Efficacy of Home-Based Telerehabilitation vs In-Clinic Therapy for Adults After Stroke: A Randomized Clinical Trial

Cramer Steven C.; Dodakian Lucy; Le Vu; See Jill; Augsburger Renee; McKenzie Alison; Zhou Robert J.; Chiu Nina L.; Heckhausen Jutta; Cassidy Jessica M.; Scacchi Walt; Smith Megan Therese; Barrett A. M.; Knutson Jayme; Edwards Dylan; Putrino David; Agrawal Kunal; Ngo Kenneth; Roth Elliot J.; Tirschwell David L.; Woodbury Michelle L.; Zafonte Ross; Zhao Wenle; Spilker Judith; Wolf Steven L.; Broderick Joseph P.; Janis Scott; Burrous Keisha; Hughes Carol; Swanson Kathryn; Doidge Tanya; Brousseau Joanne; Bayliss Joanna M.; Cole Jennifer; Pepperlane Heather; Tsagaris K. Zoe; Lavelle Maura; Schwabe Eric; Bialek Amy; Lyons Ashley E.; Sahu Komal; Whitesides Keenan E.; Reiss Aimee P.; Wolf Lois B.; van Holst Frances M. Tromp; Shorr Tamara K.; Seel Lynsey R.; Earl Julie N.; Askevold Jennifer L.; Gardner Elizabeth K.; March Gretchen E.; Yorke Eileen M.; Patire Lauren A.; Hreha Kimberly P.; Anderson Kelly; Hutchison Scott A.; Imburgia Rosemarie; Stec-Dellenbach Blair; Grattan Emily; Dillon Catherine; Griffin Jessica; Huang Yudong; Patel Kavita; Teklehaimanot Abeba A.; Maloney Margaret M.; Naples Gregory G.; Friedl Amy S.; Hansen Kristine M.; Harley Mary Y.; Hisel Terri Z.; Chae John; Edelstein Jessica; King Erin; Paczan Holly; Hansen Piper E.; Johnson Joelle J.; Clooney Debra M.; Grinnell Meredith L.; LaCroix Erika M.; Monge Iris M.; Pritchett Tiffany T.; Meyer Brett C.; Sharp Simpson R.; Bergeron Patrick R.; Valentine Ann T.; Pineda Christina U.; Sheehy Christiana

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Efficacy of Home-Based Telerehabilitation vs In-Clinic Therapy for Adults After Stroke: A Randomized Clinical Trial

机译：中风后家庭科目与临床治疗对临床治疗的疗效：随机临床试验

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Key PointsQuestionDoes a 6-week course of intensive home-based telehealth targeting arm movements after stroke provide rehabilitation benefits that are comparable with those derived from dose-matched traditional in-clinic rehabilitation therapy? FindingsIn this randomized, assessor-blinded, noninferiority clinical trial of 124 adults following stroke, telerehabilitation showed comparable efficacy to traditional in-clinic rehabilitation for improving motor status (Fugl-Meyer arm motor scale) and for improving patient knowledge about stroke. MeaningTelehealth is an effective means to provide rehabilitation therapy and improve patient outcomes after stroke and may be useful for improving access to rehabilitation therapy.

机译：关键要点在中风提供康复益处之后，关键要点是一个6周的密集型家庭远程医疗靶向臂运动，这些伴侣与源于传统的传统临床综合康复治疗的那些相当的康复益处？该脑卒中后124名成年人的随机，评估杂乱，非流动性临床试验，Telerehilitation对改善电机状态（Fugl-Meyer Arm Motor Scale）的传统临床康复以及改善患者对中风的知识进行了相当的疗效。意大利的意思是提供康复治疗的有效手段，并在中风后改善患者的结果，可用于改善对康复治疗的获得。

