Remotely Delivered Task-Oriented Training and Evaluation (reTOTE) for Stroke Rehabilitation

To determine the effect of a multifaceted task-oriented training intervention delivered through telerehabilitation (Remote Task-Oriented Training and Evaluation [reTOTE]) on stroke survivors' activity, performance, quality of life, and confidence.

Cohort study with repeated measures at pre- and post-reTOTE intervention and 1-month follow-up.

Virtual through telerehabilitation.

Twelve (N=12) stroke survivors.

The reTOTE intervention was individualized for each participant during 8 sessions designed with evidence-based components of constraint-induced movement therapy, principles of experience-dependent plasticity, and use of the Cognitive Orientation to daily Occupational Performance approach.

Motor Activity Log, Canadian Occupational Performance Measure, Stroke Impact Scale, and the Activities-specific Balance Confidence Scale.

The results demonstrated an increase in performance of functional abilities in stroke survivors' lives immediately and at 1-month follow-up after completing reTOTE compared with preintervention.

This study indicates the importance of using an evidence-based, individualized, task-oriented therapeutic intervention for stroke survivors and the feasibility of remote delivery through telerehabilitation. Implementation of reTOTE may allow for access to rehabilitation that could improve meaningful therapeutic outcomes for stroke survivors.