Key result
Tele-rehabilitation improves cognition and depression vs clinic-based rehab but yields similar hand function outcomes.
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?
RCT (n=30)
Double-blind
randomised
No
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?
Tele-rehabilitation is an effective strategy to enhance upper extremity motor function, cognition, and psychological well-being in hemiparetic patients.
Answers are grounded in this paper and cite their sources.
Tele-rehabilitation improves cognition and depression but not hand function in hemiparetic patients; extends RCT evidence for remote delivery.
Introduction Information and communication technologies (ICT) are used in tele-rehabilitation to deliver rehabilitation treatments to patients in their homes or other locations. The aim of this research is to determine how tele-rehabilitation intervention affects hemiparetic patients’ cognitive, hand functions, and depression. Methods Thirty hemiparetic patients of both sexes with mild hand dysfunction participated in a randomised controlled double-blinded study design (age was 45–55-year-old); 15 patients in the control group (GB) received a selected hand rehabilitation program, whereas 15 patients in the experimental group (GA) received a tele-rehabilitation intervention. The 9HPT (nine-hole peg test), FMUE (Fugl-Meyer upper extremity), MOCA (Montreal cognitive assessment scale), REHACOM system, and the BECK Depression Inventory Questionnaire were used to evaluate the patients in both groups before and after the treatment program began. Results According to the current study, there was no significant difference between experimental group A and control group B in terms of the 9HPT; however, there was a statistically significant difference in favour of the GA receiving tele-rehabilitation in terms of the FMUE, MOCA, REHACOM system, and Beck Depression Inventory questionnaire. Conclusions Based on the available information, tele-rehabilitation is a useful treatment for hemiparetic patients who have mild hand function impairments and enhance cognition and psychological well-being status.
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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.
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