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Telehealth for rehabilitation and recovery after stroke : State of the evidence and future directions
English, Carolie Ceravolo, Maria Gabriella Dorsch, Simone Drummond, Avril Gandhi, Dorcas BC Halliday Green, Judith Schelfaut, Ben Verschure, Paul Urimubenshi, Gerard Savitz, Sean
English, Carolie
Ceravolo, Maria Gabriella
Dorsch, Simone
Drummond, Avril
Gandhi, Dorcas BC
Halliday Green, Judith
Schelfaut, Ben
Verschure, Paul
Urimubenshi, Gerard
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.
Keywords
telehealth, rehabilitation, virtual care
Date
2022
Type
Journal article
Journal
International Journal of Stroke
Book
Volume
17
Issue
5
Page Range
487-493
Article Number
ACU Department
School of Allied Health
Faculty of Health Sciences
Faculty of Health Sciences
Collections
Relation URI
Source URL
Event URL
Open Access Status
License
All rights reserved
File Access
Controlled