Optimization of outpatient stroke rehabilitation using remote technologies

Abstract

Stroke remains a major cause of long-term disability in Ukraine and worldwide, with growing patient numbers and limited inpatient rehabilitation resources. Recovery of motor, cognitive, and social functions after discharge is essential for improving quality of life and reducing healthcare burden. Optimizing outpatient rehabilitation has therefore become a priority. Remote technologies ensure continuity of care regardless of location or infrastructure, a need that became evident during the COVID-19 pandemic.Telerehabilitation platforms with modules in neuropsychology, speech therapy, physiotherapy, and occupational therapy align with global trends in telemedicine and personalized care.The purpose. To optimize outpatient rehabilitation of stroke patients by implementing remote technologies, enhancing recovery outcomes and quality of life while reducing disability.Materials and methods. The study used organizational-legal, historical, content analysis, and structural-organizational modeling methods. Surveys of patients and relatives assessed motivation and access. Statistical analysis employed Student’s t-test, Pearson’s coefficient, and Microsoft Excel and Statistica 6.0.Results. A regional outpatient telerehabilitation model was tested in the Transcarpathian region. Patients receiving both outpatient and remote care showed better mobility, cognition, and self-care, with improvements in 15 of 16 indicators. Additional effects included reduced anxiety and pain, lower dependence, and increased motivation.Conclusions. Remote technologies in outpatient stroke rehabilitation effectively improve physical, emotional, and social outcomes, prevent recurrent strokes, and expand access in rural areas. Wider implementation and long-term evaluation are recommended.