Telerehabilitation as a way for adherence to out-hospital recovery treatment improvement DOI: 10.29188/2542-2413-2018-4-3-71-76

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The demand for outpatient rehabilitation overcomes the facilities of the health system worldwide. Telerehabilitation can be seen as a solution to this issue as patients need an easily available and managed tool to assist them professionally at home. This article discuss possible benefits and preliminary results of the efficacy of a simple and cheap software to create and follow individualized rehabilitation plans. In 2018, at the Pirogov Center inpatients after stroke were randomly assigned into two groups. Patients in the control group received a standard care at the hospital and were discharged, seeking limited outpatient facilities to continue their rehabilitation. The patients in the study group had their personal plan of exercises, speech and cognitive training, applied within “Steps-Reabil” software, available even in remote areas with a poor internet connection and manage by only two clicks. When patients were reassessed after 3 months, there was tendency that patients in the study group continued to improve their functioning while the others mostly stayed stable or even showed some regress of previously achieved results. Such approach could be believed to improve patients’ compliance and adherence to the individual plan, especially when periodic checks by specialists are present.

Conflict of interest. The author declare no conflict of interest