Virtual Reality for Telerehabilitation In Post-Stroke Occupational Therapy: Current Evidence and Implementation Considerations
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1. Karamians R, Proffitt R, Kline D, Gauthier LV. Effectiveness of Virtual Reality- and Gaming-Based Interventions for Upper Extremity Rehabilitation Poststroke: A Meta-analysis. Arch Phys Med Rehabil. 2020;101(5):885-96. DOI: https://doi.org/10.1016/j.apmr.2019.10.195
2. Lin DJ, Finklestein SP, Cramer SC. New Directions in Treatments Targeting Stroke Recovery. Stroke. 2018;49(12):3107-14. DOI: https://doi.org/10.1161/STROKEAHA.118.021359
3. Choukou MA, He E, Moslenko K. Feasibility of a virtual-reality-enabled at-home telerehabilitation program for stroke survivors: a case study. J Pers Med. 2023;13:1230. DOI: https://doi.org/10.3390/jpm13081230
4. Hao J, Pu Y, Chen Z, Siu KC. Effects of virtual reality-based telerehabilitation for stroke patients: A systematic review and meta-analysis of randomized controlled trials. J Stroke Cerebrovasc Dis. 2023;32(3):106960. DOI: https://doi.org/10.1016/j.jstrokecerebrovasdis.2022.106960
5. Ouédraogo F, Auger LP, Moreau E, Côté O, Guerrera R, Rochette A, et al. Acceptability of Telerehabilitation: Experiences and Perceptions by Individuals with Stroke and Caregivers in an Early Supported Discharge Program. Healthcare. 2024;12(3):365. DOI: https://doi.org/10.3390/healthcare12030365
6. Bateni H, Carruthers J, Mohan R, Pishva S. Use of Virtual Reality in Physical Therapy as an Intervention and Diagnostic Tool. Rehabil Res Pract. 2024;2024:1122286. DOI: https://doi.org/10.1155/2024/1122286
7. Alwadai B, Lazem H, Almoajil H, Hall AJ, Mansoubi M, Dawes H. Telerehabilitation and Its Impact Following Stroke: An Umbrella Review of Systematic Reviews. J Clin Med. 2025;14(1):50. DOI: https://doi.org/10.3390/jcm14010050
8. Naqvi WM, Naqvi I, Mishra GV, Vardhan V. The Dual Importance of Virtual Reality Usability in Rehabilitation: A Focus on Therapists and Patients. Cureus. 2024;16(3):e56724. DOI: https://doi.org/10.7759/cureus.56724
9. Simón L, Rodríguez S, Delgado V, Ausín V, Cubo E. Cybersickness: A systematic literature review of adverse effects related to virtual reality. Neurol (Engl Ed). 2024;39(8):701-9. DOI: https://doi.org/10.1016/j.nrleng.2022.04.007
10. Cardile D, Arena C, Corallo F, Giuffrida GM, Giustiniani A, Maggio MG, et al. A systematic review on the use of virtual reality in post-stroke patients: exploring when modalities make the difference in executive and motor recovery. Front Virtual Real. 2025;6:1653968. DOI: https://doi.org/10.3389/frvir.2025.1653968
11. Esniwati E. Analysis of the effect of occupational therapy on post-stroke patient recovery: impacts on motor skills, cognitive function, and emotional well-being. Int J Health Med Sci. 2024;2(3):91-101. DOI: https://doi.org/10.35335/healmed.v2i3.326
12. Aguilar F, Pacheco D, Acevedo M, Toledo G, Nieva OS. User-centered virtual environment for post-stroke motor rehabilitation. J Med Devices. 2022;16(2):021014. DOI: https://doi.org/10.1115/1.4053605
13. Aguilar F, Pacheco D, Acevedo M, Arellano J. Realidad virtual y terapia ocupacional en la rehabilitación post-ictus. Tema de cienc. y tecnol. 2021;25(73):37-43. Disponible en: https://www.utm.mx/edi_anteriores/temas73/
14. Tanhan A, Ozer AY, Timurtas E, Batirel A, Polat MG. Is asynchronous telerehabilitation equal to synchronous telerehabilitation in COVID-19 survivors with classes 4-6. J Telemed Telecare. 2023;31(3):347-58. DOI: https://doi.org/10.1177/1357633X231189761
15. Muñoz MT, Burillo M, Vicente A, Sanz MC, Suarez C, Marcén Y, et al. Telerehabilitation as a therapeutic exercise tool versus face-to-face physiotherapy: A systematic review. Int J Environ Res Public Health. 2023;20:4358. DOI: https://doi.org/10.3390/ijerph20054358
16. Gutierrez R, González C, Marinkovic V, Ortiz M, Paillán F, Seron P. Measures to ensure safety during telerehabilitation of people with stroke: a scoping review. J Telemed Telecare. 2023;31(2):198-206. DOI: https://doi.org/10.1177/1357633X231181426
17. Shnitzer H, Chan J, Yau T, McIntyre M, Andreoli A, Kua A, et al. The safety of telerehabilitation: systematic review. JMIR Rehabil Assist Technol. 2025;12:e68681. DOI: https://doi.org/10.2196/68681
18. Ouédraogo F, Demers M, Soares KVR, Labbé D, Lebel K, Brière S, et al. Tools and methods for assessing the usability and related aspects of usability of extended reality and telerehabilitation technologies in stroke rehabilitation: a scoping review. J Neuroeng Rehabil. 2026;23:44. DOI: https://doi.org/10.1186/s12984-025-01861-z
19. Ostrowska PM, Śliwiński M, Studnicki R, Hansdorfer R. Telerehabilitation of Post-Stroke Patients as a Therapeutic Solution in the Era of the Covid-19 Pandemic. Healthcare. 2021;9(6):654. DOI: https://doi.org/10.3390/healthcare9060654
20. Wahid E, Ahmad S, Khalil S, Khan MS, Bibi N, Humayoon N. Effectiveness of virtual reality-based telerehabilitation for stroke patients in Pakistan: a randomized controlled trial. Healer J Physiother Rehabil Sci. 2025;5(4):38-46. DOI: https://doi.org/10.55735/n0ys8906
21. Lee AC, Deutsch JE, Holdsworth L, Kaplan SL, Kosakowski H, Latz R, et al. Telerehabilitation in Physical Therapist Practice: A Clinical Practice Guideline from the American Physical Therapy Association. Phys Ther. 2024;104(5):pzae045. DOI: https://doi.org/10.1093/ptj/pzae045
22. Lazem H, Harris D, Hall A, Mansoubi M, Pontes RG, de Mello CB, et al. Validity, safety, usability, and user experience of virtual reality gamified home-based exercises in stroke. Clin Rehabil. 2025;39(11):1527-1540. DOI: https://doi.org/10.1177/02692155251371435
23. Saidi T, Hestetun AM, Pavel N, Rosseland IKH, Selmer KG, Mørk NS, et al. Challenges and benefits of virtual reality in home-based poststroke rehabilitation: co-design qualitative study. JMIR Hum Factors. 2026;13:e78798. DOI: https://doi.org/10.2196/78798
24. Liu Y, Guo S, Yang Z, Hirata H, Tamiya T. A home-based tele-rehabilitation system with enhanced therapist-patient remote interaction: a feasibility study. IEEE J Biomed Health Inform. 2022;26(8):4176-86. DOI: https://doi.org/10.1109/JBHI.2022.3176276
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