Efficacy of Telerehabilitation for Improving Daily Activity Performance of Stroke Survivors: A Systematic Review

This systematic review found moderate-certainty evidence that telerehabilitation provides outcomes for ADLs that are broadly comparable with those of conventional in-person rehabilitation for stroke survivors. However, confidence in these findings is limited by high risks of bias in many included studies and the variability in control conditions. Plain-Language Summary: This systematic review assessed and synthesized the current evidence regarding the efficacy of telerehabilitation as compared with in-person rehabilitation, other forms of telerehabilitation delivery, or no rehabilitation in improving activities of daily living of stroke survivors. The authors found moderate evidence that telerehabilitation is a feasible alternative for rehabilitation provision. Implications include the need for occupational therapy research to identify effective telerehabilitation methods, explore how remote sessions affect daily tasks, and examine occupation-based outcomes specifically relevant to stroke survivors.