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June 9, 2026Physiotherapy QuarterlyOpen Access

Tele-rehabilitation improves cognition and depression vs clinic-based rehab but yields similar hand function outcomes.

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Why the study?

Information and communication technologies are used in tele-rehabilitation, but the effect of tele-rehabilitation intervention on cognitive, hand functions, and depression in hemiparetic patients needed determination.

Does tele-rehabilitation intervention improve hand function, cognitive function, and depression in hemiparetic patients with mild hand dysfunction compared to a standard hand rehabilitation program?

Population

Thirty hemiparetic patients aged 45-55-year-old with mild hand dysfunction

Comparison

Tele-rehabilitation intervention vs selected hand rehabilitation program

Design

Randomised controlled double-blinded study

Key result

Tele-rehabilitation significantly improved cognitive functions and depression compared to clinic-based rehabilitation in hemiparetic patients, though hand function improvements measured by the nine-hole peg test did not differ significantly.

Authors

RERasha M. ElrewainyAAAhmed Magdy AlshimyYMYassmin Essam Mohamed

Discussion

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Overview

Tele-rehabilitation improves cognition and depression but not hand function in hemiparetic patients; extends RCT evidence for remote delivery.

Study Design

Type

RCT (n=30)

Blinding

Double-blind

Randomization

randomised

Multicenter

No

Structured PICO

Does tele-rehabilitation intervention improve hand function, cognitive function, and depression in hemiparetic patients with mild hand dysfunction compared to a standard hand rehabilitation program?

P
Population
30 hemiparetic patients aged 45-55 years with mild hand dysfunction and borderline clinical depression, followed for 12 weeks.
I
Intervention
Tele-rehabilitation intervention
C
Comparator
Selected hand rehabilitation program
O
Outcome
Hand function (9-hole peg test [9HPT], Fugl-Meyer upper extremity [FMUE]), cognitive function (Montreal cognitive assessment scale [MOCA], REHACOM system), and depression (BECK Depression Inventory Questionnaire)

Main Result

Absolute Event Rate: 34.231% vs 35.313%

p-value: p=0.3332

Tele-rehabilitation is an effective strategy to enhance upper extremity motor function, cognition, and psychological well-being in hemiparetic patients.

Limitations

  • Small sample size
  • Lack of long-term follow-up

Cite This Study

Elrewainy et al. (2026) conducted an RCT in Hemiparesis (n=30). Tele-rehabilitation vs. Clinic-based hand rehabilitation program was evaluated on Nine-hole peg test (9HPT) (p=0.3332). Tele-rehabilitation significantly improved cognitive functions and depression compared to clinic-based rehabilitation in hemiparetic patients, though hand function improvements measured by the nine-hole peg test did not differ significantly.

synapsesocial.com/papers/6aa91b288e6f6568fcacb728https://doi.org/10.5114/pq/212609
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