作者
Steven C Cramer, Lucy Dodakian, Vu Le, Jill See, Renee Augsburger, Alison McKenzie, Robert J Zhou, Nina L Chiu, Jutta Heckhausen, Jessica M Cassidy, Walt Scacchi, Megan Therese Smith, AM Barrett, Jayme Knutson, Dylan Edwards, David Putrino, Kunal Agrawal, Kenneth Ngo, Elliot J Roth, David L Tirschwell, Michelle L Woodbury, Ross Zafonte, Wenle Zhao, Judith Spilker, Steven L Wolf, Joseph P Broderick, Scott Janis, National Institutes of Health StrokeNet Telerehab Investigators
发表日期
2019/9/1
期刊
JAMA neurology
卷号
76
期号
9
页码范围
1079-1087
出版商
American Medical Association
简介
Importance
Many patients receive suboptimal rehabilitation therapy doses after stroke owing to limited access to therapists and difficulty with transportation, and their knowledge about stroke is often limited. Telehealth can potentially address these issues.
Objectives
To determine whether treatment targeting arm movement delivered via a home-based telerehabilitation (TR) system has comparable efficacy with dose-matched, intensity-matched therapy delivered in a traditional in-clinic (IC) setting, and to examine whether this system has comparable efficacy for providing stroke education.
Design, Setting, and Participants
In this randomized, assessor-blinded, noninferiority trial across 11 US sites, 124 patients who had experienced stroke 4 to 36 weeks prior and had arm motor deficits (Fugl-Meyer [FM] score, 22-56 of 66) were enrolled between September 18, 2015, and December 28, 2017, to receive telerehabilitation …
引用总数
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