Remote rehabilitation training using the combination of an exergame and telerehabilitation application: A case report of an elderly chronic stroke survivor

Access to remote rehabilitation services is now possible thanks to advanced technology solutions such as exergames and telerehabilitation-applications. This pretest/posttest single case study, conducted with one participant with a chronic stroke (3 years) aimed at collecting preliminary evidence regarding feasibility and efficacy of using a telerehabilitation application combined with an exergame on upper limb function, motivation and quality of life after stroke. Forty-two exergame training sessions (including 8 videoconferencing sessions) took place over a two-month period. The results showed significant improvement of upper limb motor function and an increase of the affected upper limb amount of use in activities of daily life. However, no significant change was recorded regarding the impact on quality of life and motivation. These preliminary results allow us to have a first glimpse of the potential of this program and better inform a larger scale study.