Activity-based training produced substantial gains in arm motor function regardless of whether it was provided via home-based telerehabilitation or traditional in-clinic rehabilitation. The findings of this study, reported in June 24 JAMA Neurology, suggest that telerehabilitation has the potential to substantially increase access to rehabilitation therapy on a large scale.
Summary of Findings
Findings In this randomized, assessor-blinded, noninferiority clinical trial of 124 adults following stroke, telerehabilitation showed comparable efficacy to traditional in-clinic rehabilitation for improving motor status (Fugl-Meyer arm motor scale) and for improving patient knowledge about stroke.
Meaning Telehealth is an effective means to provide rehabilitation therapy and improve patient outcomes after stroke and may be useful for improving access to rehabilitation therapy.
Importance “Many patients receive suboptimal rehabilitation therapy doses after stroke owing to limited access to therapists and difficulty with transportation, and their knowledge about stroke is often limited. Telehealth can potentially address these issues.”JAMA Neurol. Published online June 24, 2019. doi:10.1001/jamaneurol.2019.1604