Home-based tele-rehabilitation presents comparable positive impact on self-reported functional outcomes as usual care: The Singapore Tele-technology Aided Rehabilitation in Stroke (STARS) randomised controlled trial.

Journal Article (Journal Article)


The aim of this research was to evaluate the impact of a novel tele-rehabilitation system on self-reported functional outcomes compared to usual care during the first three months after stroke.


A parallel, two-arm, evaluator-blinded, randomised controlled trial was conducted. Adults aged ≥40 years who had suffered a stroke within four weeks of the start of the study were recruited from the general community. The intervention group received access to a novel tele-rehabilitation system and programme for three months. The primary outcome measures utilised were the frequency and limitation total scores of the Late-Life Function and Disability Instrument (LLFDI) at three months.


A total of 124 individuals were recruited. The mean differences in the LLDFI frequency and limitation total scores at three months comparing the intervention and control groups were -3.30 (95% confidence interval (CI) -7.81 to 1.21) and -6.90 (95% CI -15.02 to 1.22), respectively. Adjusting for the respective baseline covariates and baseline Barthel Index also showed no significant difference between interventions in the LLFDI outcomes.


The intervention and control groups self-reported similar improvements in functional outcomes. Tele-rehabilitation may be a viable option to provide post-stroke rehabilitation services in Singapore while reducing barriers to continue rehabilitation conventionally after discharge from hospital and encouraging more participation.

Full Text

Duke Authors

Cited Authors

  • Asano, M; Tai, BC; Yeo, FY; Yen, SC; Tay, A; Ng, YS; De Silva, DA; Caves, K; Chew, E; Hoenig, H; Koh, GC

Published Date

  • May 1, 2021

Published In

Volume / Issue

  • 27 / 4

Start / End Page

  • 231 - 238

PubMed ID

  • 31462136

Electronic International Standard Serial Number (EISSN)

  • 1758-1109

International Standard Serial Number (ISSN)

  • 1357-633X

Digital Object Identifier (DOI)

  • 10.1177/1357633x19868905


  • eng