Telerehabilitation services for stroke
While there is now an increasing number of RCTs testing the eGicacy oftelerehabilitation, itis hard to draw conclusions aboutthe eGects as interventions and comparators varied greatly across studies. In addition, there were few adequately powered studies and several studies included in this review were at risk of bias. At this point, there is only low or moderate-level evidence testing whether telerehabilitation is a more eGective or similarly eGective way to provide rehabilitation. Short-term post-hospital discharge telerehabilitation programmes have not been shown to reduce depressive symptoms, improve quality of life, or improve independence in activities of daily living when comparedwith usual care. Studies comparing telerehabilitation and in-person therapy have also notfound significantly diGerent outcomes between groups, suggesting that telerehabilitation is not inferior. Some studies reported that telerehabilitation was less expensive to provide butinformation was lacking about cost-eGectiveness.Only two trials reported on whether or not any adverse events had occurred; these trials found no serious adverse events were related to telerehabilitation. The field is still emerging and more studies are needed to draw more definitive conclusions. In addition, while this review examined the eGicacy of telerehabilitation when tested in randomised trials, studies that use mixed methods to evaluate the acceptability and feasibility of telehealth interventions are incredibly valuable in measuring outcomes
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Submitted by
Francesca Tusoni
07/02/2022
in the project Montanari - Psicologia dell’educazione e dello sviluppo
last updated 11/02/2022
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