The objective of telerehabilitation is a continuation of the rehabilitation process in the subjects’ home whilst allowing the therapists and physicians the possibility to follow the progress remotely. In this article a pilot project with virtual reality based tasks for dynamic standing, frame supported, balance training is presented. Six stroke subjects participated in the preliminary study. The subjects performed the therapy five times a week, each time for up to 20 min, over a period of 3 weeks. The results were evaluated by objective game parameters as track time, number of collisions and clinical instruments Berg Balance Scale, Timed Up & Go and a 10 m walk test. The outcomes demonstrated a significant improvement of all parameters. However, the follow-up after 2 weeks demonstrated that functional improvement could be possible on a longer term if the subjects continue with targeted tasks for an extended period of time. Additionally, the balance training could be continued at the subject’s home instead of the hospital, which would decrease the number of outpatient visits and reduce related costs.
©2011 by Walter de Gruyter Berlin Boston