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Telerehabilitation as a physical therapy solution for post-stroke patient in COVID-19 pandemic situations: a review

  • I Made Yoga Prabawa ,
  • Dedi Silakarma ,
  • M. Widnyana ,


Background: Stroke is one of the leading causes of disability among the adult population. One-third of post-stroke patients require ongoing physical rehabilitation to improve their motoric function. But in this COVID-19 pandemic situation, all outpatient visits or non-emergency cases, including in-clinic physical rehabilitation therapy, have been postponed and limited to maintain physical distancing to prevent the spreading of infection. Telerehabilitation can be the answer to overcome this circumstance.

Methods: We conducted a comprehensive search for online literature or studies in 2020. We explored evidence using the following database Cochrane Library, PubMed, and Google Scholar. The keywords used to obtain the relevant research include “telerehabilitation” OR “telemedicine” AND “physical rehabilitation” AND “stroke patient” AND “COVID-19 pandemic”. The literature was analyzed based on the results of previous studies.

Results: Telerehabilitation delivers rehabilitation services via communication technologies involving the patient and the physical therapist communicate using telehealth platform and video-teleconference. Several telerehabilitation techniques can be used for stroke patients' physical exercise, such as portable transcutaneous electrical stimulation (TENS), mirror therapy, home exercise program, and virtual reality exercise. Several studies have shown that telerehabilitation is not inferior than in-clinic physical exercise, and both showed significant improvement in post-stroke patients' motor function.

Conclusions: Telerehabilitation can be the solution for post-stroke patient’s physical rehabilitation in the COVID-19 pandemic. This novel health innovation allowed the post-stroke patient to exercise at home and prevent them from the risk of COVID-19 infection.


  1. Chen J et al. Telerehabilitation approaches for stroke patients: systematic review and meta-analysis of randomized controlled trials. Journal of Stroke and Cerebrovascular Diseases. 2015:24(12);2660-2668.
  2. Nugraha B, Wahyuni LK, Laswati H, Kusumastuti P, Tulaar AB, Gutenbrunner C. COVID-19 pandemic in Indonesia: Situation and challenges of rehabilitation medicine in Indonesia. Acta Medica Indonesiana. 2020: 52(3); 299.
  3. Wang CC et al. Care for Patients with Stroke During the COVID-19 Pandemic: Physical Therapy and Rehabilitation Suggestions for Preventing Secondary Stroke. Journal of Stroke and Cerebrovascular Diseases. 2020: 105182.
  4. Stein J, Visco CJ, Barbuto S. Rehabilitation Medicine Response to the COVID-19 Pandemic. American Journal of Physical Medicine & Rehabilitation. 2020.
  5. Sylaja PN et al. The SARS?CoV?2/COVID?19 pandemic and challenges in stroke care in India. Annals of the New York Academy of Sciences. 2020.
  6. Turolla A, Rossettini G, Viceconti A, Palese A, Geri T. Musculoskeletal physical therapy during the COVID-19 pandemic: is telerehabilitation the answer?. Physical therapy. 2020: 100(8); 1260-1264.
  7. Falvey JR, Krafft C, Kornetti D. The essential role of home-and community-based physical therapists during the COVID-19 pandemic. Physical therapy. 2020: 100(7), 1058-1061.
  8. Middleton A, Simpson KN, Bettger JP, Bowden MG. COVID-19 Pandemic and Beyond: Considerations and Costs of Telehealth Exercise Programs for Older Adults With Functional Impairments Living at Home—Lessons Learned from a Pilot Case Study. Physical Therapy: 2020.
  9. Mantovani E et al. Telemedicine and virtual reality for cognitive rehabilitation: a roadmap for the COVID-19 pandemic. Frontiers in neurology. 2020: 11.
  10. World Health Organization. Telemedicine¬: Opportunities and Development in Member States. 2010. WHO: Geneva.
  11. Cramer SC, Dodakian L, Le V, See J, Augsburger R, McKenzie A, Scacchi W. Efficacy of home-based telerehabilitation vs. in-clinic therapy for adults after stroke: a randomized clinical trial. JAMA neurology. 2019: 76(9); 1079-1087.
  12. Quigley A, Johnson H, McArthur C. Transforming the Provision of Physiotherapy in the Time of COVID-19: A Call to Action for Telerehabilitation. 2020
  13. Chang MC & Revéret BM. Usefulness of telerehabilitation for stroke patients during the COVID-19 pandemic. American Journal of Physical Medicine & Rehabilitation. 2020.
  14. Hu Y, Sun J, Dai Z, Deng H, Li X, Huang Q, Xu Y. Prevalence and severity of corona virus disease 2019 (COVID-19): A systematic review and meta-analysis. Journal of Clinical Virology. 2020: 104371.
  15. Dos Santos et al. The use of Nintendo Wii in the rehabilitation of poststroke patients: a systematic review. Journal of Stroke and Cerebrovascular Diseases. 2015: 24(10); 2298-2305.

How to Cite

Prabawa, I. M. Y., Silakarma, D., & Widnyana, M. (2021). Telerehabilitation as a physical therapy solution for post-stroke patient in COVID-19 pandemic situations: a review. Intisari Sains Medis, 12(1), 1–5.




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