الفهرس 
Home –based interactive therapy in rehabilitation of stroke patients
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Abstract
Background: stroke is causes of main motor impairment; most of stroke patients remain their life with residual upper limb function which needs long-term of rehabilitation at hospitals or rehab centers. Spread of COVID19 around the world prevent hospital admission for long period, so many patients continue their treatment at home Objective: to the evidence the role of home-based interactive therapy in improving upper limb function post stroke.Data sources: Electronic databases of PubMed, Cochrane library and Google scholar were searched up to May 2021, in addition to manual search of reference lists of relevant studies and reviews.Methods: Randomized controlled trials were included if they involved any form of home-based interactive therapy alone not combined with any other physical therapy intervention . Two authors independently screened articles, extracted data, and assessed the methodological quality using the PEDro scale, with any conflict resolved by the third author. Modified Sackett’s Scale was used to determine the level of evidence for each outcome. Two subgroups meta-analysis were done for data analysis.Results: Out of 583 records screened, 3studies with 286 participants met the inclusion criteria.The duration of treatment ranged from 30 to 60 min, 5-6 times a week and for 5{u2013}8weeks. The quality of studies was good for the 3 studies, with a mean PEDro score of 6.3out of 10. All included studies showed positive effects in both upper limb function and quality of life. The results showed level1a evidence for the effectiveness of home-based interactive therapy in improving upper extremity function post stroke. Meta-analysis of 2 included trials used the action research arm score test showed no significant difference (P=0.28) in the overall effect of (SMD= -0.14; 95% CI) between intervention and control groups