4.請閱讀以下文章並回答問題:
As COVID-19 is transmitted via person-to-person contact, stroke patients undergoing outpatient rehabilitation therapy during the COVID-19 pandemic have an increased risk of infection, as contact with other people often cannot be avoided on the way to and from the hospital. As the frequeney of contact increases, the probability of becoming infected with COVID-19 also increases. The first 6 months after a stroke is a crucial period for recovery, and subacute stroke patients with disabilities regularly undergo rehabilitation therapy at a hospital, which means that these patients have a higher risk of COVID-19. Here, we suggest the utilization of telerehabilitation for stroke patients to reduce their risk of infection.
Telerehabilitation refers to "providing rehabilitation service using electronic con munication technologies"3. As such, rehabilitation therapy could be implemented remotely without the physician and patient meeting in person. While there are many rehabilitation therapy methods and programs based on telerehabilitation, they typically involve the medical staff checking the patient's condition, showing rehabilitation therapy examples to the patient or their guardian, and using photographs or videos to demonstrate how rehabilitation therapy should be performed. Motor, language, and cognitive functions can be assessed by video or by using specially designed programs.
Many studies have analyzed the efiectiveness of telerehabilitation, with the majority reporting that telerehabilitation is comparable to in-clinic rehabilitation in terms of improving motor, language, and cognitive functions. In 2019, Cramer et al.: compared the effectiveness of home-based rehabilitation for stroke patients using telcmedicine (62 patients) to that of in-clinic rehabilitation (62 patients). A total of 36 therapy sessions (70 minutes cach) were designed to improve arm motor function. In this study, both therapy groups displayed significant improvements in arm motor function, showing that telerehabilitation was as effective as in-clinic rehabilitation.
Furthermore, over 50% of stroke patients have depression or anxiety.4 Such psychological problemns could be exacerbated during the COVID-19 pandemic, because patients are isolated from the wider community. Drug therapy and counseling must be provided to these patients. With telerehabilitation, patients can receive prescriptions for medication and counseling for psychological stabilization without visiting the hospital. The effectiveness of counseling by telemedicine has been demonstrated in many previous studies5. Such a service could significantly improve the mental health of stroke patients during the COVID-19 pandemic.
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