Home Tele Rehabilitation Therapy for Vascular Dementia
The Methodist Hospital Research Institute
Summary
To determine whether the home telerehabilitation therapy is feasible and lessens caregiver burden in chronic stroke patients with and without vascular dementia (VaD)
Description
This is a controlled evaluator masked parallel study of chronic (\>6mo from stroke onset) ischemic or hemorrhagic stroke patients diagnosed with and without vascular dementia to test the feasibility and effect of remote rehabilitation therapy targeting the weaker arm compared to usual care. All patients will undergo baseline evaluation, then usual care for 1 month followed by a remote telerehabilitation treatment for one month, followed by an evaluation 1 month after the completion of treatment. Research procedures: Subject Recruitment/Screening: Participants will be recruited from the PI's…
Eligibility
- Age range
- 18–110 years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: * Symptomatic ischemic or hemorrhagic stroke verified by computerized axial tomography or magnetic resonance imaging * at least 6 months post stroke * At least some active movement in the affected upper extremity (MRS 1 or more in shoulder elbow or wrist) * Ability to provide informed consent, or LAR able to provide consent * Expressed willingness to comply with all study procedures and attend all study-related visits for both the patient and at least one caregiver. * Age ≥ 18. * Ability to follow one-step commands. * Community-dwelling with transportation to evaluation se…
Interventions
- OtherHome telerehabilitation therapy
Occupational therapist prescribed hand/arm exercises will be assigned to patients. Records of each subject's motor tasks, number of repetition and level of performance will be kept. Standard of care home therapy will be performed Monday-Friday for approximately 4 weeks, followed by 4 weeks of application-driven home teletherapy. It is expected that approximately 20 treatments will be finished in 4weeks, however the amount of therapy completed will be recorded to accommodate patients' schedules. Treatment times can be broken up into multiple treatment periods to accommodate patient and caregiver preferences.
Location
- Houston Methodist HospitalHouston, Texas