Clinical Scorecard: Investigating Patient-Centered Approaches in Technology-Enhanced Gait Rehabilitation for Stroke Survivors: A Framework Analysis through Scoping Review

At a Glance

Key Highlights

• Gait rehabilitation is a complex, person-dependent process influenced by individual goals and experiences.
• Technology-based interventions include robotic-assisted training, virtual reality, and wearable devices.
• Person-centred rehabilitation emphasizes the active role of individuals in their care and recovery.
• Adherence to rehabilitation programs is affected by emotional and motivational factors.
• The Person-Centred Practice Framework (PCPF) guides the evaluation of person-centred care in rehabilitation.

Guideline-Based Recommendations

Diagnosis

• Assess gait impairments through comprehensive evaluations considering both functional and personal factors.

Management

• Implement technology-enhanced interventions that align with individual goals and preferences.

Monitoring & Follow-up

• Utilize Patient-Reported Outcome Measures (PROMs) and Patient-Reported Experience Measures (PREMs) for ongoing assessment.

Risks

• Avoid interventions that may be perceived as impersonal or burdensome, which can limit effectiveness.

Patient & Prescribing Data

Individuals recovering from stroke with varying degrees of gait impairment.

Focus on personalized rehabilitation strategies that incorporate patient preferences and experiences.

Clinical Best Practices

• Engage patients in shared decision-making throughout the rehabilitation process.
• Ensure interventions are adaptable to individual needs and contexts.
• Foster a supportive therapeutic relationship to enhance motivation and adherence.

References

• Person-Centred Practice Framework