Journal of multidisciplinary healthcare
Door Prasetyo A, Pramukti I, Kurniawan T en 1 anderen.
Inhoud in het Engels
Digital technologies are increasingly used to extend post-stroke rehabilitation and recovery support beyond conventional face-to-face services. However, the evidence remains heterogeneous in delivery, intervention content, and outcomes assessed.
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To map the delivery method, intervention content, and reported outcomes of digital interventions supporting post-stroke rehabilitation and recovery.
This scoping review followed the Arksey and O'Malley framework and PRISMA-ScR. PubMed, Scopus, EBSCOhost, Taylor and Francis Online, and ScienceDirect were searched, with the final search conducted on 26 January 2026, supplemented by manual searches of relevant reference lists. Eligible studies included adults aged ≥18 years post-stroke and digital interventions supporting rehabilitation or recovery. We extracted and analyzed 21 source-verified studies descriptively and narratively.
Delivery methods were mapped using a two-dimensional framework. Based on the level of professional interaction, studies were classified as clinician-supported remote rehabilitation (n=8), hybrid or clinician-facilitated digital rehabilitation (n=9), or primarily self-directed or patient-facing interventions (n=4). The technological mechanisms were considered non-mutually exclusive and included digital content or applications, telecommunication, virtual reality or exergaming, wearable or motion-sensing technologies, physiological monitoring, automated feedback or cueing, and remote data monitoring. Intervention content was mapped to motor and mobility exercises, stroke education and self-management, balance and postural training, and task-oriented training or occupational therapy; one study reported remote functional assessment rather than active rehabilitation content (n=1). Reported outcomes were categorized into physical and functional outcomes; emotional, behavioral, and patient-reported outcomes; cognitive and knowledge outcomes; and clinical and health outcomes.
Digital post-stroke interventions comprise diverse combinations of professional support, technological mechanisms, rehabilitation content, and outcomes. The evidence is best interpreted as a descriptive map rather than confirmation of effectiveness. Future studies should more clearly specify intervention components, standardize outcome assessment where appropriate, and examine long-term feasibility, accessibility, and scalability.
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