Remotely Delivered Task-Oriented Training and Evaluation (reTOTE) for Stroke Rehabilitation

IF 2 Q2 REHABILITATION

Archives of rehabilitation research and clinical translation Pub Date : 2025-09-01 DOI:10.1016/j.arrct.2025.100491

Veronica T. Rowe PhD, OTR/L , Emily A. Wilcox MHS, OTR/L , Charlotte A. Chatto PT, PhD , Ryan M. Carrick PhD, MHS, OTR/L

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Abstract

Objective

To determine the effect of a multifaceted task-oriented training intervention delivered through telerehabilitation (Remote Task-Oriented Training and Evaluation [reTOTE]) on stroke survivors’ activity, performance, quality of life, and confidence.

Design

Cohort study with repeated measures at pre- and post-reTOTE intervention and 1-month follow-up.

Setting

Virtual through telerehabilitation.

Participants

Twelve (N=12) stroke survivors.

Interventions

The reTOTE intervention was individualized for each participant during 8 sessions designed with evidence-based components of constraint-induced movement therapy, principles of experience-dependent plasticity, and use of the Cognitive Orientation to daily Occupational Performance approach.

Main Outcome Measures

Motor Activity Log, Canadian Occupational Performance Measure, Stroke Impact Scale, and the Activities-specific Balance Confidence Scale.

Results

The results demonstrated an increase in performance of functional abilities in stroke survivors’ lives immediately and at 1-month follow-up after completing reTOTE compared with preintervention.

Conclusions

This study indicates the importance of using an evidence-based, individualized, task-oriented therapeutic intervention for stroke survivors and the feasibility of remote delivery through telerehabilitation. Implementation of reTOTE may allow for access to rehabilitation that could improve meaningful therapeutic outcomes for stroke survivors.

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脑卒中康复远程交付任务导向培训与评估（reTOTE）

目的探讨通过远程康复提供的多面向任务的训练干预（Remote task-oriented training and Evaluation [reTOTE]）对脑卒中幸存者活动、表现、生活质量和信心的影响。设计队列研究，在retote干预前后进行重复测量，随访1个月。SettingVirtual通过远程康复。参与者12名（N=12）中风幸存者。干预措施：在8个疗程中，对每个参与者进行个性化的远程干预，设计了基于证据的约束诱导运动疗法成分、经验依赖可塑性原则，并使用了日常职业表现的认知取向方法。主要结果测量：运动活动记录、加拿大职业表现测量、中风影响量表和特定活动平衡信心量表。结果结果表明，与干预前相比，完成远程康复治疗后立即和1个月随访时中风幸存者的功能能力表现有所提高。结论本研究提示对脑卒中幸存者采用循证、个性化、任务导向的治疗干预的重要性，以及通过远程康复进行远程交付的可行性。远程遥控的实施可能会使中风幸存者获得康复，从而改善有意义的治疗结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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