Tele-rehabilitation offers remote healthcare services via telecommunication technology to patients who face challenges in accessing traditional in-person rehabilitation. This randomized controlled trial investigated the effectiveness of tele-rehabilitation in overcoming mobility impairments in rural Pakistan.

A total of 92 participants, equally divided into intervention and control groups, were assessed. The intervention group received a 6-month tele-rehabilitation program, including video consultations, home visits, structured calls, and text messages.

Inclusion Criteria:

• People will be eligible for participation if they have had any disorder causing mobility impairment,
• Lives in rural areas,
• Are over the age of 20,
• Have been discharged from inpatient, outpatient and community physiotherapy living in their home, (Saywell, Vandal et al. 2012)
• Have medical approval from their general practitioner to engage in low to medium level exercise programs,
• At least 3 score on telephone cognitive screening questionnaire (Callahan, Unverzagt et al. 2002)
• Have limitation in mobility, physical function of arm, leg or both.

Exclusion Criteria:

• If they have confirmed cerebellar or brain stem stroke,
• Tele rehabilitation involvement require frequent communication with physiotherapist so using interpreter is considered impractical,
• Participants enrolled in other rehabilitation programs,
• Lack of necessary devices (e.g, internet, smartphone, tablet, computer) for tele rehabilitation.