Navigation Links
STeleR study: Telerehab improves functioning after stroke
Date:5/29/2012

INDIANAPOLIS -- Researchers led by Regenstrief Institute investigator Neale Chumbler, Ph.D., a research scientist with the Center of Excellence on Implementing Evidence-Based Practice at the Richard Roudebush VA Medical Center in Indianapolis, have developed STeleR, a home telerehabilitation program that they report improves lower body physical functioning after a stroke. Participating in STeleR also increased the likelihood of maintaining a regular fitness routine, enhanced money management skills, and improved the capability to prepare meals and take care of personal needs such as bathing.

"Effects of Telerehabilitation on Physical Function and Disability for Stroke Patients" appears online ahead of print publication in the August issue of the journal Stroke.

"We know that post-stroke rehab is critically important," said Dr. Chumbler, a medical sociologist who chairs the Department of Sociology and directs the Institute for Research on Social Issues in the School of Liberal Arts at Indiana University-Purdue University Indianapolis. "But for many veterans and others who experience a stroke, participating in supervised rehab can be difficult because they live far from a rehab facility. Even if distance isn't an impediment, getting someone to provide transportation may not be easy. Providing rehab in the home is costly, and the availability of qualified physical or occupational therapists may be limited, particularly in rural areas.

"We found that stroke survivors will participate in and can benefit from a telehealth system that enables therapists to deliver and monitor rehab in the patient's home from a remote location."

The 52 veterans in the multi-site study received care from VA medical centers in Atlanta, Durham, N.C., and Tampa, Fla.; were predominantly male; were ethnically diverse; and had an average age of 67. Each had experienced an ischemic or hemorrhagic stroke within the previous two years and lived in the community rather than in an institution. The study participants were randomized to usual care or the STeleR (short for stroke telerehab) intervention.

Three hourlong visits were made to the homes of those in the intervention arm of the study, during which a study team member used a camcorder to record physical and functional performance as well as discussed the home environment with the stroke survivor. An in-home messaging device that looks like a clock radio and plugs into a telephone line was installed and monitored weekly by a teletherapist who responded after reviewing information entered by the study patients. Over the three-month period, telephone calls between the teletherapist and the patient took place biweekly. Both STeleR and usual care group participants received routine VA care as directed by their health care providers.

Most of the gains in physical functioning and other improvements occurred during the initial three months of the study but were maintained during the subsequent three months during which no STeleR services were provided.

"STeleR has potential to be a useful supplement to traditional post-stroke rehabilitation, given the limited resources available for in-home rehabilitation for stroke survivors," Dr. Chumbler said. "STeleR or a similar telehealth program could be an important way to overcome access barriers and may be particularly useful for reaching vulnerable patient groups, such as individuals from a lower socioeconomic status and those who live in a rural area."


'/>"/>

Contact: Cindy Fox Aisen
caisen@iupui.edu
317-274-7722
Indiana University School of Medicine
Source:Eurekalert  

Related medicine news :

1. Study: Heart damage after chemo linked to stress in cardiac cells
2. UW study: Sleep apnea associated with higher mortality from cancer
3. OHSU study: Misdiagnosis of MS is costing health system millions per year
4. Study: Kids Who Sleep in Parents Bed Less Likely to Be Overweight
5. Study: More Pre-Teens Get Vaccines When Middle Schools Require Them
6. Study: No link between depression, nasal obstruction
7. Study: Insomnia takes toll on tinnitus patients
8. Study: Women not getting enough exercise; at risk of developing metabolic syndrome
9. Study: Low bone density medications may have protective effect on endometrial cancer
10. Study: US tobacco-control efforts prevented nearly 800,000 cancer deaths between 1975 and 2000
11. Study: Sleep gets better with age, not worse
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
STeleR study: Telerehab improves functioning after stroke
(Date:2/13/2016)... ... February 13, 2016 , ... The ... Recovery, the leading national organization representing the growing community of recovering individuals (now ... to include Family Recovery in policies addressing addiction. , Although many of ...
(Date:2/13/2016)... ... February 13, 2016 , ... ... Society (INS) states that vein visualization technology should be used to ensure patient ... around the world, the INS Standards mandate the use of vein visualization technology ...
(Date:2/13/2016)... ... 2016 , ... DDi , a Makro company, makes ... its expertise in eClinical Solutions. DDi has built its solution competency with a ... global clients. DDi provides smarter technology for Clinical Development, Regulatory and Enterprise domains ...
(Date:2/12/2016)... DC (PRWEB) , ... February ... ... Siemens Foundation today announced a new initiative—the Siemens Foundation-PATH Ingenuity Fellowships—to develop ... The partnership will recruit top students from U.S. universities who will draw ...
(Date:2/12/2016)... ... ... Each year, the American Physical Therapy Association (APTA) offers a Combined Sections ... Center. Almost 10,000 physical therapists across the country are expected to attend this annual ... chosen field and network with their colleagues. As in years past, HydroWorx is ...
Breaking Medicine News(10 mins):
(Date:2/12/2016)... Feb. 12, 2016  SI-BONE, Inc., a medical device company that ... a minimally invasive surgical (MIS) device indicated for fusion for certain ... Inc. (NGS), the Medicare Administrative Contractor (MAC) covering the states of ... Maine , Massachusetts , ... New York , Rhode Island , ...
(Date:2/12/2016)... Feb. 12, 2016  Memorial Hermann Health System has ... Howard to bring a one-of-a-kind experience to pediatric ... cutting-edge technologies such as 360-degree video and Google Cardboard, ... then literally – giving the patients and their families ... was all caught on video . ...
(Date:2/12/2016)... , Feb. 12, 2016 On Thursday, Feb. ... Surgery at St. David,s North Austin Medical Center successfully ... ® Xi ® Surgical System with Trumpf ... Thiru Lakshman , M.D., colorectal surgeon at ... proctocolectomy utilizing Integrated Table Motion technology, which seamlessly combines ...
Breaking Medicine Technology: