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. 2025 Jul 9;7(3):100491.
doi: 10.1016/j.arrct.2025.100491. eCollection 2025 Sep.

Remotely Delivered Task-Oriented Training and Evaluation (reTOTE) for Stroke Rehabilitation

Veronica T Rowe  1 , Emily A Wilcox  2 , Charlotte A Chatto  3 , Ryan M Carrick  2
Affiliations

Remotely Delivered Task-Oriented Training and Evaluation (reTOTE) for Stroke Rehabilitation

Veronica T Rowe et al. Arch Rehabil Res Clin Transl. .

Abstract

Objective: To determine the effect of a multifaceted task-oriented training intervention delivered through telerehabilitation (Remote Task-Oriented Training and Evaluation [reTOTE]) on stroke survivors' activity, performance, quality of life, and confidence.

Design: Cohort study with repeated measures at pre- and post-reTOTE intervention and 1-month follow-up.

Setting: Virtual through telerehabilitation.

Participants: Twelve (N=12) stroke survivors.

Interventions: The reTOTE intervention was individualized for each participant during 8 sessions designed with evidence-based components of constraint-induced movement therapy, principles of experience-dependent plasticity, and use of the Cognitive Orientation to daily Occupational Performance approach.

Main outcome measures: Motor Activity Log, Canadian Occupational Performance Measure, Stroke Impact Scale, and the Activities-specific Balance Confidence Scale.

Results: The results demonstrated an increase in performance of functional abilities in stroke survivors' lives immediately and at 1-month follow-up after completing reTOTE compared with preintervention.

Conclusions: This study indicates the importance of using an evidence-based, individualized, task-oriented therapeutic intervention for stroke survivors and the feasibility of remote delivery through telerehabilitation. Implementation of reTOTE may allow for access to rehabilitation that could improve meaningful therapeutic outcomes for stroke survivors.

Keywords: Occupational therapy; Physical therapy; Rehabilitation; Stroke rehabilitation; Telerehabilitation.

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Conflict of interest statement

The investigators have no financial or nonfinancial disclosures to make in relation to this project.

Figures

Fig 1
Fig 1
COPM median ratings of performance and satisfaction at pre- and post-reTOTE intervention and 1-month follow-up.
Fig 2
Fig 2
MAL median ratings of “Amount” and “How well” at pre- and post-reTOTE intervention and 1-month follow-up.
Fig 3
Fig 3
SIS median ratings of all 8 domains at pre- and post-reTOTE intervention and 1-month follow-up. (ADL = Activities of Daily Living, IADL = Instrumental Activities of Daily Living)
Fig 4
Fig 4
ABC scale median ratings at pre- and post-reTOTE intervention and 1-month follow-up.
See this image and copyright information in PMC

References

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