Home Tele Rehabilitation Therapy for Vascular Dementia and Stroke Patients

What this Trial Is About

Researchers are evaluating the feasibility and impact of home telerehabilitation therapy on caregiver burden in patients who have had a stroke more than six months ago, including those with and without vascular dementia. This controlled, evaluator-masked parallel study focuses on chronic ischemic or hemorrhagic stroke patients, aiming to compare remote rehabilitation therapy targeting the weaker arm to usual care. The study includes baseline assessments and follows a structured timeline to monitor therapy effects and safety. Participants will first continue their usual home rehabilitation care for one month. This is followed by four weeks of telerehabilitation therapy using a treatment application, where patients perform occupational therapist-prescribed hand and arm exercises for about 90 minutes per day with appropriate rest. Treatments are scheduled Monday through Friday and can be divided into multiple sessions to fit patient and caregiver preferences. Detailed records of motor tasks, repetitions, and performance levels will be maintained throughout the therapy period. Participants will undergo initial evaluations including questionnaires, functional and impairment scales, and brain imaging data collection. Demographic, medical history, stroke history, and medication information will be recorded from electronic medical records. Safety, comfort, and any adverse events will be monitored during all study visits. The primary outcomes measured include the Burden Scale for Family Caregivers and adverse events at three to four months, with secondary measures assessing upper extremity motor function. The entire study participation spans approximately four months with multiple follow-up evaluations.

Home Tele Rehabilitation Therapy for Vascular Dementia