期刊
JOURNAL OF STROKE & CEREBROVASCULAR DISEASES
卷 27, 期 9, 页码 2306-2318出版社
ELSEVIER
DOI: 10.1016/j.jstrokecerebrovasdis.2018.05.013
关键词
Tele-rehabilitation; poststroke recovery; motor function; higher cortical dysfunction
资金
- National Institutes of Health-National Institute of Neurological Disorders Stroke [R21 NS094033]
- National Institute of Health-Forgarty International Center [R21 TW010479-01]
Background: Tele-rehabilitation for stroke survivors has emerged as a promising intervention for remotely supervised administration of physical, occupational, speech, and other forms of therapies aimed at improving motor, cognitive, and neuropsychiatric deficits from stroke. Objective: We aimed to provide an updated systematic review on the efficacy of tele-rehabilitation interventions for recovery from motor, higher cortical dysfunction, and poststroke depression among stroke survivors. Methods: We searched PubMed and Cochrane library from January 1, 1980 to July 15, 2017 using the following keywords: Telerehabilitation stroke, Mobile health rehabilitation, Telemedicine stroke rehabilitation, and Telerehabilitation. Our inclusion criteria were randomized controlled trials, pilot trials, or feasibility trials that included an intervention group that received any tele-rehabilitation therapy for stroke survivors compared with a control group on usual or standard of care. Results: This search yielded 49 abstracts. By consensus between 2 investigators, 22 publications met the criteria for inclusion and further review. Tele-rehabilitation interventions focused on motor recovery (n = 18), depression, or caregiver strain (n = 2) and higher cortical dysfunction (n = 2). Overall, tele-rehabilitation interventions were associated with significant improvements in recovery from motor deficits, higher cortical dysfunction, and depression in the intervention groups in all studies assessed, but significant differences between intervention versus control groups were reported in 8 of 22 studies in favor of tele-rehabilitation group while the remaining studies reported nonsignificant differences. Conclusion: This updated systematic review provides evidence to suggest that tele-rehabilitation interventions have either better or equal salutary effects on motor, higher cortical, and mood disorders compared with conventional face-to-face therapy.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据