Effects of Web-Based Physical–Cognitive Telerehabilitation Exergaming on Physical and Cognitive Performance in Chronic Stroke Survivors: Protocol for a Randomized Controlled Trial

As stroke survivors often manifest not only physical dysfunction but also cognitive impairment, interventions that address both physical and cognitive aspects may be beneficial for individuals with chronic stroke. However, a randomized clinical trial (RCT) examining the effects of physical-cognitive telerehabilitation exergaming across physical and cognitive domains in chronic stroke survivors remains scarce. Therefore, this study aims to investigate the effectiveness of the web-based physical-cognitive telerehabilitation exergaming on the physical and cognitive performance of chronic stroke survivors as compared to control. A two-arm RCT with a blinded assessor will be conducted. Fifty-two participants will be randomly assigned to either the intervention or the control group. Participants in the intervention group will receive a 12-week training program, whereas those in the control group will continue with usual care. Motor function, gait speed, balance, fall risk, muscle power, weight distribution, body composition, global cognition, executive function, attention, memory, as well as enjoyment will be assessed. Existing evidence has established the health benefits of physical-cognitive exergaming. It is expected that a physical-cognitive exergaming program may further exhibit positive effects on both physical function and cognition beyond the results of usual care. In addition, incorporating physical-cognitive training into a web-based telerehabilitation program may improve adherence and provide a feasible and enjoyable rehabilitation option for individuals with chronic stroke.