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☐ ☆ ✇ Journal of Clinical Nursing

Effectiveness of Telehealth‐Based Exercise Interventions for Patients With Stroke: A Meta‐Analysis of Randomised Controlled Trials

Por: Yize Sun · Saiya Zhang · Tianrui Zhao · Chenglin Sun · Ping Li · Lihua Zhang — Abril 25th 2025 at 07:44

ABSTRACT

Aim

To explore the effects of telehealth-based exercise interventions on balance, motor function, walking ability and activities of daily living (ADLs) in patients with stroke.

Design

Meta-analysis of randomised controlled trials.

Methods

This meta-analysis of randomised controlled trials was reported to follow the PRISMA statement and the Cochrane Handbook guidelines. The study employed either a fixed-effects model or a random-effects model according to the statistical heterogeneity observed.

Data Sources

The literature search was performed in six databases including PubMed, Embase, the Cochrane Central Register of Controlled Trials, Web of Science, PsycINFO and CINAHL from inception to December 2023.

Results

A total of 15 randomised controlled trials were included in this meta-analysis. Most of the studies were evaluated for some concerns. The quality of the evidence in this analysis ranged from low to moderate in terms of the outcome. Meta-analysis revealed that telehealth-based exercise interventions presented significant effects on walking ability, motor function and ADLs in patients with stroke. Nonetheless, the balance remained unaffected by statistical significance.

Conclusion

Telehealth-based exercise interventions could effectively improve walking ability, motor function and ADLs in patients with stroke; however, the impact on balance was not significant. Telehealth-based exercise interventions are recommended for stroke survivors residing in remote areas or facing economic constraints.

Implications for the Profession and Patient Care

This meta-analysis showed that telehealth-based exercise interventions could bring benefits to the rehabilitation of patients with stroke. Telehealth-based exercise interventions should be considered effective to better promote the rehabilitation of patients.

Reporting Method

The study was reported in compliance with the PRISMA statement.

Patient or Public Contribution

None.

Trial Registration

PROSPERO (https://www.crd.york.ac.uk/PROSPERO): CRD42024501015

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