Stroke: Introduction

Stroke is one of the three top causes of death in Canada.[1] Adults are afflicted by 3 distinct types: ischemic stroke, hemorrhagic stroke, and transient ischemic attack (TIA).[2]Due to the paucity of studies on home telehealth in the management of patients recovering from stroke, we elected not to limit our search to a single type. In addition, we included studies conducted with patients at high risk for stroke.

Home telehealth is used to address the needs of post-stroke patients in a variety of ways.[3]  Those who are on oral anticoagulation therapy can use remote monitoring services to get feedback on medication dosage.  Rehabilitation can be facilitated by virtual-reality systems that allow patients to perform range-of-motion exercises at home while being guided by therapists in a different location.  Home telehealth can also be used for education and emotional support.  These interventions can incorporate web portals, videoconferencing sessions with providers, and online discussion forums or e-mail services.


[1] Statistics Canada. Mortality, Summary List of Causes 2008. Released October 18, 2011.

[2] The Heart and Stroke Foundation of Canada. Accessed through

[3] Note that the definition of ‘home telehealth’ that was used in this review does not include telehealth systems designed to facilitate hospital-to-hospital or provider-to-provider contact.  So-called ‘hub-and-spoke’ stroke networks are therefore excluded, as are systems designed to be used during emergency transport.


  1. Key Messages
  2. Scope of Literature
  3. Intervention Design and Implementation
  4. Outcomes
  5. Works Cited
  6. Master Tables



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