Lucy Dodakian|Alison McKenzie|Vu Le|Jill See|Kristin M. Pearson?Fuhrhop|Erin Burke Quinlan|Robert J. Zhou|Renee Augsberger|Xuan Amelia Tran|Nizan Friedman|David J. Reinkensmeyer|Steven C. Cramer
A Home-Based Telerehabilitation Program for Patients With Stroke
UC Irvine Health|UC Irvine Health|Chapman University|UC Irvine Health|UC Irvine Health|UC Irvine Health|UC Irvine Health|UC Irvine Health|UC Irvine Health|UC Irvine Health|UC Irvine Health|UC Irvine Health|UC Irvine Health
background although rehabilitation therapy commonly provided stroke many patients derive maximal benefit access cost compliance telerehabilitationbased program may overcome barriers designed evaluated homebased telerehabilitation system patients chronic hemiparetic stroke methods patients 3 24 months poststroke stable arm motor deficits received 28 days telerehabilitation using system delivered home day consisted 1 structured hour focused individualized exercises games stroke education hour free play results enrollees n 12 baseline fuglmeyer fm scores 39 12 mean sd compliance excellent participants engaged therapy 329336 979 assigned days arm repetitions across 28 days averaged 24607 9934 per participant arm motor status showed significant gains fm change 48 38 points p 0015 half participants exceeding minimal clinically important difference although scores tests computer literacy declined age r 092 p lt 0001 neither motor gains amount system use varied computer literacy daily stroke education via telerehabilitation system associated 39 increase stroke prevention knowledge p 0007 depression scores obtained person correlated scores obtained via telerehabilitation system 16 days later r 088 p 0001 inperson blood pressure values closely matched obtained via system r 099 p lt 0001 conclusions homebased system effective providing telerehabilitation education secondary stroke prevention participants use computerbased interface offers many opportunities monitor improve health patients stroke