ArticleJournal of the neurological sciences2018
Pilot trial of a tele-rehab intervention to improve outcomes after stroke in Ghana: A feasibility and user satisfaction study.
Article in Journal of the neurological sciences, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 3 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
36 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Mobile App Interventions for Parkinson's Disease, Multiple Sclerosis and Stroke: A Systematic Literature Review.Sensors (Basel, Switzerland) · 2023Pooled it
- Effect of mobile application types on stroke rehabilitation: a systematic review.Journal of neuroengineering and rehabilitation · 2023Pooled it
- Tele-Rehabilitation after Stroke: An Updated Systematic Review of the Literature.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2018Pooled it
- Low-cost Rehabilitation Solutions: Lessons From LMIC Settings.Current neurology and neuroscience reports · 2026Review
- The Feasibility, Safety, and Preliminary Functional Outcomes of a Mobile Application-Based Rehabilitation Program in Non-Ambulatory Patients After Intensive Care Unit Discharge.Journal of clinical medicine · 2026Article
- Mapping the evidence on mHealth interventions for cardiovascular event care in Africa: a scoping review.Heart (British Cardiac Society) · 2025Article
- A scoping review of stroke rehabilitation in Africa: interventions, barriers, and research gaps.Journal of health, population, and nutrition · 2025Article
- Telerehabilitation using a 2-D planar arm rehabilitation robot for hemiparetic stroke: a feasibility study of clinic-to-home exergaming therapy.Journal of neuroengineering and rehabilitation · 2024Observational
- Views of Service Users, Their Family or Carers, and Health Care Professionals on Telerehabilitation for People With Neurological Conditions in Ghana: Qualitative Study.JMIR mHealth and uHealth · 2024Article
- Gait Device Treatment Using Telehealth for Individuals With Stroke During the COVID-19 Pandemic: Nonrandomized Pilot Feasibility Study.JMIR formative research · 2023Article
- Scoping review of health information technology usability methods leveraged in Africa.Journal of the American Medical Informatics Association : JAMIA · 2023Article
- Nurse-led telerehabilitation intervention to improve stroke efficacy: Protocol for a pilot randomized feasibility trial.PloS one · 2023Article
- Long-term determinants of death after stroke in Ghana: Analysis by stroke types & subtypes.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2022Article
- Use of Mobile/Tablet and Web-Based Applications to Support Rehabilitation After Stroke: A Scoping Review.Journal of rehabilitation medicine · 2022Article
- Telerehabilitation in response to constrained physical distance: an opportunity to rethink neurorehabilitative routines.Journal of neurology · 2022Review
- Home-Based Tele-Exercise in Musculoskeletal Conditions and Chronic Disease: A Literature Review.Frontiers in rehabilitation sciences · 2022Review
- Accuracy and Validity of a Single Inertial Measurement Unit-Based System to Determine Upper Limb Kinematics for Medically Underserved Populations.Frontiers in bioengineering and biotechnology · 2022Article
- Provision and use of physical rehabilitation services for adults with disabilities in Rwanda: A descriptive study.African journal of disability · 2022Article
- Stroke in Africa: profile, progress, prospects and priorities.Nature reviews. Neurology · 2021Review
- Unravelling 'low-resource settings': a systematic scoping review with qualitative content analysis.BMJ global health · 2021Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundTele-rehabilitation after stroke holds promise for under-resourced settings, especially sub-Saharan Africa (SSA), with its immense stroke burden and severely limited physical therapy services.
objectiveTo preliminarily assess the feasibility and outcomes of mobile technology-assisted physical therapy exercises for stroke survivors in Ghana.
methodsWe conducted a prospective, single arm, pre-post study involving 20 stroke survivors recruited from a tertiary medical center, who received a Smartphone with the 9zest Stroke App® to deliver individualized, goal-targeted 5-days-a-week exercise program that was remotely supervised by a tele-therapist for 12 weeks. Outcome measures included changes in stroke levity scale scores (SLS), Modified Rankin score (MRS), Montreal Cognitive Assessment (MOCA), and feasibility indicators.
resultsAmong study participants, mean ± SD age was 54.6 ± 10.2 years, 11 (55%) were men, average time from stroke onset was 6 months. No participants dropped out. Compared with baseline status, mean ± SD scores on SLS improved from 7.5 ± 3.1 to 11.8 ± 2.2 at month 1 (p < 0.0001) and 12.2 ± 2.4 at month 3 (p < 0.0001), MOCA scores improved from 18.2 ± 4.3 to 20.4 ± 4.7 at month 1 (p = 0.14), and 22.2 ± 7.6 at month 3 (p = 0.047). Mean ± SD weekly sessions performed by participants per month was 5.7 ± 5.8 and duration of sessions was 25.5 ± 16.2 min. Erratic internet connectivity negatively affected full compliance with the intervention, although satisfaction ratings by study participants were excellent.
conclusionIt is feasible to administer an m-health delivered physical therapy intervention in SSA, with high user satisfaction. Randomized trials to assess the efficacy and cost-effectiveness of this intervention are warranted.
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Registered trials
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