Implementing Telerehabilitation After Stroke: Lessons Learned from Canadian Trials

Caughlin, Sarah; Mehta, Swati; Corriveau, Hélène; Eng, Janice J.; Eskes, Gail A.; Kairy, Dahlia; Meltzer, Jed A.; Sakakibara, Brodie M.; Teasell, Robert

doi:10.1089/tmj.2019.0097

Cited by 79 publications

(107 citation statements)

References 26 publications

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“…Additional interventions that increase access to rehabilitation care that have not been included in this update involve the use of Telerehabilitation modalities, which can be used to improve upper arm motor function. 69 A series of recent Canadian studies has suggested telerehabilitation services work best when augmenting face-to-face rehabilitation or when other options are not available, 70 addressing resource gaps in more rural and remote communities.…”

Section: Discussionmentioning

confidence: 99%

Canadian Stroke Best Practice Recommendations: Rehabilitation, Recovery, and Community Participation following Stroke. Part One: Rehabilitation and Recovery Following Stroke; 6th Edition Update 2019

Teasell

Salbach

Foley

et al. 2020

International Journal of Stroke

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251

197

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The sixth update of the Canadian Stroke Best Practice Recommendations: Rehabilitation, Recovery, and Reintegration following Stroke. Part one: Rehabilitation and Recovery Following Stroke is a comprehensive set of evidence-based guidelines addressing issues surrounding impairments, activity limitations, and participation restrictions following stroke. Rehabilitation is a critical component of recovery, essential for helping patients to regain lost skills, relearn tasks, and regain independence. Following a stroke, many people typically require rehabilitation for persisting deficits related to hemiparesis, upper-limb dysfunction, pain, impaired balance, swallowing, and vision, neglect, and limitations with mobility, activities of daily living, and communication. This module addresses interventions related to these issues as well as the structure in which they are provided, since rehabilitation can be provided on an inpatient, outpatient, or community basis. These guidelines also recognize that rehabilitation needs of people with stroke may change over time and therefore intermittent reassessment is important. Recommendations are appropriate for use by all healthcare providers and system planners who organize and provide care to patients following stroke across a broad range of settings. Unlike the previous set of recommendations, in which pediatric stroke was included, this set of recommendations includes primarily adult rehabilitation, recognizing many of these therapies may be applicable in children. Recommendations related to community reintegration, which were previously included within this rehabilitation module, can now be found in the companion module, Rehabilitation, Recovery, and Community Participation following Stroke. Part Two: Transitions and Community Participation Following Stroke.

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Section: Discussionmentioning

confidence: 99%

Canadian Stroke Best Practice Recommendations: Rehabilitation, Recovery, and Community Participation following Stroke. Part One: Rehabilitation and Recovery Following Stroke; 6th Edition Update 2019

Teasell

Salbach

Foley

et al. 2020

International Journal of Stroke

Self Cite

251

197

View full text Add to dashboard Cite

show abstract

“…Telerehabilitation has been shown to have positive impacts on activities of daily living, healthrelated quality of life, and depressive symptoms in people with neurological disabilities (Appleby et al, 2019;Laver et al, 2020;Ownsworth et al, 2018). Preliminary evidence suggests that telerehabilitation may be more cost-effective than in-person interventions (Caughlin et al, 2020;Housley et al, 2016;Lloréns et al, 2015). It is important to note that systematic reviews and meta-analyses of telerehabilitation synthesise findings from interventions which use information and communication technologies to deliver rehabilitation remotely.…”

Section: Figure 1 Telerehabilitation Methods Of Deliverymentioning

confidence: 99%

“…Effective delivery of telerehabilitation required physiotherapists to be competent managing the technical aspects of service delivery, not only for themselves but for their patients (Caughlin et al, 2020). A lack of technical competence was seen as a key barrier for many physiotherapists.…”

Section: Figurementioning

confidence: 99%

Implementation of telerehabilitation in response to COVID-19: Lessons learnt from neurorehabilitation clinical practice and education

Signal

Martin²,

Leys

et al. 2023

NZJP

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The health response to the COVID-19 pandemic has had significant impacts on neurorehabilitation provision both internationally and in New Zealand. Telerehabilitation, the delivery of rehabilitation at a distance using information and communication technologies, was advocated as a means of addressing the rehabilitation needs of our patients while maintaining physical distancing and reducing the risk of viral transmission. Despite research evidence indicating that telerehabilitation is as effective as in-person rehabilitation for people with neurological conditions, there were significant challenges in delivering and sustaining telerehabilitation practice. We draw upon our experiences in delivering telerehabilitation in neurorehabilitation clinical practice and education to reflect on the process of practice change and to consider how these experiences can inform practice development in the future. We propose that rehabilitation organisations and physiotherapists continue to develop capability to provide telerehabilitation; that physiotherapists and the physiotherapy profession focus on translating their communicative, relational and clinical skills to the digital space to ensure they are competent in telerehabilitation; and that, as a profession, we focus on what constitutes "best practice" in telerehabilitation, and how in-person and telerehabilitation can be integrated to provide engaging, evidence-based and person-centred rehabilitation.

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“…Telerehabilitation is an effective and well-accepted method of providing outpatient and community rehabilitation services and is of particular importance during the COVID-19 pandemic. [20][21][22] To support discharge planning, the use of telerehabilitation should be considered for family conferences, family and caregiver education and skills training, assessment of home environment, patient monitoring, and outpatient therapies. If telerehabilitation is planned for outpatient therapy, then education, skills training, and setup of the selected telerehabilitation platform for patients and family and caregivers residing with them should be provided prior to discharge.…”

Section: Stroke Rehabilitationmentioning

confidence: 99%

Canadian Stroke Best Practice Guidance During the COVID-19 Pandemic

Smith

Mountain

Hill

et al. 2020

Can. J. Neurol. Sci.

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Implementing Telerehabilitation After Stroke: Lessons Learned from Canadian Trials

Cited by 79 publications

References 26 publications

Canadian Stroke Best Practice Recommendations: Rehabilitation, Recovery, and Community Participation following Stroke. Part One: Rehabilitation and Recovery Following Stroke; 6th Edition Update 2019

Canadian Stroke Best Practice Recommendations: Rehabilitation, Recovery, and Community Participation following Stroke. Part One: Rehabilitation and Recovery Following Stroke; 6th Edition Update 2019

Implementation of telerehabilitation in response to COVID-19: Lessons learnt from neurorehabilitation clinical practice and education

Canadian Stroke Best Practice Guidance During the COVID-19 Pandemic

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