Telerehabilitation-Based Early Upper Extremity Training in Stroke Patients

The Effect of Telerehabilitation-Based Early Upper Extremity Training on Upper Extremity Function and Proprioception in Stroke Patients

Telerehabilitation method, which is an alternative to face-to-face rehabilitation practices for stroke patients who need intensive, regular and long-term rehabilitation in the early period, has been popularly used in recent years. Telerehabilitation is a practice in which the patient participates in the treatment via digital media without the need for the patient to come to the clinic.

After the sociodemographic data of the participants are recorded, Mini Mental Test (MMT) will be applied to evaluate the cognitive status. Upper extremity functions of patients eligible for the study will be evaluated with the Fugl-Meyer Upper Extremity Scale (FM-UE), proprioception evaluation will be evaluated with the Laser-pointer Assisted Angle Reproduction Test, activities of daily living will be evaluated with the Modified Barthel Index, and reaching performance will be evaluated with the Reaching Performance Scale. Characteristics of the patients participating in the study and all outcome measurements before and after treatment will be evaluated by a blinded physiotherapist. A researcher blinded to the exercise groups and evaluation results will perform the statistical analysis.

Inclusion Criteria:

• Between the ages of 30-65, with a history of stroke within the last month,
• Mini Mental Score ≥ 24, 1-10 after discharge. on the day,
• patients who can sit for at least 30 seconds, exhibit a hemiparetic condition, and are clinically stable

Exclusion Criteria:

• Flaccid hemiplegia detected by anamnesis and physical examination,
• Has spasticity in the upper extremity with a severity greater than 1+ according to the Modified Ashworth Scale,
• patients with severe dementia and dysfunction of the upper extremity joints due to a previous musculoskeletal disease