The objective of this randomized clinical trial is to evaluate the effects of using telerehabilitation (remote care) by occupational therapists on improving the performance and recovery of patients within the Brazilian Unified Health System (SUS) who have suffered a stroke and are on a waiting list for specialized rehabilitation care. The main question it seeks to answer is: * What are the effects of occupational therapy services provided through telerehabilitation for the population with stroke sequelae? * Do the guidelines provided by telerehabilitation result in improved occupational performance (ability to perform activities of daily living) of the participants? The researchers compare an experimental group (receiving telerehabilitation treatment) with a waitlist group (which will remain on the waitlist without receiving a specific intervention). Participants are required to: * Answer a sociodemographic questionnaire; * Participate in assessments using standardized scales on basic and instrumental activities of daily living and use of the affected limb (Instrumental Activities of Daily Living Scale, Katz Scale, and Motor Activity Log). * Receive and apply Occupational Therapy guidelines (if in the intervention group).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
SINGLE
Enrollment
15
Online guidance sessions for post-stroke patients and their caregivers, aimed at improving occupational performance, using standardized scales.
Institute of Physical Medicine and Rehabilitation of the Hospital das Clínicas of the Faculty of Medicine of USP
São Paulo, São Paulo, Brazil
Change in "Katz Index of Independence in Activities of Daily Living" score indicating greater independence or dependence in performing basic activities of daily living after 2 months.
The Katz Index (Brazilian version) assesses functional status in six activities: bathing, dressing, toileting, transferring, continence, and feeding. The total score ranges from 0 to 6. In this specific version, 0 indicates full independence (best outcome) and 6 indicates full dependence (worst outcome). Therefore, lower scores indicate a better outcome.
Time frame: From enrollment to the end of treatment at 8 weeks
Change in "Lawton Instrumental Activities of Daily Living" score indicating greater independence or dependence in performing instrumental activities of daily living after 2 months.
The Lawton Scale (Brazilian version) assesses independent living skills such as using the phone, shopping, food preparation, housekeeping, laundry, mode of transportation, responsibility for their own medications, and ability to handle finances. Scores range from 7 to 21. Higher scores indicate greater independence (better outcome).
Time frame: From enrollment to the end of treatment at 8 weeks
Change in "Motor Activity Log" score for quantitative and qualitative analysis of the use of the affected upper limb.
The MAL (Brazilian version) scale assesses how well the patient uses the affected upper limb. Participants rate the quality of movement on a scale from 0 (The weaker arm is not used) to 5 (Ability to use the weaker arm is just as good as before the stroke). The final score is the mean of the items. Higher scores indicate better movement quality (better outcome).
Time frame: From enrollment to the end of treatment at 8 weeks
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.