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Improving quality of life and depression after stroke through telerehabilitation [with consumer summary]
Linder SM, Rosenfeldt AB, Bay RC, Sahu K, Wolf SL, Alberts JL
The American Journal of Occupational Therapy 2015 Mar-Apr;69(2):6902290020
clinical trial
6/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: No; Intention-to-treat analysis: Yes; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

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 plus 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.
Copyright by the Amerrican Occupational Therapy Association Inc. Reprinted with permission.

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