Effectiveness of Tele-rehabilitation Apply to Stroke Inpatient
Condition: Stroke
MeSH terms: Stroke
Study type: Interventional

Summary: 
      Our study is aimed to explore the differences in effects on the motor function and general
      condition after telerehabilitation for inpatients with stroke.
    

Detailed description: 
      Background: Most patients after stroke suffer from poor motor recovery and difficulty in
      performing activities of daily living. Early intervention has a better prognosis for them.
      However, patients may miss the regular rehabilitation programs due to Covid-19.
      Tele-rehabilitation could be a substitution for regular rehabilitation in epidemic situation,
      by which patients after stroke could have a functional improvement in upper limb motions,
      ADLs, and complex activities. Furthermore, there is no evidence yet of the effectiveness of
      telerehabilitation applied to inpatients after stroke.

      Purposes: This study is aimed to know if telerehabilitation could improve the motor function
      and general condition in inpatients after stroke and to explore the intervention methods for
      telerehabilitation.

      Methods: Inpatients after stroke would be recruited from a hospital of a medical university
      in Northern Taiwan. They will be divided into the telerehabilitation group (n = 12) and the
      bedside rehabilitation group (n = 12). Each patient will go on treatment in 10 sections, and
      each section is 15 or to 30 minutes. A single-blinded evaluator will do the pre-and
      post-evaluation during the treatment. The evaluations include the Postural Assessment Scale
      for Stroke Patients (PASS), Functional ambulation category (FAC), Modified Barthel index
      (MBI), Patient health questionnaire-9 (PHQ9), and Borg Rating of Perceived Exertion (RPE). In
      the end, a satisfaction questionnaire will be given.

      Data analysis: Nonparametric tests will be used in the comparison of the pre-and
      post-evaluation data intergroup. The analysis will be carried out using SPSS Statistic
      (v20.0) and α < .05.

      Key words: tele-rehabilitation, stroke, inpatients
    

Intervention name(s): tele-rehabilitation; bedside rehabilitation
Intervention type(s): Behavioral; Behavioral
Intervention description(s): According to the pre-arranged case service schedule, the researcher is asked to push the computer and cart to the case ward for installation, and use the communication software to interact with each other in real time. The intervention method directly plays the recorded video to demonstrate the action according to the action needs of the case. The therapist can observe the video demonstration and the actual action execution of the case at the same time from the screen.; The bedside therapist and the case work together to set an activity schedule. The case is asked to establish and record daily routine activities, provide basic exercise and activity schedules to avoid degradation and reduce the lack of active participation in activities. The protection is to wear personal protective equipment, including protective clothing, gloves, masks, and face shields, and wash hands and disinfect before and after treatment.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary purpose: Treatment