Telerehabilitation Strategies for Stroke Recovery
Summary
Telerehabilitation harnesses information and communication technologies to deliver remote rehabilitative care for stroke survivors, integrating video conferencing, mobile applications, wearable sensors, virtual reality and robotic assistance. This approach spans synchronous therapies, such as live therapist-led exercise sessions, and asynchronous programmes featuring self-guided activities, automated feedback and progress monitoring. Blended care models combine in-person assessments with ongoing digital support to optimise continuity of care, enhance adherence and reduce geographical and mobility barriers. Key modalities include mobile health (mHealth) platforms that facilitate self-management of exercise and risk factors, serious games that promote repetitive task practice, home-based sensor systems for real-time movement analysis, and robotics for assisted motor training. Caregiver-mediated exercises delivered via digital channels can intensify task-specific practice and foster empowerment in home settings. Evidence amassed during the COVID-19 pandemic underscored remote therapy’s capacity to match conventional inpatient outcomes in functional gains and quality of life, while also highlighting challenges around usability, digital literacy and infrastructure. Ongoing innovation focuses on adaptive algorithms, personalised exercise regimens and integration of cognitive rehabilitation, with the global aim of expanding access to high-quality, cost-effective stroke recovery services.
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Telerehabilitation Strategies for Stroke Recovery publication trend
The graph below shows the total number of articles in telerehabilitation strategies for stroke recovery across all publications each year (not limited to Nature Index journals).
Technical terms
Telerehabilitation: Delivery of rehabilitation services at a distance using digital communication technologies.
mHealth: Use of mobile devices and applications to support health monitoring, education and intervention.
Blended care: Integrated model combining face-to-face clinical encounters with remote, technology-mediated therapies.
Constraint-induced movement therapy: Technique that restricts movement of the unaffected limb to promote use and cortical reorganisation of the affected limb.
References
- Current Status of Barriers to mHealth Access Among Patients With Stroke and Steps Toward the Digital Health Era: Systematic Review. JMIR mHealth and uHealth (2024).
- Effect of mobile application types on stroke rehabilitation: a systematic review. Journal of NeuroEngineering and Rehabilitation (2023).
- Acceptability of two mobile applications to support cross-sectoral, person-centred and empowering stroke rehabilitation – a process evaluation. Annals of Medicine (2024).
- Caregiver-mediated exercises with e-health support for early supported discharge after stroke (CARE4STROKE): A randomized controlled trial. PLOS ONE (2019).
- Telerehabilitation of Post-Stroke Patients as a Therapeutic Solution in the Era of the Covid-19 Pandemic. Healthcare (2021).
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