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Effectiveness of telerehabilitation in the management of adults with stroke: A systematic review

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dc.contributor.authorAppleby, E.
dc.contributor.authorGill, S.T.
dc.contributor.authorHayes, L.K.
dc.contributor.authorWalker, T.L.
dc.contributor.authorWalsh, M.
dc.contributor.authorKumar, S.
dc.contributor.editorCheungpasitporn, W.
dc.date.issued2019
dc.descriptionData source: Supporting information, https://doi.org/10.1371/journal.pone.0225150
dc.description.abstract<h4>Background</h4>Stroke is a leading cause of mortality and morbidity and access to timely rehabilitation can reduce morbidity and help patients to return to normal life. Telerehabilitation can deliver rehabilitation services with the use of technology to increase patient options, deliver services more efficiently and overcome geographical barriers to healthcare access. Despite its popularity, there is conflicting evidence for its effectiveness. Therefore, the aim of this systematic review was to update the current evidence base on the effectiveness of telerehabilitation for stroke.<h4>Methods</h4>A systematic search of databases (Medline Ovid; Embase; Emcare; Scopus; The Cochrane Library; PEDro; OTSeeker) was conducted in April 2018 (updated in October 2018). This review was conducted and reported in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement and methodology registered with PROSPERO (CRD42018090445). A modified McMaster critical appraisal tool for quantitative studies was used to assess the methodological quality of the included studies. Given the heterogeneity of the included studies, a descriptive synthesis was conducted.<h4>Results</h4>Out of 1868 studies, 13 randomised controlled trials met the inclusion criteria. A diverse range of interventions were delivered through a variety of telerehabilitation systems and the effectiveness measured through a myriad of outcome measures. Summarised findings from the heterogeneous evidence base indicate that telerehabilitation may have a positive impact on a range of primary and secondary outcomes. However, despite these positive findings, the current evidence lacks clarity and uniformity in terms of intervention parameters and measurement of outcomes, which limits broader application of these results.<h4>Discussion</h4>Telerehabilitation, as an alternate form of rehabilitation for people with stroke, shows potential. However, due to methodological and practical concerns, an unequivocal recommendation cannot be made. Findings from this review may inform future policies and practices regarding the use of telerehabilitation for stroke patients.
dc.identifier.citationPLoS ONE, 2019; 14(11)
dc.identifier.doi10.1371/journal.pone.0225150
dc.identifier.issn1932-6203
dc.identifier.issn1932-6203
dc.identifier.orcidKumar, S. [0000-0002-4003-4411]
dc.identifier.urihttps://hdl.handle.net/11541.2/140288
dc.language.isoen
dc.publisherPUBLIC LIBRARY SCIENCE
dc.rightsCopyright 2019 The author(s). This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited (https://creativecommons.org/licenses/by/4.0/)
dc.source.urihttps://doi.org/10.1371/journal.pone.0225150
dc.subjectHumans
dc.subjectMotor Activity
dc.subjectPsychomotor Performance
dc.subjectQuality of Life
dc.subjectDatabases, Factual
dc.subjectAdult
dc.subjectAged
dc.subjectAged, 80 and over
dc.subjectMiddle Aged
dc.subjectPatient Satisfaction
dc.subjectDisease Management
dc.subjectFemale
dc.subjectMale
dc.subjectStroke
dc.subjectTelerehabilitation
dc.subjectStroke Rehabilitation
dc.titleEffectiveness of telerehabilitation in the management of adults with stroke: A systematic review
dc.typeJournal article
pubs.publication-statusPublished
ror.fileinfo12189289160001831 13189289150001831 journal.pone.0225150
ror.mmsid9916331703101831

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