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Efficacy of home-based telerehabilitation vs in-clinic therapy for adults after stroke: A randomized clinical trial

JAMA Neurology Jun 30, 2019

Cramer SC, et al. - In this randomized, assessor-blinded, noninferiority trial, researchers ascertained if treatment targeting arm movement delivered by a home-based telerehabilitation system has comparable effectiveness with dose-matched, intensity-matched therapy delivered in a traditional in-clinic setting, and investigated whether this system has comparable effectiveness for providing stroke education. Candidates in the study were 124 patients who had experienced stroke 4 to 36 weeks prior and had arm motor deficits. For this investigation, candidates received 36 arm motor therapy sessions (70 minutes each) plus stroke education, with therapy intensity, duration, and frequency matched across groups. According to results, activity-based training produced significant gains in arm motor function irrespective of whether it was delivered through home-based telerehabilitation or traditional in-clinic rehabilitation. Overall, the authors concluded that telehealth is an efficient means of providing treatment for rehabilitation and enhancing patient results after stroke and can be helpful for enhancing access to rehabilitation therapy on a large scale.
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