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Related Experiment Video

Updated: May 4, 2026

Randomized, Triple-Blind, and Parallel-Controlled Trial of Transcranial Direct Current Stimulation for Cognitive Rehabilitation after Stroke
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Telerehabilitation services for stroke.

Kate E Laver1, Daniel Schoene, Maria Crotty

  • 1Department of Rehabilitation and Aged Care, Flinders University, Repatriation General Hospitals, Daws Road, Daw Park, Adelaide, Australia, 5041.

The Cochrane Database of Systematic Reviews
|December 17, 2013
PubMed
Summary
This summary is machine-generated.

Telerehabilitation shows unclear effectiveness for stroke survivors compared to in-person therapy. More research is needed to determine its benefits for daily living, upper limb function, and overall quality of life.

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Area of Science:

  • Neurology
  • Rehabilitation Medicine
  • Health Informatics

Background:

  • Telerehabilitation utilizes information and communication technologies for remote healthcare delivery.
  • Its viability increases with technological advancements, but effectiveness compared to face-to-face rehabilitation remains uncertain.

Purpose of the Study:

  • To assess telerehabilitation's effectiveness in improving daily living activities for stroke survivors versus in-person rehabilitation or no rehabilitation.
  • To evaluate secondary outcomes including self-care, domestic independence, mobility, quality of life, and cognitive function.

Main Methods:

  • Systematic review of randomized controlled trials (RCTs) comparing telerehabilitation with in-person or no rehabilitation.
  • Searched multiple databases including Cochrane, MEDLINE, and EMBASE up to November 2012.

Main Results:

  • Included 10 RCTs with 933 participants; studies were small with variable quality and reporting.
  • No statistically significant improvements were found for activities of daily living or upper limb function.
  • Insufficient evidence exists for effects on mobility, quality of life, or satisfaction; cost-effectiveness and adverse events were not evaluated.

Conclusions:

  • Insufficient evidence to conclude on telerehabilitation's effectiveness post-stroke.
  • Further research is required to clarify optimal intervention approaches and utilization strategies.
  • Cost-effectiveness and adverse event data are lacking.