Telerehabilitation in people with neurological diseases – current findings from clinical studies

Česká verze

Authors: B. Grosserová ¹; K. Novotná ^1,2
Authors place of work: Neurologická klinika a Centrum, klinických neurověd, 1. LF UK a VFN v Praze ¹; Klinika rehabilitačního lékařství, 1. LF UK a VFN v Praze ²
Published in the journal: Cesk Slov Neurol N 2025; 88(3): 169-182
Category: Původní práce
doi: https://doi.org/10.48095/cccsnn2025169

Summary

Introduction: Telerehabilitation seems to be a very promising alternative to conventional rehabilitation care and could also be beneficial for people with neurological diseases. Aim: The aim of the study was to map the existing published evidence in the field of telerehabilitation in adults with acquired neurological disease. Methods: A systematic search was conducted to identify available clinical studies published on telerehabilitation in people with neurological disease between 2010 and 2023 using a selected combination of keywords (telerehabilitation, telemonitoring, telemedicine, teleneurology, neurorehabilitation, multiple sclerosis, stroke, Parkinson’s disease, neurological disorders). Studies published in English and with participants under 18 years of age met the inclusion criteria. Studies focusing only on telemonitoring without rehabilitation intervention were excluded. The PEDro scale (1–11) was used to assess the quality of the studies. Based on this rating scale, studies of lower quality (< 4) were excluded, and then higher quality studies were analyzed in detail. Results: A total of 190 studies were identified. After removing duplicates and studies that did not meet the eligibility criteria (not focused on adult patients, were searches only, or full-text was not available), 111 studies remained for analysis. Of these, 49 were related to telerehabilitation for multiple sclerosis, 41 for stroke, 16 for Parkinson’s disease, 4 to telerehabilitation for speech disorders, and 8 for other diagnoses (4 craniotraumas, 2 spinal cord injuries, 1 amyotrophic lateral sclerosis, and 1 dementia). Interventions provided through telerehabilitation included most commonly cognitive training, then upper limb-focused therapy, combined training, gait training, or fatigue therapy. Conclusion: The results show that the interventions provided through telerehabilitation are very diverse and can produce results in some cases comparable to conventional rehabilitation. Telerehabilitation seems to be most useful for people with multiple sclerosis and stroke.

Keywords:

telerehabilitation – stroke – Multiple sclerosis – Parkinson‘s disease – neurological disease

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