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《JAMA neurology》 |2019年第9期|共9页
作者
Cramer Steven C.; Dodakian Lucy; Le Vu; See Jill; Augsburger Renee; McKenzie Alison; Zhou Robert J.; Chiu Nina L.; Heckhausen Jutta; Cassidy Jessica M.; Scacchi Walt; Smith Megan Therese; Barrett A. M.; Knutson Jayme; Edwards Dylan; Putrino David; Agrawal Kunal; Ngo Kenneth; Roth Elliot J.; Tirschwell David L.; Woodbury Michelle L.; Zafonte Ross; Zhao Wenle; Spilker Judith; Wolf Steven L.; Broderick Joseph P.; Janis Scott; Burrous Keisha; Hughes Carol; Swanson Kathryn; Doidge Tanya; Brousseau Joanne; Bayliss Joanna M.; Cole Jennifer; Pepperlane Heather; Tsagaris K. Zoe; Lavelle Maura; Schwabe Eric; Bialek Amy; Lyons Ashley E.; Sahu Komal; Whitesides Keenan E.; Reiss Aimee P.; Wolf Lois B.; van Holst Frances M. Tromp; Shorr Tamara K.; Seel Lynsey R.; Earl Julie N.; Askevold Jennifer L.; Gardner Elizabeth K.; March Gretchen E.; Yorke Eileen M.; Patire Lauren A.; Hreha Kimberly P.; Anderson Kelly; Hutchison Scott A.; Imburgia Rosemarie; Stec-Dellenbach Blair; Grattan Emily; Dillon Catherine; Griffin Jessica; Huang Yudong; Patel Kavita; Teklehaimanot Abeba A.; Maloney Margaret M.; Naples Gregory G.; Friedl Amy S.; Hansen Kristine M.; Harley Mary Y.; Hisel Terri Z.; Chae John; Edelstein Jessica; King Erin; Paczan Holly; Hansen Piper E.; Johnson Joelle J.; Clooney Debra M.; Grinnell Meredith L.; LaCroix Erika M.; Monge Iris M.; Pritchett Tiffany T.; Meyer Brett C.; Sharp Simpson R.; Bergeron Patrick R.; Valentine Ann T.; Pineda Christina U.; Sheehy Christiana;
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作者单位

Univ Calif Irvine Dept Neurol 843 Hlth Sci Rd Hewitt Hall Room 1331 Irvine CA 92697 USA;

Univ Calif Irvine Dept Neurol 843 Hlth Sci Rd Hewitt Hall Room 1331 Irvine CA 92697 USA;

Univ Calif Irvine Dept Neurol 843 Hlth Sci Rd Hewitt Hall Room 1331 Irvine CA 92697 USA;

Univ Calif Irvine Dept Neurol 843 Hlth Sci Rd Hewitt Hall Room 1331 Irvine CA 92697 USA;

Univ Calif Irvine Dept Neurol 843 Hlth Sci Rd Hewitt Hall Room 1331 Irvine CA 92697 USA;

Univ Calif Irvine Dept Neurol 843 Hlth Sci Rd Hewitt Hall Room 1331 Irvine CA 92697 USA;

Univ Calif Irvine Dept Neurol 843 Hlth Sci Rd Hewitt Hall Room 1331 Irvine CA 92697 USA;

Univ Calif Irvine Dept Neurol 843 Hlth Sci Rd Hewitt Hall Room 1331 Irvine CA 92697 USA;

Univ Calif Irvine Dept Psychol Sci Irvine CA 92697 USA;

Univ Calif Irvine Dept Neurol 843 Hlth Sci Rd Hewitt Hall Room 1331 Irvine CA 92697 USA;

Univ Calif Irvine Inst Software Res Irvine CA 92697 USA;

Univ Calif Irvine Dept Stat Irvine CA 92697 USA;

Kessler Fdn Dept Stroke Rehabil Res W Orange NJ USA;

Case Western Reserve Univ MetroHlth Syst Dept Phys Med &

Rehabil Cleveland OH 44106 USA;

Burke Neurol Inst Brain Stimulat &

Robot Lab White Plains NY USA;

Burke Med Res Inst Dept Telemed &

Virtual Rehabil White Plains NY USA;

