Susan M. Linder, Anson B. Rosenfeldt, R. Curtis Bay, Komal Sahu, Steven L. Wolf, Jay L. Alberts; Improving Quality of Life and Depression After Stroke Through Telerehabilitation. Am J Occup Ther 2015;69(2):6902290020. https://doi.org/10.5014/ajot.2015.014498
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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.
Robot-assisted therapy, coupled with a well-designed HEP, and HEP alone improve QOL and depression measures in people <6 mo after stroke.
An 8-wk program was sufficient time to observe changes in the QOL and depression measures for this client population.
Use of a robot-assisted device in the home provided an objective way for therapists to remotely monitor people after stroke through an electronic database system and a weekly phone conversation.
For people after stroke with limited access to traditional therapy, home-based interventions may be a valuable intervention for continued nonmotor recovery.
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