Comparable Cardiovascular, Functional, and Lipid Profile Outcomes of High-Intensity Telerehabilitation…

Randomized trialArchives of physical medicine and rehabilitation· May 2026

Comparable Cardiovascular, Functional, and Lipid Profile Outcomes of High-Intensity Telerehabilitation Versus Face-to-Face Rehabilitation in Chronic Stroke: A Randomized Controlled Trial.

Hyun-Min Moon

Stroke RehabilitationRandomized trialTreatmentQ1IF 3.2

Both high-intensity formats improved maximum oxygen consumption more than moderate intensity in chronic stroke.

Comparable Cardiovascular, Functional, and Lipid Profile Outcomes of High-Intensity Telerehabilitation Versus Face-to-Face Rehabilitation in Chronic Stroke: A Randomized Controlled Trial.

Hyun-Min Moon

Archives of physical medicine and rehabilitation · May 2026 · Q1 in Rehabilitation

Purpose

To compare the effects of high-intensity telerehabilitation (high-intensity telerehabilitation), high-intensity face-to-face rehabilitation (HIF), and moderate-intensity face-to-face rehabilitation (MIF) on cardiovascular function, gait ability, and lipid profiles in chronic stroke.

Methods

A total of 45 participants were enrolled; after 1 moderate-intensity dropout, 44 participants (N=44) were analyzed (high-intensity telerehabilitation=15; HIF=15; MIF=14).

n = 45 participants

F=17.209

Results

F=17.209

VO2max gains clearly differed by group, with both high-intensity arms improving more than moderate

n = 45 participants

More results

High-intensity telerehabilitation and HIF improved more than MIF (p<.001), with no difference between high-intensity telerehabilitation and HIF (p=.742).

Gait improved within groups; there were no significant between-group effects.

More results

LDL and triglycerides decreased, and HDL increased in the high-intensity groups (p<.05).

There were no serious adverse events, only mild soreness.

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Conclusion · 1 of 2

High-intensity telerehabilitation yielded cardiovascular, gait, and lipid benefits comparable to face-to-face care. Both high-intensity modalities were superior to moderate-intensity training for V̇O 2 max.

Conclusion · 2 of 2

Telerehabilitation with wearables is a safe, feasible option for intensive stroke rehabilitation.

Comparable Cardiovascular, Functional, and Lipid Profile Outcomes of High-Intensity Telerehabilitation Versus Face-to-Face Rehabilitation in Chronic Stroke: A Randomized Controlled Trial.

Comparable Cardiovascular, Functional, and Lipid Profile Outcomes of High-Intensity Telerehabilitation Versus Face-to-Face Rehabilitation in Chronic Stroke: A Randomized Controlled Trial.

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