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IMPACT OF TELEHEALTH ON PHYSICAL FUNCTION AND QUALITY OF LIFE IN STROKE

. Aqsa Ilyas, Sania Zahra, Hamna Sarfraz, Iqra Waseem, Saman Shams, Rehan Sarwar


Abstract

Background: Stroke is one of the most prime and prevalent root-cause of 70%  disability which ultimately reduces quality of life of the Patient, so 90% of survivors prefers home treatment due to many social, economic, personal, cultural factors.1 Education, exercise and social support are the primary components which are frequently given by using video-conferencing system, which is known as home-based telehealth program. All the education about how to use TR system is demonstrated by a skilled therapist or by therapy-aide in order to improve or increase patient’s physical function.2

Objective: The basic purpose of this review was to provide efficient knowledge about impact of telehealth on physical function and quality of life in stroke patients.

Methods: We searched Pedro, Pub Med, Medline, and CINAHL databases from 1, January 2010 to July 28,2021 by using following keywords: “Telehealth stroke,” “telerehabilitation for stroke rehabilitation,” “Telehealth stroke physical function” and quality of life. Our inclusion criteria comprised of only randomized controlled trial studies which involved an intervention group that undergo any tele-health or tele-rehabilitation therapy for stroke patients while compared with a control or usual care group.

Results: Almost, out of 36 screened papers,9 articles with total 582 participants met criteria and were taken in this systematic review. Six studies evaluated the effect of tele-rehabilitation on physical function and functional outcomes. On the other hand, 3 studies assessed its impact on quality of life in stroke survivors. Tele-health provides improvement in recovery of motor function, quality of life and relief of caregiver burden with depression in stroke individuals. 3 studies out of 9 included studies showed significant difference in control and intervention groups in favor of tele-health while remaining studies suggested non-significant differences.

Conclusion: This updated review gives evidence that telehealth of all approaches have either better or equal effects on physical function and quality of life compared with usual care or conventional rehabilitation.

Key words: Tele-health, Poststroke, Physical function, Quality of life, Motor function, Tele-rehabilitation, Randomized controlled trial

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