The Effects of Telerehabilitation in Chronic Hemiplegic Patients

A total of 40 chronic hemiplegic subjects were included in the study. The patients were divided into 2 groups by simple randomization method. As the Telerehabilitation Group (TR), Group 1 completed the treatment program, which included upper extremity and lower extremity strengthening exercises, for eight weeks, three days a week for 45-60 minutes, 10 repetitions, with online supervision. Group 2 was planned as a face-to-face training group and the same exercises were performed in the clinical setting, accompanied by a physiotherapist. The evaluations were made before and after the treatment. The Modified Ashworth Scale was used for upper extremity spasticity evaluation. The Wolf Motor Function Test was used to evaluate upper extremity functionality. The Barthel ADL Index was used to evaluate Activities of Daily Living (ADL). The Brunnstrom Staging Survey was used to evaluate the level of motor recovery. The Treatment Satisfaction Inquiry Survey was used to evaluate the satisfaction of the patients with the treatment method. Heart Rate (HR) values and oxygen saturation (SaO2) were measured with Pulse Oximetry to monitor vital signs.

Inclusion criteria

• Having been diagnosed with stroke between the ages of 40-70
• It has been 12 months since the stroke
• Individuals with upper extremity spasticity level (Modified Ashworth Scale (MAS) score ≤ 3)
• Hand and upper extremity values above 3 according to Brunnstrom motor staging
• Individuals with ischemic, middle cerebral artery involvement will be taken.

Exclusion criteria

• Having advanced apraxia and aphasia
• Patients who do not have the cooperation to perform verbal commands and exercise training
• Patients who have undergone any botulinum toxin application in the last 6 months
• Patients with significant visual and hearing loss
• Individuals who do not have the necessary technological competence to provide remote video communication at home will not be accepted.