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ISSN: 2329-9096

International Journal of Physical Medicine & Rehabilitation
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Research Article

Tele-rehabilitation to Promote Exercise in Veterans Post-Stroke: An Observational Pilot Study

Kristine K Miller1*, Neale R Chumbler2, Katherine Carlson3 and Virginia Daggett4

1Department of Physical Therapy, School of Health and Rehabilitation Sciences, Indiana University, Indianapolis, IN, USA

2Department of Health Policy Management, College of Public Health, University of Georgia , Athens, GA, USA

3VISN 11 VERC VA Center for Applied Engineering, Indianapolis, IN, USA

4Department of Veterans Affairs, VISN 11 VA Center for Applied Systems Engineering (VA-CASE)/Research and Development, Richard L. Roudebush VAMC, Indianapolis, IN, USA

*Corresponding Author:
Kristine K. Miller
Department of Physical Therapy
School of Health and Rehabilitation Sciences
Indiana University, 1140 West Michigan Street
Indianapolis, IN 46202, USA
Tel: 317-274-3534
E-mail: [email protected]

Received Date: March 20, 2014; Accepted Date: May 20, 2014; Published Date: May 23, 2014

Citation: Miller KK, Chumbler NR, Carlson K, Daggett V (2014) Tele-rehabilitation to Promote Exercise in Veterans Post-Stroke: An Observational Pilot Study. Int J Phys Med Rehabil 2:200. doi: 10.4172/2329-9096.1000200

Copyright: © 2014 Miller KK et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


Objectives: The objectives of this study were to: 1) explore the feasibility of implementing in-home exercises via a tele-rehabilitation program for Veterans with stroke in Home-Based Primary Care (HBPC) in a single US Department of Veteran’s Affairs Medical Center (VAMC); and 2) assess exercise adherence and progression in Veterans with stroke during the program. Materials and Methods: Study participants completed 3 televideo visits and 5 telephone visits with a physical therapist (PT) over a 3 month period. Participants were instructed in an exercise program and were asked to report adherence with the exercise program and reasons for non-adherence per a standardized questionnaire throughout the program. Televideo visits were conducted using a video link installed on a lap top computer taken to the participant’s home and a desk-top computer at the PT work station. The Late Life Function and Disability Instrument (LLFDI) were used to assess self-report of disability and function at baseline and 3 months. Results: Six male Veterans with a mean age of 61 years enrolled in the study. Four study participants completed the intervention with an average exercise adherence rate of 90%. Self-reported reasons for non-adherence were lack of strength, lack of understanding and lack of needed assistance for the exercises. Increased exercise intensity was demonstrated by all 4 participants. Modest improvements in disability (7%) and function (6%) were reported on the LLFDI. Conclusions: Veterans with stroke were able to actively participate in a tele-rehabilitation program. Study participants reported good exercise adherence and improved disability/function thatwas not statistically significant as well as increased exercise intensity throughout the intervention. Based on these preliminary findings with a small sample, a tele-rehabilitation program aimed at p


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