Will telerehabilitation be effective in improving

symptoms of a 67-year-old female acute stroke patient?

Esmile, Garces, Gregorio, Hirata, Katigbak, King, Licos, Lim, Ong

Population 67 year-old female acute stroke patient Analyses

Intervention Telerehabilitation Article 1

the effectiveness on the improvement of There is a significant group-effect using home-based motor training
Outcome Alternative
symptoms rehabilitation (TR) compared with conventional rehabilitation (CR) on
Hypothesis patients with subcortical stroke by combining motor function assessments
and multimodality MRI analysis methods.
Search Strategy Noninferiority 1-tailed test Superiority 1-tailed test

(“stroke” OR “Cerebrovascular Accident” OR Alpha 0.025 0.025

“CVA” OR “strokes” OR “Cerebrovascular
Accidents” OR “CVAs” OR “Brain Vascular Computed p- Change in FMA: 0.003 Change in FMA: 0.011
Accident” OR “Brain Vascular Accidents”) Change in MBI: 0.019 Change in MBI: 0.097
value
AND (“Telerehabilitation” OR “Remote
Final Rehabilitation” OR “Online Rehabilitation” OR
Change in FMA: 0.82 Change in FMA: 0.82
Keywords “Tele-rehab” OR “Telerehab” OR “Remote Effect Size
Change in MBI: 0.65 Change in MBI: 0.65
Rehab” OR “Online Rehab” ) AND
(“effectiveness” OR “Appropriateness” OR
95% CI* Change in FMA: 0.560, 6.972 Change in FMA: 0.076, 7.456
“Success” OR “Benefit” OR “Advantage” OR
97.5% CI* Change in MBI: 0.504, 10.349 Change in MBI: -0.0856, 11.098
“Advantages” OR “Benefits” OR “Efficacy” OR
“usefulness” OR “potency”)
Article 2
Database Bielefeld Academic Search Engine (BASE)
There is a significant group-effect using home-based motor training
Filters 2012 & above, English Alternative rehabilitation (TR) compared with conventional rehabilitation (CR) on patients
Hypothesis with subcortical stroke by combining motor function assessments and
Results 194 multimodality MRI analysis methods.

Alpha 0.05
Chen, J., Sun, D., Zhang, S., Shi, Y., Qiao, F.,
Zhou, Y., Liu, J., & Ren, C. (2020). FES: 0.126
Computed
Effects of home-based telerehabilitation in SSPSC — hospital: 0.029
Article 1 p-value
patients with stroke. Neurology, 95(17). SSPSC — home: 0.077
https://doi.org/10.1212/wnl.000000000001082
1 Baseline 3 months 6 months

Chumbler, N. R., Li, X., Quigley, P., Morey, M. FES: 0.25 FES: 0.43 FES: 0.28
C., Rose, D., Griffiths, P., ... & Hoenig, H. Effect Size SSPSC - hospital: -0.53 SSPSC - hospital: 0.05 SSPSC - hospital: 0.28
(2015). A randomized controlled trial on SSPSC - home: -0.35 SSPSC - home: -0.17 SSPSC - home: 0.19
Stroke telerehabilitation: The effects on falls
Article 2 FES: -12.64, 3.04 FES: -18.86, -0.14 FES: -12.54, 2.74
self-efficacy and satisfaction with care.
Journal of telemedicine and telecare, 21(3), SSPSC - hospital: SSPSC - hospital: -4.72, SSPSC - hospital:
139-143. 95% CI -1.89, 6.49 3.72 -7.55, 1.55
https://doi.org/10.1177/1357633X15571995 SSPSC - home: -0.20, SSPSC - home: -1.09, SSPSC - home: -2.64,
2.80 2.49 1.04

Appraisal
Effects of home-based telerehabilitation in patients
Clinical Decision
with stroke: We will use the intervention secondary to the articles mentioned, indicating that
The paper was appraised using the PEDro scale, it received a
telerehabilitation is effective in improving the symptoms of an acute stroke patient;
score of 8/11. The paper was not able to blind all the
participants, and all the therapists who administered the
telerehabilitation (TR) is effective in the first 12 weeks of treatment. Specifically, on
therapy. Furthermore, the paper was not able to obtain from improved motor function and ADL performance; it is also more convenient and
more than 85% of the subjects initially allocated to groups for accessible therefore increasing patient compliance. TR may be a good approach in
the measures of at least one key outcome. aiming for the convenience of lessening the travel burden since physical therapy
sessions may be conducted via any messaging and video calling platforms as long
A randomized controlled trial on Stroke as the patient has an available gadget and internet connection. The two articles
telerehabilitation: The effects on falls self-efficacy proved that telerehabilitation is effective in motor functions and ADL performance
and satisfaction with care improvement and helped patients better translate and apply the exercises learned
The paper was appraised using the PEDro scale, it received a
during their in-hospital rehabilitation. As such, TR is still considered a viable
score of 9/11. The paper was not able to blind all the
alternative to traditional rehabilitation care for stroke survivors since it is effective,
participants, and all the therapists who administered the
therapy. efficient, and feasible.