The Effectiveness of Telerehabilitation on Balance and Functional Mobility in Patients with Stroke: A Systematic Review and Meta-Analysis


  • Mohamed Salaheldien Alayat Department of Physiotherapy, Applied Medical Science College, Umm Al-Qura University, Makkah, Saudi Arabia
  • Nahla Ahmad Almatrafi Department of Physiotherapy, Applied Medical Science College, Umm Al-Qura University, Makkah, Saudi Arabia
  • Abdulqader Abdulrazaq Almutairi Department of Physiotherapy, Applied Medical Science College, Umm Al-Qura University, Makkah, Saudi Arabia
  • Amir Abdel Raouf El Fiky Department of Physiotherapy, Applied Medical Science College, Umm Al-Qura University, Makkah, Saudi Arabia & Department of Physical Therapy for Neurological Disorders and its Surgery, Faculty of Physical Therapy, Cairo University, Giza, Egypt
  • Ahmed Mohamed Elsodany Department of Physical Therapy for Neurological Disorders and its Surgery, Faculty of Physical Therapy, Cairo University, Giza, Egypt



Balance, Functional mobility, Stroke, Telerehabilitation


Objective: The aim of this systematic review and meta-analysis was to investigate the effectiveness of telerehabilitation on improving balance and functional mobility in stroke survivors. Methods: Comprehensive searching was conducted from inception to May 2022. The inclusion criteria were studies evaluating the effectiveness of telerehabilitation in stroke survivors. Data regarding participants, intervention, outcome measures, and main results were extracted. PEDro scale and the Grading of Recommendations Assessment Development and Evaluation (GRADE) were used to assess the methodological quality and quality of evidence, respectively. Data Analysis: A total of fourteen articles )594 patients) were included. A meta-analysis using a random-effect model was performed on thirteen studies )530 patients). Standardized mean difference (SMD) with 95% confidence interval (CI) was calculated for balance and functional mobility. Results: PEDro scale revealed ten good-quality studies, three fair-quality studies, and one poor-quality study. According to the available evidence, telerehabilitation has a small effect size in improving both balance (SMD 0.33 [95% CI 0.03 to 0.63]; P =0.03; low quality of evidence) and functional mobility (SMD 0.27 [95% CI 0.02 to 0.52]; P =0.03; low quality of evidence). Conclusion: Telerehabilitation may improve balance and functional mobility in stroke survivors. However, it is evident that more high-quality research is required due to the existence of low to very low-quality evidence with limited confidence in the effect estimate. Registration: PROSPERO registration number (CRD42022306410).



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How to Cite

Alayat, M. S., Almatrafi, N. A., Almutairi, A. A., El Fiky , A. A. R., & Elsodany, A. M. (2022). The Effectiveness of Telerehabilitation on Balance and Functional Mobility in Patients with Stroke: A Systematic Review and Meta-Analysis. International Journal of Telerehabilitation, 14(2).



Systematic Review of Research