Univ Calif San Diego Dept Clin Neurosci La Jolla CA 92093 USA;

Brooks Rehabil Brooks Rehabil Clin Res Ctr Jacksonville FL USA;

Northwestern Univ Dept Phys Med &

Rehabil Chicago IL 60611 USA;

Univ Washington Dept Neurol Seattle WA 98195 USA;

Med Univ South Carolina Dept Hlth Sci &

Res Charleston SC 29425 USA;

Spaulding Rehabil Hosp Dept Phys Med &

Rehabil Boston MA USA;

Med Univ South Carolina Dept Publ Hlth Sci Charleston SC 29425 USA;

Univ Cincinnati Dept Neurol Cincinnati OH USA;

Emory Univ Dept Rehabil Med Div Phys Therapy Educ Atlanta GA 30322 USA;

Univ Cincinnati Dept Neurol Cincinnati OH USA;

NINDS NIH Bldg 36 Rm 4D04 Bethesda MD 20892 USA;

Brooks Rehabil Hosp Jacksonville FL USA;

Brooks Rehabil Hosp Jacksonville FL USA;

Brooks Rehabil Hosp Jacksonville FL USA;

Brooks Rehabil Hosp Jacksonville FL USA;

Brooks Rehabil Hosp Jacksonville FL USA;

Brooks Rehabil Hosp Jacksonville FL USA;

Burke Neurol Inst White Plains NY USA;

Burke Neurol Inst White Plains NY USA;

Burke Neurol Inst White Plains NY USA;

Burke Neurol Inst White Plains NY USA;

Burke Neurol Inst White Plains NY USA;

Burke Neurol Inst White Plains NY USA;

Emory Rehabil Hosp Atlanta GA USA;

Emory Rehabil Hosp Atlanta GA USA;

Emory Rehabil Hosp Atlanta GA USA;

Emory Rehabil Hosp Atlanta GA USA;

Atlanta Vet Affairs Hlth Care Syst Ctr Visual &

Neurocognit Rehabil Decatur GA USA;

Harborview Med Ctr Seattle WA USA;

Harborview Med Ctr Seattle WA USA;

Harborview Med Ctr Seattle WA USA;

Harborview Med Ctr Seattle WA USA;

Harborview Med Ctr Seattle WA USA;

Harborview Med Ctr Seattle WA USA;

Kessler Inst Rehabil Saddle Brook NJ USA;

Kessler Inst Rehabil Saddle Brook NJ USA;

Kessler Inst Rehabil Saddle Brook NJ USA;

Kessler Inst Rehabil Saddle Brook NJ USA;

Med Univ South Carolina Univ Hosp Charleston SC 29425 USA;

Med Univ South Carolina Univ Hosp Charleston SC 29425 USA;

Med Univ South Carolina Univ Hosp Charleston SC 29425 USA;

Med Univ South Carolina Univ Hosp Charleston SC 29425 USA;

Med Univ South Carolina Univ Hosp Charleston SC 29425 USA;

Med Univ South Carolina Univ Hosp Charleston SC 29425 USA;

Med Univ South Carolina Univ Hosp Charleston SC 29425 USA;

Med Univ South Carolina Univ Hosp Charleston SC 29425 USA;

Med Univ South Carolina Univ Hosp Charleston SC 29425 USA;

Med Univ South Carolina Univ Hosp Charleston SC 29425 USA;

MetroHlth Old Brooklyn Hlth Ctr Cleveland OH USA;

MetroHlth Old Brooklyn Hlth Ctr Cleveland OH USA;

MetroHlth Old Brooklyn Hlth Ctr Cleveland OH USA;

MetroHlth Old Brooklyn Hlth Ctr Cleveland OH USA;

MetroHlth Old Brooklyn Hlth Ctr Cleveland OH USA;

MetroHlth Old Brooklyn Hlth Ctr Cleveland OH USA;

MetroHlth Old Brooklyn Hlth Ctr Cleveland OH USA;

