Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Clinical Trial
. 2013 Feb;45(2):217-20.
doi: 10.2340/16501977-1115.

Home-based telerehabilitation shows improved upper limb function in adults with chronic stroke: a pilot study

Jeanne Langan  1 , Kelsey Delave, Lauren Phillips, Percival Pangilinan, Susan H Brown
Affiliations
Clinical Trial

Home-based telerehabilitation shows improved upper limb function in adults with chronic stroke: a pilot study

Jeanne Langan et al. J Rehabil Med. 2013 Feb.

Abstract

Objective: This pilot study investigates the use of telerehabilitation to improve upper limb performance in chronic stages of stroke recovery.

Design: Intervention study with pre/post/one month follow-up tests.

Methods: Seven adults with chronic stroke participated in the study. Tests consisted of lab-based clinical and kinematic assessments. Participants completed the Upper Limb Training and Assessment (ULTrA) program at home. Training was 5 days/week, 60 min/day for 6 weeks with intermittent supervision of participants.

Results: Participants showed improvements in the training program tasks as well as clinical and kinematic assessments. Results also suggest there may be auxiliary benefits in cognitive function.

Conclusions: A home-based telerehabilitation program is a viable approach to provide rehabilitation in chronic stages of stroke.

PubMed Disclaimer

Figures

Fig. 1
Fig. 1
Kinematics of reaching movements. (A) Movement smoothness represented by mean (+1 standard error) normalized jerk score. (B) Bar graphs represent pre/post normalized jerk scores for the more affected (MA) hand of each participant. The line in the pre-test bar represents the normalized jerk score for the less affected hand.
Fig. 2
Fig. 2
(A) Streamlined Wolf Motor Function Test scores for individual participants, (B) Mean (+ 1 standard error (SE)) tactile discrimination accuracy for the more (MA) and less (LA) affected hand, (C) Mean (+ 1 SE) elbow position matching errors, (D) Total Groton Maze Task errors for individual participants.
See this image and copyright information in PMC

References

    1. Lange B, Flynn SM, Rizzo AA. Game-based telerehabilitation. Eur J Phys Rehabil Med. 2009;45:143–151. - PubMed
    1. Demaerschalk BM. Telestrokologists: treating stroke patients here, there, and everywhere with telemedicine. Semin Neurol. 2010;30:477–491. - PubMed
    1. Brown SH, Lewis CA, McCarthy JM, Doyle ST, Hurvitz EA. The effects of Internet-based home training on upper limb function in adults with cerebral palsy. Neurorehabil Neural Repair. 2010;24:575–583. - PubMed
    1. Taub E, Uswatte G, Elbert T. New treatments in neurorehabilitation founded on basic research. Nat Rev Neurosci. 2002;3:228–236. - PubMed
    1. Paolucci S, Grasso MG, Antonucci G, Bragoni M, Troisi E, Morelli D, et al. Mobility status after inpatient stroke rehabilitation: 1-year follow-up and prognostic factors. Arch Phys Med Rehabil. 2001;82:2–8. - PubMed

Publication types