Intensive Motor Rehabilitation of Stroke Patients: Evaluation of a Telerehabilitation Program
Stroke is a major cause of motor disability, particularly hemiplegia, and its incidence is increasing as the population ages. Despite partial spontaneous recovery in the first three months, 80% of patients retain a motor deficit after six months, requiring intensive rehabilitation to maximize recovery. However, after hospitalization, access to intensive rehabilitation is limited, due to geographical and mobility constraints, and the lack of reimbursement for private occupational therapy. Telerehabilitation, using digital technologies, can overcome these difficulties by offering interactive, accessible rehabilitation at home. Studies show that its effectiveness is comparable to that of clinical rehabilitation. Our study therefore proposes to evaluate the feasibility and effects of a home-based telerehabilitation program using the MindMotion GO device (MindMaze). This 12-week program aims to provide an additional intensive dose of rehabilitation to the standard of care, with 300 minutes of weekly active therapy, planned and monitored remotely by a therapist.
• Hospitalized for a first ischemic or hemorrhagic stroke
• Stroke occurrence more than 30 days prior
• Presenting motor deficits affecting the upper limb, with or without involvement of the lower limb
• Able to follow the instructions of the home program using the MindMotion GO device
• Having at home an accessible email address, an Internet connection with password, a smartphone, a screen or TV with HDMI input (Full HD 1080p resolution), and a free space of approximately 1 m x 2.5 m in front of the screen
• Ability to sit without assistance
• Patient agreeing to participate in the study by signing an informed consent form
• Affiliated with, or entitled to, a social security scheme