Video-guided range of motion for functional recovery in non-hemorrhagic stroke: A literature review
DOI: https://doi.org/10.33024/minh.v9i2.2631
Evidence-Based Nursing Functional Recovery Non-Hemorrhagic Stroke Telerehabilitation Video-Guided Range of Motion
Abstract
Background: Non-hemorrhagic stroke is a major cause of long-term disability, often resulting in motor impairment, reduced muscle strength, limited range of motion, and decreased independence in activities of daily living. Consistent and accessible rehabilitation strategies are therefore needed, especially during the transition from hospital to home care. Video-guided range of motion has emerged as a nursing-led approach to support home-based rehabilitation.
Purpose: To describe the application of Evidence-Based Nursing through video-guided range of motion as an independent nursing intervention to improve functional recovery in patients with non-hemorrhagic stroke.
Method: An Evidence-Based Nursing approach was conducted using the PICO framework. Literature searching was performed through PubMed, ScienceDirect, ProQuest, and Google Scholar. A total of nine relevant studies were critically appraised, including randomized controlled trials, feasibility studies, and comparative studies related to video-guided range of motion interventions in patients with non-hemorrhagic stroke.
Results: The evidence indicated that video-guided range of motion improved exercise adherence, motor function, mobility, balance, and functional independence. Improvements were reported using validated outcome measures, including the Berg Balance Scale, Motor Functional Scores, and the Modified Barthel Index. Video-based range of motion showed effectiveness comparable to conventional face-to-face rehabilitation without increasing adverse events.
Conclusion: Video-guided range of motion is a feasible and effective Evidence-Based Nursing intervention to support functional recovery and strengthen nursing practice in patients with non-hemorrhagic stroke, particularly in community and home-care settings.
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References
Buccino, G. (2014). Action observation treatment: a novel tool in neurorehabilitation. Philosophical Transactions of the Royal Society B: Biological Sciences, 369(1644), 20130185.
Chen, J., Jin, W., Zhang, X. X., Xu, W., Liu, X. N., & Ren, C. C. (2015). Telerehabilitation approaches for stroke patients: systematic review and meta-analysis of randomized controlled trials. Journal of Stroke and Cerebrovascular Diseases, 24(12), 2660-2668.
Chung, B. P. H., Chiang, W. K. H., Lau, H., Lau, T. F. O., Lai, C. W. K., Sit, C. S. Y., & Lee, J. S. W. (2020). Pilot study on comparisons between the effectiveness of mobile video-guided and paper-based home exercise programs on improving exercise adherence, self-efficacy for exercise and functional outcomes of patients with stroke with 3-month follow-up: a single-blind randomized controlled trial. Hong Kong Physiotherapy Journal, 40(01), 63-73.
Cramer, S. C., Dodakian, L., Le, V., See, J., Augsburger, R., McKenzie, A., & Janis, S. (2019). Efficacy of home-based telerehabilitation vs in-clinic therapy for adults after stroke: a randomized clinical trial. JAMA neurology, 76(9), 1079-1087.
Deshmukh, S., & Madhavan, S. (2023). Can post stroke walking improve via telerehabilitation? A systematic review in adults with stroke. Frontiers in Rehabilitation Sciences, 4, 1154686.
Ding, K., Ma, Y., Zhang, L., Gu, Y., Pan, H., Gu, Z. E., & Zhang, H. (2025). Patient-centered insights into virtual reality rehabilitation for stroke: a systematic review and qualitative meta-synthesis. Journal of neuroengineering and rehabilitation, 22(1), 124.
dos Santos, E. D. S., da Silva, A. K. A., Vieira, S. Q., Braga, A. S., Barbosa, M. P. R., Veras, M., & Tatmatsu-Rocha, J. C. (2025). Functional gains through video-directed exercises in post-stroke patients: A systematic review. Journal of Clinical and Translational Research, 11(3), 50-60.
Feigin, V. L., Stark, B. A., Johnson, C. O., Roth, G. A., Bisignano, C., Abady, G. G., & Hamidi, S. (2021). Global, regional, and national burden of stroke and its risk factors, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. The Lancet Neurology, 20(10), 795-820.
Gebrye, T., Mbada, C., Fatoye, F., & Anazodo, C. (2024). Effectiveness of telerehabilitation on quality of life in stroke survivors: a systematic review and meta-analysis. Physical Therapy Reviews, 29(4), 187-196.
Hao, J., Pu, Y., Chen, Z., & Siu, K. C. (2023). Effects of virtual reality-based telerehabilitation for stroke patients: A systematic review and meta-analysis of randomized controlled trials. Journal of Stroke and Cerebrovascular Diseases, 32(3), 106960.
