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    <volume>13</volume>
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    <title language="eng">Synchronous home-based telerehabilitation of the upper extremity following stroke—A Pyramid Review</title>
    <abstract language="eng">Background: Stroke is a leading cause of long-term disability, often resulting in upper extremity impairment. Telerehabilitation offers a promising approach to deliver therapy in home settings. This review aimed to evaluate the effects of home-based telerehabilitation interventions delivered to address upper extremity function in stroke patients. Methods: A systematic review was conducted following the Pyramid Review methodology. Quantitative and qualitative studies examining home-based telerehabilitation for upper extremity function in stroke patients were included. Data were synthesized using meta-analysis where possible and narrative synthesis. Results: Thirty studies (24 quantitative, four qualitative, and two mixed-methods studies) were included. Telerehabilitation interventions demonstrated improvements in upper extremity function for both subacute and chronic stroke patients, with varying effect sizes across intervention types. Constraint-induced movement therapy adaptations and some sensor-based approaches showed consistently positive results. Qualitative findings revealed generally positive effects, with convenience, gamification, and social support as key motivators for adherence. Conclusions: Home-based telerehabilitation shows promise for improving upper extremity function in stroke patients. However, heterogeneity in intervention designs and outcomes limits definitive conclusions. Future research should focus on larger trials, observational studies, standardized outcome measures, and long-term follow-up as well as qualitative studies with focus on perceived effectiveness to optimize telerehabilitation approaches for stroke recovery.</abstract>
    <parentTitle language="eng">Healthcare</parentTitle>
    <identifier type="doi">10.3390/healthcare13010090</identifier>
    <identifier type="issn">2227-9032</identifier>
    <enrichment key="Fprofil">2 Gesundheit und Lifes Sciences / Health and Life Sciences</enrichment>
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This review aimed to evaluate the effects of home-based telerehabilitation interventions delivered to address upper extremity function in stroke patients. Methods: A systematic review was conducted following the Pyramid Review methodology. Quantitative and qualitative studies examining home-based telerehabilitation for upper extremity function in stroke patients were included. Data were synthesized using meta-analysis where possible and narrative synthesis. Results: Thirty studies (24 quantitative, four qualitative, and two mixed-methods studies) were included. Telerehabilitation interventions demonstrated improvements in upper extremity function for both subacute and chronic stroke patients, with varying effect sizes across intervention types. Constraint-induced movement therapy adaptations and some sensor-based approaches showed consistently positive results. Qualitative findings revealed generally positive effects, with convenience, gamification, and social support as key motivators for adherence. Conclusions: Home-based telerehabilitation shows promise for improving upper extremity function in stroke patients. However, heterogeneity in intervention designs and outcomes limits definitive conclusions. Future research should focus on larger trials, observational studies, standardized outcome measures, and long-term follow-up as well as qualitative studies with focus on perceived effectiveness to optimize telerehabilitation approaches for stroke recovery.&lt;\/jats:p&gt;","DOI":"10.3390\/healthcare13010090","type":"journal-article","created":{"date-parts":[[2025,1,6]],"date-time":"2025-01-06T15:40:52Z","timestamp":1736178052000},"page":"90","source":"Crossref","is-referenced-by-count":0,"title":["Synchronous Home-Based Telerehabilitation of the Upper Extremity Following Stroke\u2014A Pyramid Review"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-5901-7359","authenticated-orcid":false,"given":"Kirsten","family":"Stangenberg-Gliss","sequence":"first","affiliation":[{"name":"Faculty of Social Work and Health, University of Applied Sciences and Arts Hildesheim\/Holzminden\/G\u00f6ttingen, 31134 Hildesheim, Germany"},{"name":"BG Hospital Berlin, 12683 Berlin, Germany"},{"name":"Department of Therapy Science I, Brandenburg University of Technology Cottbus-Senftenberg, 01968 Senftenberg, Germany"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8342-4412","authenticated-orcid":false,"given":"Christian","family":"Kopkow","sequence":"additional","affiliation":[{"name":"Department of Therapy Science I, Brandenburg University of Technology Cottbus-Senftenberg, 01968 Senftenberg, Germany"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7465-3061","authenticated-orcid":false,"given":"Bernhard","family":"Borgetto","sequence":"additional","affiliation":[{"name":"Faculty of Social Work and Health, University of Applied Sciences and Arts Hildesheim\/Holzminden\/G\u00f6ttingen, 31134 Hildesheim, Germany"}]}],"member":"1968","published-online":{"date-parts":[[2025,1,6]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"795","DOI":"10.1016\/S1474-4422(21)00252-0","article-title":"Global, regional, and national burden of stroke and its risk factors, 1990\u20132019: A systematic analysis for the Global Burden of Disease Study 2019","volume":"20","author":"Feigin","year":"2021","journal-title":"Lancet Neurol."},{"key":"ref_2","doi-asserted-by":"crossref","unstructured":"Platz, T.H. 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