magdalena OstrowskaRita Hansdorfer-Korzon
Aug 21, 2021·Annals of Clinical and Translational Neurology·Na-Teng HungMarc W Slutzky
Aug 28, 2021·Neurorehabilitation and Neural Repair·Michelle BroderickPaul Bentley

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