Hestetun-Mandrup, A. M., Toh, Z. A., Oh, H. X., He, H. G., Martinsen, A. C. T., & Pikkarainen, M. (2024). Effectiveness of digital home rehabilitation and supervision for stroke survivors: A systematic review and meta-analysis. Digital Health, 10, 20552076241256861.
Johnson, C. O., Nguyen, M., Roth, G. A., Nichols, E., Alam, T., Abate, D., & Miller, T. R. (2019). Global, regional, and national burden of stroke, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016. The Lancet Neurology, 18(5), 439-458.
Jung, S. H., Park, E., Kim, J. H., Park, B. A., Yu, J. W., Kim, A. R., & Jung, T. D. (2021). Effects of self rehabilitation video exercises (Save) on functional restorations in patients with subacute stroke. In Healthcare (Vol. 9, No. 5, p. 565). MDPI.
Katan, M., & Luft, A. (2018). Global burden of stroke. In Seminars in neurology (Vol. 38, No. 02, pp. 208-211). Thieme Medical Publishers.
Laver, K. E., Adey‐Wakeling, Z., Crotty, M., Lannin, N. A., George, S., & Sherrington, C. (2020). Telerehabilitation services for stroke. Cochrane Database of Systematic Reviews, (1).
Lu, H. Y., Wang, X., Hu, C., Lau, C. C. Y., & Tong, R. K. Y. (2024). Home-based guidance training system with interactive visual feedback using kinect on stroke survivors with moderate to severe motor impairment. Journal of neuroengineering and rehabilitation, 21(1), 189.
Maimaitiaili, D., Shi, J., Shan, C., Jin, L., Gu, Y., Li, Y., & Shu, J. (2024). Action observation therapy impact on mirror neurons combined with acupuncture for upper limb motor impairment rehabilitation in stroke patients. Brain Circulation, 10(3), 265-272.
Martin, S. S., Aday, A. W., Almarzooq, Z. I., Anderson, C. A., Arora, P., Avery, C. L., & American Heart Association Council on Epidemiology and Prevention Statistics Committee and Stroke Statistics Subcommittee. (2024). 2024 heart disease and stroke statistics: a report of US and global data from the American Heart Association. Circulation, 149(8), e347-e913.
Ojardias, E., Adham, A., Bessaguet, H., Phaner, V., Rimaud, D., & Giraux, P. (2024). Efficacy of a new video observational training method (intensive visual simulation) for motor recovery in the upper limb in subacute stroke: a feasibility and proof-of-concept study. Journal of Rehabilitation Medicine, 56, 36119.
Özden, F., Özkeskin, M., Ezgin, B. D., Tümtürk, İ., Karaman, B., & Şirin, H. (2024). Telerehabilitation-based training to improve balance confidence, falls efficacy, functional independence in individuals with stroke: a randomized controlled trial. Neurology Asia, 29(2).
Rodrigues, P., Quaresma, C., Costa, M., Luz, F., & Fonseca, M. M. (2025). Virtual reality-based telerehabilitation for upper limb recovery post-stroke: a systematic review of design principles, monitoring, safety, and engagement strategies. arXiv preprint arXiv:2501.06899.
Sarfo, F. S., Ulasavets, U., Opare-Sem, O. K., & Ovbiagele, B. (2018). Tele-rehabilitation after stroke: an updated systematic review of the literature. Journal of stroke and cerebrovascular diseases, 27(9), 2306-2318.
Tchero, H., Tabue Teguo, M., Lannuzel, A., & Rusch, E. (2018). Telerehabilitation for stroke survivors: systematic review and meta-analysis. Journal of medical Internet research, 20(10), e10867.
Venketasubramanian, N., Yudiarto, F. L., & Tugasworo, D. (2022). Stroke burden and stroke services in Indonesia. Cerebrovascular diseases extra, 12(1), 53-57.
Winstein, C. J., Stein, J., Arena, R., Bates, B., Cherney, L. R., Cramer, S. C., & Zorowitz, R. D. (2016). Guidelines for adult stroke rehabilitation and recovery: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke, 47(6), e98-e169.
World Health Organization. (2025). Stroke. World Health Organization. Retrieved by: https://www.who.int/news-room/fact-sheets/detail/stroke
Zhang, C., Li, X., & Wang, H. (2023). Application of action observation therapy in stroke rehabilitation: A systematic review. Brain and Behavior, 13(8), e3157.
Zoppi, S. M., Matteo, M. J., Testa, M., & Molfino, R. (2024). Computer-mediated therapies for stroke rehabilitation: a systematic review and meta-Analysis. arXiv preprint arXiv:2409.20260.
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