Telerehabilitation-based training to improve balance confidence, falls efficacy, functional independence in individuals with stroke: a randomized controlled trial

Abstract

Background: The aim of the study was to investigate the effectiveness of telerehabilitation-based balance and coordination exercises on balance confidence, fall efficacy, and functional independence in stroke patients. Methods: A double-blind, randomized controlled trial was conducted on 30 stroke patients (15 in the telerehabilitation-based group and 15 in the paper-based control group). The telerehabilitation group received video-based exercise training, while the control group received paper-based exercise training. Fear of falling (FES-I), balance (ABC), self-management (SSEQ) and satisfaction with telemedicine (TSQ) were evaluated before and six weeks after treatment. Results: The results of the present study showed that both telerehabilitation-based video training and paper- based exercise prescription methods were effective in terms of balance confidence, fall efficiency and stroke-specific functional independence (p<0.05). Besides, telerehabilitation-based video training was more effective in balance confidence (p=0.042) and functional independence (0.018). In addition, the satisfaction of individuals in the telerehabilitation group with the telerehabilitation application was above average (59.73±8.15). Conclusion: Telerehabilitation-based video exercises in stroke patients may provide additional advantages in terms of balance confidence and fall efficiency. In addition, individuals with stroke were satisfied with the remote rehabilitation application.