Telehealth for rehabilitation and recovery after stroke : State of the evidence and future directions

Journal article


English, Carolie, Ceravolo, Maria Gabriella, Dorsch, Simone, Drummond, Avril, Gandhi, Dorcas BC, Halliday Green, Judith, Schelfaut, Ben, Verschure, Paul, Urimubenshi, Gerard and Savitz, Sean. (2022). Telehealth for rehabilitation and recovery after stroke : State of the evidence and future directions. International Journal of Stroke. 17(5), pp. 487-493. https://doi.org/10.1177/17474930211062480
AuthorsEnglish, Carolie, Ceravolo, Maria Gabriella, Dorsch, Simone, Drummond, Avril, Gandhi, Dorcas BC, Halliday Green, Judith, Schelfaut, Ben, Verschure, Paul, Urimubenshi, Gerard and Savitz, Sean
Abstract

Aims:
The aim of this rapid review and opinion paper is to present the state of the current evidence and present future directions for telehealth research and clinical service delivery for stroke rehabilitation.

Methods:
We conducted a rapid review of published trials in the field. We searched Medline using key terms related to stroke rehabilitation and telehealth or virtual care. We also searched clinical trial registers to identify key ongoing trials.

Results:
The evidence for telehealth to deliver stroke rehabilitation interventions is not strong and is predominantly based on small trials prone to Type 2 error. To move the field forward, we need to progress to trials of implementation that include measures of adoption and reach, as well as effectiveness. We also need to understand which outcome measures can be reliably measured remotely, and/or develop new ones. We present tools to assist with the deployment of telehealth for rehabilitation after stroke.

Conclusion:
The current, and likely long-term, pandemic means that we cannot wait for stronger evidence before implementing telehealth. As a research and clinical community, we owe it to people living with stroke internationally to investigate the best possible telehealth solutions for providing the highest quality rehabilitation.

Keywordstelehealth; rehabilitation; virtual care
Year2022
JournalInternational Journal of Stroke
Journal citation17 (5), pp. 487-493
PublisherSAGE Publications
ISSN1747-4930
Digital Object Identifier (DOI)https://doi.org/10.1177/17474930211062480
PubMed ID34983266
Scopus EID2-s2.0-85122407616
Page range487-493
Publisher's version
License
All rights reserved
File Access Level
Controlled
Output statusPublished
Publication dates
Online05 Jan 2022
Publication process dates
Accepted05 Nov 2021
Deposited27 Oct 2023
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