Collaborative Care Model Based Telerehabilitation Exercise Training Program for Acute Stroke Patients in China: A Randomized Controlled Trial
Abstract
Background Early rehabilitation has been proved very important for stroke patients. However, the effective model of transitioning from early in-hospital rehabilitation to discharge rehabilitation using the collaborative remote rehabilitation nursing model has not been thoroughly studied. Objective To explore the feasibility and effectiveness of collaborative care model based telerehabilitation exercise training for acute stroke patients. Methods A randomized controlled clinical trial was conducted. Patients were recruited and randomly divided into intervention and control group. Both groups were given regular treatment and acute rehabilitation nursing instructions during hospitalization. The control group was followed by regular telephone follow-up after discharge. The intervention group received Internet-based remote rehabilitation project after discharge. Motor function, balance ability and quality of life were measured at the day of discharge, the 4 th week, 8 th week and 12 th week after patients were discharged. The CONSORT checklist was used to check the procedure. Results A total of 61 patients completed the study, 30 cases in the intervention group and 31 cases in the control group. Both groups were significantly improved in terms of motor function and quality of life, but the intervention group showed greater improvement in Fugl-Meyer Motor Function Assessment (intervention group = 83.70 ± 4.44, control group = 75.29 ± 2.89), Berg Balance Scale (intervention group = 43.13 ± 2.32, control group = 38.29 ± 2.70) and Stroke-Specific Quality of Life Scale (intervention group = 190.57 ± 5.09, control group = 175.90 ± 5.78). Group-time interaction was significant in motor function and quality of life. Conclusion Collaborative care model based telerehabilitation exercise training program can safely and effectively improve the recovery of motor function and improve the quality of life in patients with stroke.
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More than 40% of stroke survivors experience cognitive impairment soon after the event.
“Cognitive skills were also assessed as more than 40% of stroke survivors experience cognitive impairment (mild post-stroke cognitive impairment—MCI) soon after the event [57].”
From Early Occupational Therapy Intervention post-stroke (EOTIPS): A randomized controlled trial (2024) · cites this paper as [57]
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High-Tech Home-Based Rehabilitation after Stroke: A Systematic Review and Meta-Analysis
Bok, S.-K., Song, Y., Lim, A., Jin, S., Kim, N., & Ko, G. (2023) · Journal of Clinical Medicine · doi:10.3390/jcm12072668 · Cited by 20 · see citing works
“, whereby the intervention was tailored to the participants virtually by the therapists of a collaborative care team during the intervention period; as a result, the participants’ motor function increased [22].”
BackgroundEarly Occupational Therapy Intervention post-stroke (EOTIPS): A randomized controlled trial
García-Pérez, P., Rodríguez-Martínez, M. C., Gallardo-Tur, A., Blanco-Reina, E., de la Cruz-Cosme, C., & Lara, J. P. (2024) · PLoS ONE · doi:10.1371/journal.pone.0308800 · Cited by 19 · see citing works
“…are not many studies on the effectivity of a multidisciplinary intervention in the process of hospital discharge after stroke that includes the figure of the occupational therapist, with the majority being carried out in northern Europe [3, 4, 53–55], UK [56], China [12, 57] and Australia [47].”
- Authors
- Wu, Z., Xu, J., Yue, C., Li, Y., & Liang, Y.
- Affiliations
- Soochow University (CN)
- Wuxi Taihu University (CN)
- Corresponding author
- Wu, Zhishui
- Xu, Jingjuan
- Yue, Chunxian
- Li, Yi
- Liang, Yongchun
- Venue
- Journal of Stroke and Cerebrovascular Diseases
- Publisher
- Elsevier BV
- Published
- 2020-12
- Volume
- 29
- Issue
- 12
- Pages
- 105328
- ISSN
- 1052-3057 (ISSN-L)
- OpenAlex
- W3091130523
- Cited by
- 78
- References
- 0
- Citations by year
- 2026: 15 · 2025: 15 · 2024: 21 · 2023: 13 · 2022: 10 · 2021: 4
- FWCI
- 3.75
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Stroke and Cerebrovascular Diseases (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
- Keywords
- telerehabilitation, acute stroke, collaborative care, exercise training, post-discharge rehabilitation, motor recovery, balance, quality of life
- MeSH terms
- Stroke Rehabilitation, Aged, China, Postural Balance, Exercise Therapy, Feasibility Studies, Female, Humans, Male, Middle Aged, Motor Activity, Patient Participation, Quality of Life, Self Care, Time Factors, Single-Blind Method, Treatment Outcome, Telemedicine, Recovery of Function, Stroke
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