Collaborative Care Model Based Telerehabilitation Exercise Training Program for Acute Stroke Patients in China: A...

Area of Science:

• Neurology
• Rehabilitation Medicine
• Digital Health

Background:

• Early rehabilitation is crucial for stroke patients.
• Effective transition models from in-hospital to post-discharge care are understudied.
• Remote rehabilitation nursing models require further investigation.

Purpose of the Study:

• To assess the feasibility and effectiveness of a collaborative telerehabilitation exercise training program for acute stroke patients.
• To evaluate the impact of internet-based remote rehabilitation on stroke recovery.

Main Methods:

• A randomized controlled trial was conducted with 61 acute stroke patients.
• Intervention group received internet-based telerehabilitation post-discharge; control group received standard telephone follow-up.
• Motor function, balance, and quality of life were measured at discharge and at 4, 8, and 12 weeks post-discharge.

Main Results:

• The telerehabilitation group showed significantly greater improvements in motor function (Fugl-Meyer score), balance (Berg Balance Scale), and quality of life (Stroke-Specific Quality of Life Scale) compared to the control group.
• Both groups improved, but the intervention group's progress was more pronounced.
• Significant group-time interactions indicated sustained benefits from the telerehabilitation program.

Conclusions:

• A collaborative care model using telerehabilitation exercise training is safe and effective for acute stroke patients.
• This approach enhances motor function recovery and improves the quality of life.
• Telerehabilitation offers a viable solution for bridging the gap in post-discharge stroke care.