Abstract
Background: Tele rehabilitation can deliver rehabilitation services with the use of technology to increase patient options, deliver services more efficiently and overcome geographical barriers to healthcare access. Despite its popularity, there is conflicting evidence for its effectiveness. Therefore, the aim of this systematic review was to update the current evidence base on the effectiveness of tele rehabilitation for stroke. Objective: We aimed to provide an updated systematic review on the efficacy of tele-rehabilitation interventions for stroke survivors. Method: PubMed, Google scholar, Physiotherapy Evidence Database (PEDro), Cochrane Library were searched, and the studies which were RCT, had tele-rehabilitation interventions, Published in English language, had moderate to high methodological quality (PEDro scoring 5 or more than 5). Results: Out of 218 studies, 04 randomised controlled trials met the eligibility criteria and quality assessment and were selected for the present systematic review. A diverse range of interventions were delivered through a variety of tele rehabilitation systems. Summarized findings from the heterogeneous evidence base indicate that tele rehabilitation may have a positive impact on a range of primary and secondary outcomes. Conclusion: Tele rehabilitation, as an alternate form of rehabilitation for people with stroke, shows potential. This updated systematic review provides evidence to suggest that tele-rehabilitation interventions have either better or equal salutary effects. However, due to methodological and practical concerns, an unequivocal recommendation cannot be made. Findings from this review may inform future policies and practices regarding the use of tele rehabilitation for stroke patients.
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