Overview
To verify the non-inferiority, in terms of post-treatment (T1) clinical effectiveness, of a "multidomain" telerehabilitation (TR) protocol compared to conventional outpatient rehabilitation in patients with stroke sequelae, with respect to motor, cognitive, and language functions. The absence of statistically significant differences between the two groups regarding treatment effects for each targeted domain will be considered an indicator of non-inferiority.
Eligibility
Inclusion Criteria:
- Age over 18 years.
- First diagnosis of ischemic stroke, documented radiologically via CT or MRI scans, corresponding to ICD-9-CM codes 433 and 434 .
- Presence of aphasia, as assessed by the Aachener Aphasia Test (AAT), and/or cognitive deficits identified through the Oxford Cognitive Screen (OCS).
- Availability of an ADSL or higher-speed internet connection at the patient's residence.
- Ability of the patient and/or caregiver to understand and utilize the telerehabilitation system.
- Provision of written informed consent.
Exclusion Criteria:
- Contemporanea partecipazione ad altri studi clinici;
- Decadimento cognitivo
- Deformità ossee come conseguenza di precedenti eventi traumatici ai 4 arti;
- Contratture fisse ai 4 arti valutate come 4/4 alla scala di Ashworth modificata (MAS)
- Altre patologie neurologiche e ortopediche in grado di interferire con lo studio.