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Background <p>Virtual reality (VR) rehabilitation demonstrates high patient satisfaction in hospital settings, yet implementation in home-based telerehabilitation remains unexplored in Czechia. Understanding patient attitudes toward VR telerehabilitation is crucial for developing feasible post-discharge rehabilitation programs.</p> Objective <p>To assess patient attitudes toward actual VR telerehabilitation implementation following positive hospital-based VR rehabilitation experience in subacute stroke patients.</p> Methods <p>A telephone-based follow-up study was conducted among patients who previously participated in VR rehabilitation during subacute stroke hospitalization at University Hospital Ostrava. Participants completed a structured interview assessing overall VR rehabilitation satisfaction, interest in home-based VR telerehabilitation with actual equipment provision, confidence in remote physiotherapist supervision, family support availability, perceived barriers, and open-ended feedback. Non-response bias was assessed through baseline characteristics comparison and sensitivity analyses.</p> Results <p>Ten patients from the original cohort of 19 participants completed telephone interviews (response rate 52.6%). High satisfaction with hospital-based VR rehabilitation was reported by 90% of participants. Interest in home-based VR telerehabilitation was expressed by 70% of patients (95% CI 41.6–98.4%), with 50% (95% CI 19.0–81.0%) reporting confidence in remote physiotherapist supervision. Family support was available for 80% of participants (95% CI 55.2–100%). Sensitivity analysis suggests true population interest ranges from 36.8 to 84.2%, with baseline-weighted estimate of 57.9%.</p> Conclusions <p>Patient attitudes toward VR telerehabilitation were generally positive despite moderate confidence in remote supervision. Real-world implementation should anticipate mid-range acceptance (≈&#xa0;40–60%) and explicitly address enabling conditions for safety, technical support, and caregiver involvement, aligning with recent telemedicine adoption evidence and home-VR feasibility gaps.</p>

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Patient Attitudes Toward Virtual Reality Telerehabilitation After Subacute Stroke: A Follow-Up Study

  • 期刊论文

  • 发表日期：

    2026年5月5日

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  • Alice Najsrova,
  • Sarka Banikova,
  • Istvan Szegedi,
  • Natalie Horakova,
  • Dominika Hotkova,
  • Katerina Vitova,
  • Iva Fiedorova,
  • Jana Trda,
  • Ondrej Volny

摘要

Background

Virtual reality (VR) rehabilitation demonstrates high patient satisfaction in hospital settings, yet implementation in home-based telerehabilitation remains unexplored in Czechia. Understanding patient attitudes toward VR telerehabilitation is crucial for developing feasible post-discharge rehabilitation programs.

Objective

To assess patient attitudes toward actual VR telerehabilitation implementation following positive hospital-based VR rehabilitation experience in subacute stroke patients.

Methods

A telephone-based follow-up study was conducted among patients who previously participated in VR rehabilitation during subacute stroke hospitalization at University Hospital Ostrava. Participants completed a structured interview assessing overall VR rehabilitation satisfaction, interest in home-based VR telerehabilitation with actual equipment provision, confidence in remote physiotherapist supervision, family support availability, perceived barriers, and open-ended feedback. Non-response bias was assessed through baseline characteristics comparison and sensitivity analyses.

Results

Ten patients from the original cohort of 19 participants completed telephone interviews (response rate 52.6%). High satisfaction with hospital-based VR rehabilitation was reported by 90% of participants. Interest in home-based VR telerehabilitation was expressed by 70% of patients (95% CI 41.6–98.4%), with 50% (95% CI 19.0–81.0%) reporting confidence in remote physiotherapist supervision. Family support was available for 80% of participants (95% CI 55.2–100%). Sensitivity analysis suggests true population interest ranges from 36.8 to 84.2%, with baseline-weighted estimate of 57.9%.

Conclusions

Patient attitudes toward VR telerehabilitation were generally positive despite moderate confidence in remote supervision. Real-world implementation should anticipate mid-range acceptance (≈ 40–60%) and explicitly address enabling conditions for safety, technical support, and caregiver involvement, aligning with recent telemedicine adoption evidence and home-VR feasibility gaps.