Fujii Ren, Tateishi Takaki, Tanaka Shinichiro
Musashigaoka Clinical Research Center, Musashigaoka Hospital (Tanakakai Medical Corp.), Kumamoto, Japan.
Department of Rehabilitation, Musashigaoka Hospital (Tanakakai Medical Corp.), Kumamoto, Japan.
Prog Rehabil Med. 2024 Oct 5;9:20240033. doi: 10.2490/prm.20240033. eCollection 2024.
We designed a telerehabilitation (TR) program for stroke patients based on reports from other countries and adapted the program for use by individual patients. Herein, we describe the clinical courses of three stroke survivors who used the TR program.
All three individuals were community-dwelling chronic stroke survivors. Patient 1 (P1) was a 50-year-old man who presented with severe paralysis of the right upper and lower extremities caused by left cerebral hemorrhage. Patient 2 (P2) was a 56-year-old woman who presented with severe paralysis of the left upper and lower extremities caused by right cerebral hemorrhage. Patient 3 (P3) was a 55-year-old man who presented with severe paralysis of the left upper and lower extremities caused by right cerebral hemorrhage. The TR program was conducted through a web conference system that allowed therapists and patients to interact with each other. The intervention consisted of 30-min sessions every 2 weeks for 6 months. The clinical courses and outcomes of the patients differed, but we identified positive changes in physical activity (number of steps) and participation (expansion of life-space) in addition to improvements in functional impairments (e.g., motor paralysis and balance order) in each patient. All three patients were highly satisfied with the TR program.
The results observed in this case series suggest that TR programs are a viable intervention in Japan. TR programs can reduce barriers to continued rehabilitation after discharge and can encourage increased activity and participation.
我们根据其他国家的报告设计了一项针对中风患者的远程康复（TR）计划，并对该计划进行了调整，以便个体患者使用。在此，我们描述了三名使用该TR计划的中风幸存者的临床病程。
所有三名个体均为居住在社区的慢性中风幸存者。患者1（P1）是一名50岁男性，因左侧脑出血导致右上肢和下肢严重瘫痪。患者2（P2）是一名56岁女性，因右侧脑出血导致左上肢和下肢严重瘫痪。患者3（P3）是一名55岁男性，因右侧脑出血导致左上肢和下肢严重瘫痪。TR计划通过一个网络会议系统实施，该系统使治疗师和患者能够相互交流。干预措施包括每2周进行一次30分钟的疗程，持续6个月。患者的临床病程和结果各不相同，但我们发现每位患者除了功能障碍（如运动瘫痪和平衡失调）有所改善外，身体活动（步数）和参与度（生活空间扩大）也有积极变化。所有三名患者对TR计划都非常满意。
本病例系列观察到的结果表明，TR计划在日本是一种可行的干预措施。TR计划可以减少出院后持续康复的障碍，并可以鼓励增加活动和参与度。
