Tele-Rehabilitation vs Conventional Rehabilitation for Cognitive Improvement in Stroke Survivors.

Comparison Of Tele-Rehabilitation Versus Conventional Rehabilitation To Improve Cognition Among Stroke Survivor.

This study aims to:

• Compare tele-rehabilitation and conventional rehabilitation for cognitive improvement after stroke.
• Evaluate changes in cognitive function using standardized assessment tools.
• Determine whether tele-rehabilitation is as effective as conventional therapy.
• Improve evidence-based rehabilitation strategies for stroke survivors.

Stroke is a leading cause of long-term disability and is frequently associated with cognitive impairments affecting attention, memory, executive function, and processing speed, which significantly reduce independence and quality of life among survivors. Cognitive rehabilitation plays a vital role in promoting neuroplasticity and functional recovery after stroke. Conventional rehabilitation, delivered through face-to-face clinical sessions, remains the standard approach; however, tele-rehabilitation has emerged as an accessible and innovative alternative that allows structured cognitive interventions to be delivered remotely using digital platforms. Despite increasing use of tele-rehabilitation, limited comparative evidence exists regarding its effectiveness versus conventional rehabilitation for cognitive improvement in stroke survivors. This randomized controlled trial aims to compare the effectiveness of tele-rehabilitation and conventional rehabilitation over a 8-weeks intervention period. Participants will be randomly allocated into two groups receiving comparable intensity and frequency of cognitive rehabilitation. Cognitive outcomes will be assessed at baseline and post-intervention using standardized tools such as the Montreal Cognitive Assessment (MoCA) and other validated measures such as Stroop Test. The findings of this study will contribute to evidence-based rehabilitation practices and help determine whether tele-rehabilitation can provide an effective alternative to conventional cognitive rehabilitation following stroke.

Inclusion Criteria:

• Adults with age 50-80
• Diagnosed with ischemic or hemorrhagic stroke within subacute to chronic phase.
• Moca Score 10-25 score atleast
• For tele-rehab must accessible to a digital device.

Exclusion Criteria:

• History of neurodegenerative disorder e.g Alzheimer's Disease and Parkinson's Disease
• Severe Cognitive Impairment
• Lack of access to or inability to use a digital device