Bridging the gap in stroke care with virtual rehabilitation

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A changeable often impacts a person's expertise to move their little assemblage from nan hips down to nan feet.

This leads to diminished value of life and intelligence wellness successful summation to accrued susceptibility to falls. But now, UBC Okanagan researchers are exploring caller curen methods to thief span nan work transportation gap, and betterment outcomes, for patients aft a stroke.

Shortened magnitude of inpatient stays and continued challenges successful transitioning backmost to nan community-;including mediocre entree to continued changeable rehabilitation services-;have resulted successful important unmet betterment needs. This is particularly existent for little extremity recovery. People tin struggle to regain balance, stableness and gait coordination for regular life activities and moreover due ambulation."

Sarah Park, master's student pinch nan Centre for Chronic Disease Prevention and Management (CCDPM) based astatine UBC Okanagan

Dr. Brodie Sakakibara, CCDPM Investigator, precocious led a nationalist squad of researchers, clinicians and group pinch lived experiences to measure nan feasibility of a telerehabilitation programme pinch intends to amended little extremity betterment poststroke.

 "More group are surviving a changeable and nan request for accessible rehabilitation sloppy of geographic location is progressively important," says Dr. Sakakibara. "This programme harnesses technology, nan expertise of objective therapists and nan information of individuals to amended changeable recovery."

For nan study, much than 32 participants, each who had knowledgeable a changeable wrong nan past 18 months, received 8 telerehabilitation sessions via videoconference pinch a trained beingness therapist. The investigation squad focused their efforts connected improving little assemblage mobility done standardized exercises mixed pinch self-management supports.

"Overall, participants saw improvements successful their mobility and strength, and made noticeable advancement towards their rehabilitation goals," says co-investigator Dr. Ada Tang, an Associate Professor pinch nan School of Rehabilitation Sciences astatine McMaster University. "They besides gained self-management skills to empower themselves and support their achievements moving forward."

While galore virtual rehabilitation programs developed retired of necessity during nan COVID-19 pandemic, programs for illustration this person demonstrated feasibility and accrued accessibility to patients. Especially those surviving successful agrarian and distant areas.

However, researchers person noted therapeutic benefits are not maintained if further therapy is not sustained aft nan extremity of a general program, explains Park, who was besides lead writer of nan study. It is important to incorporated self-management skills successful post-stroke rehabilitation interventions, which empower participants to proceed exercising and support those benefits aft nan programme ends.

"Overall, self-management programs purpose to amended wellness outcomes by helping group accommodate to their circumstances done newfound skills, which could forestall aliases offset immoderate of nan difficulties individuals look erstwhile discharged from care," Park explains. "Virtual rehabilitation programs, pinch a level of self-management, tin yet heighten nan continuum of attraction for patients transitioning backmost into nan organization and thief amended their wide value of life."

The study was published precocious by nan Physical Therapy and Rehabilitation Journal.

Source:

Journal reference:

Park, S., et al. (2023). Investigating nan Telerehabilitation pinch Aims to Improve Lower Extremity Recovery Post-Stroke (TRAIL) Program: A Feasibility Study. Physical Therapy and Rehabilitation Journal. doi.org/10.1093/ptj/pzad165.