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Updated: Apr 8, 2026

Mobile Game-based Virtual Reality Program for Upper Extremity Stroke Rehabilitation
Published on: March 8, 2018
Improving Quality of Life and Depression After Stroke Through Telerehabilitation
Susan M Linder1, Anson B Rosenfeldt2, R Curtis Bay3
1Susan M. Linder, PT, DPT, NCS, is Physical Therapist and Research Scientist, Department of Biomedical Engineering and Center for Neurological Restoration, Cleveland Clinic, Cleveland, OH.
Objective:
The aim of this study was to determine the effects of home-based robot-assisted rehabilitation coupled with a home exercise program compared with a home exercise program alone on depression and quality of life in people after stroke.
Method:
A multisite randomized controlled clinical trial was completed with 99 people<6 mo after stroke who had limited access to formal therapy. Participants were randomized into one of two groups, (1) a home exercise program or (2) a robot-assisted therapy+home exercise program, and participated in an 8-wk home intervention.
Results:
We observed statistically significant changes in all but one domain on the Stroke Impact Scale and the Center for Epidemiologic Studies Depression Scale for both groups.
Conclusion:
A robot-assisted intervention coupled with a home exercise program and a home exercise program alone administered using a telerehabilitation model may be valuable approaches to improving quality of life and depression in people after stroke.
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