Shirley Ryan Abil Lab Chicago IL USA;

Shirley Ryan Abil Lab Chicago IL USA;

Shirley Ryan Abil Lab Chicago IL USA;

Shirley Ryan Abil Lab Chicago IL USA;

Shirley Ryan Abil Lab Chicago IL USA;

Spaulding Rehabil Hosp Boston MA USA;

Spaulding Rehabil Hosp Boston MA USA;

Spaulding Rehabil Hosp Boston MA USA;

Spaulding Rehabil Hosp Boston MA USA;

Spaulding Rehabil Hosp Boston MA USA;

Univ Calif San Diego Med Ctr Hillcrest Hosp La Jolla CA 92093 USA;

Univ Calif San Diego Med Ctr Hillcrest Hosp La Jolla CA 92093 USA;

Univ Calif San Diego Med Ctr Hillcrest Hosp La Jolla CA 92093 USA;

Univ Calif San Diego Med Ctr Hillcrest Hosp La Jolla CA 92093 USA;

Univ Calif San Diego Med Ctr Hillcrest Hosp La Jolla CA 92093 USA;

Univ Calif San Diego Med Ctr Hillcrest Hosp La Jolla CA 92093 USA;

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正文语种 eng
中图分类神经病学与精神病学;
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专利

1. Efficacy of Home-Based Telerehabilitation vs In-Clinic Therapy for Adults After Stroke: A Randomized Clinical Trial [J] . Cramer Steven C., Dodakian Lucy, Le Vu, JAMA neurology . 2019,第9期

机译：中风后家庭科目与临床治疗对临床治疗的疗效：随机临床试验
2. Efficacy of Folic Acid Therapy in Primary Prevention of Stroke Among Adults With Hypertension in China The CSPPT Randomized Clinical Trial [J] . Huo Yong, Li Jianping, Qin Xianhui, JAMA: the Journal of the American Medical Association . 2015,第13期

机译：叶酸疗法在中国成人高血压中风一级预防中的疗效CSPPT随机临床试验
3. Effect of a Multicomponent Home-Based Physical Therapy Intervention on Ambulation After Hip Fracture in Older Adults: The CAP Randomized Clinical Trial [J] . Magaziner Jay, Mangione Kathleen K., Orwig Denise, JAMA: the Journal of the American Medical Association . 2019,第10期

机译：多组分家庭物理治疗干预对老年人髋部骨折后巷的影响：帽随机临床试验
4. A home-based telerehabilitation randomized trial for stroke care: Effects on falls self-efficacy and satisfaction with care [C] . Chumbler Neale R., Rose Dorian, Li Xinli, International Conference on Collaboration Technologies and Systems . 2014

机译：一项基于家庭的远程康复中风护理随机试验：对跌倒自我效能和护理满意度的影响
5. Sequential Rematched Randomization and Adaptive Monitoring with the Second-Generation p-Value to Increase the Efficiency and Efficacy of Randomized Clinical Trials [D] . Chipman, Jonathan Joseph. 2019

机译：用第二代P值进行顺序重复随机化和自适应监测，以提高随机临床试验的效率和功效
6. AGT-Reha-WK study: protocol for a non-inferiority trial comparing the efficacy and costs of home-based telerehabilitation for shoulder diseases with medical exercise therapy [O] . Bianca Steiner, Lena Elgert, Reinhold Haux, 2020

机译：AGT-REHA-WK学习：非劣级试验的协议比较了医疗健身疗法的家庭基础视网膜疾病的疗效和成本
7. A randomized controlled trial on Stroke telerehabilitation: The effects on falls self-efficacy and satisfaction with care [O] . Neale R Chumbler, Xinli Li, Patricia Quigley, 2015

机译：关于中风观察的随机对照试验：对微小的影响对自我效力和满足的影响

Efficacy of Home-Based Telerehabilitation vs In-Clinic Therapy for Adults After Stroke: A Randomized Clinical Trial

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