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The purpose of this study is to investigate the feasibility of a virtual education and virtual visit program in engaging patients with rehabilitation at home after stroke.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Telerehabilitation | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Telerehabilitation | Other | Education based telerehab with rehabilitation therapists providing education on home exercises and stroke specific information |
|
| Measure | Description | Time Frame |
|---|---|---|
| Feasibility as assessed by number of participants that completed all scheduled visits. | end of study(12 weeks form baseline) |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Functional independence as assessed by the Functional Independence Measure (FIM) | This is an 18 item questionnaire and each is scored from 1(complete dependence on helper) to 7(complete independence), a higher number indicating more independence | Baseline, end of study (about 13-14 weeks after baseline) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Sean Savitz, MD | The University of Texas Health Science Center, Houston | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The University of Texas Health Science Center at Houston | Houston | Texas | 77030 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 40103648 | Derived | Stevens EA, Muraly N, Da Silva CP, Richards L, Sosa A, Smith H, Richard AS, Manji S, Russell ME, Savitz SI. Virtually assisted home rehabilitation after acute stroke (VAST-rehab): A descriptive pilot study for young and underserved stroke survivors. Digit Health. 2025 Mar 17;11:20552076251324443. doi: 10.1177/20552076251324443. eCollection 2025 Jan-Dec. |
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| ID | Term |
|---|---|
| D020521 | Stroke |
| ID | Term |
|---|---|
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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| ID | Term |
|---|---|
| D000069350 | Telerehabilitation |
| ID | Term |
|---|---|
| D012046 | Rehabilitation |
| D000359 | Aftercare |
| D003266 | Continuity of Patient Care |
| D005791 | Patient Care |
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| Patient-Specific Functional Scale |
This tool allows for Subjects to self report activities of daily living that have been affected by stroke and rate severity of impact on these activities. This is scored from 0(unable to perform activity) to 10(able to perform activity at the same level as before injury or problem) |
| Baseline, end of study (about 13-14 weeks after baseline) |
| Change in impact of stroke as assessed by the Stroke Impact Scale (SIS) | This is a A 59 item questionnaire whereby subjects identify the impact of stroke on strength, hand function, mobility, activities of daily living, memory, communication, emotion, and handicap. Item responses are scored on a 5-point Likert-style scale. A score of 1 = an inability to complete the item and a score of 5 = no difficulty experienced at all. A standardized score ranging from 0 to 100 is calculated for all domains, with higher scores indicating a higher quality of life | Baseline, end of study (about 13-14 weeks after baseline) |
| Change in quality of life as assessed by the EuroQol-5-5level scale (EQ-5D-5L) | A self reporting, quality of life measurement that asks Subjects to rate their severity of problems related to mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. There are 5 questions in the first section and each question is scored from 0-5,a higher number indicating a worse outcome .There is a visual scale at the end that is scored from 0(worst health) to 100(best health), higher number indicating better outcome . . | Baseline, end of study (about 13-14 weeks after baseline) |
| Change in cognitive impairment as assessed by the Short Montreal Cognitive Assessment(s-MoCA) | 8 item questionnaire ,with a possible score of 1-5, a lower number indicating higher cognitive impairment | Baseline, end of study (about 13-14 weeks after baseline) |
| Change in performance in activities of daily living as assessed by the Barthel Index | This is a scoring technique that measures performance in ten activities of daily living including feeding, wheelchair to bed transfers, grooming ,chair to toilet transfers, walking, using stairs, dressing, and continence of bowels and bladder. This is a 10 item questionnaire and is scored from 0-100, a higher score indicating higher level of independence. | Baseline, end of study (about 13-14 weeks after baseline) |
| Change in symptoms related to stroke as assessed by the National Institute of Health Stroke Scale(NIHSS) | the score for each ability is a number between 0(normal functioning) to 4(completely impaired). The score is calculated by adding the number for each element of the scale with a highest score of 42, a higher score meaning more impairment. | Baseline, end of study (about 13-14 weeks after baseline) |
| Change in degree of disability or dependence as measured by the Modified Rankin Score(mRS) | mRS is a 6 point disability scale with possible scores from 0(no disability) to 5(disability requiring constant care) a higher score indicating more disability | Baseline, end of study (about 13-14 weeks after baseline) |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D013812 |
| Therapeutics |
| D006296 | Health Services |
| D005159 | Health Care Facilities Workforce and Services |
| D017216 | Telemedicine |
| D003695 | Delivery of Health Care |
| D010346 | Patient Care Management |
| D006298 | Health Services Administration |