Evidence map›Paper›PMID 39791697›Full record

ReviewHealthcare (Basel, Switzerland)2025

Synchronous Home-Based Telerehabilitation of the Upper Extremity Following Stroke-A Pyramid Review.

Kirsten Stangenberg-Gliss, Christian Kopkow, Bernhard Borgetto

Abstract readReview
In one paragraph

Review in Healthcare (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Kirsten Stangenberg-GlissFaculty of Social Work and Health, University of Applied Sciences and Arts Hildesheim/Holzminden/Göttingen, 31134 Hildesheim, Germany.ORCID 0009-0007-5901-7359
Christian KopkowDepartment of Therapy Science I, Brandenburg University of Technology Cottbus-Senftenberg, 01968 Senftenberg, Germany.ORCID 0000-0001-8342-4412
Bernhard BorgettoFaculty of Social Work and Health, University of Applied Sciences and Arts Hildesheim/Holzminden/Göttingen, 31134 Hildesheim, Germany.ORCID 0000-0001-7465-3061

Funding

German Federal Ministry of Education and Research 03FHP179
6 · The paper itself

Abstract

backgroundStroke 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.

methodsA 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.

resultsThirty 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.

conclusionsHome-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.

Indexed as

evidence-based practicehome basedPyramid Reviewstroketelerehabilitation

Identifiers

PMID39791697
PMCPMC11720659

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.