Table 3.

Standardized and Informal Assessment Results at the Initiation and Conclusion of Telerehabilitation

Assessment target	Performance at initiation of telerehabilitation	Performance at conclusion of telerehabilitation
Right upper extremity	Decreased active range of motion: 10% of total function Flexor synergy pattern involving bicep Wearing shoulder brace for transfers and functional mobility 1-finger shoulder subluxation Gross finger flexion of all digits; no finger extension Strength measures: biceps 3/5; triceps 0/5; wrist extension 0/5; wrist flexion 3/5 Minimal to moderate assistance for upper body dressing Modified assistance for lower body dressing Modified assistance for donning/doffing socks and shoes Total assistance for grooming hair (i.e., ponytail) Moderate assistance for showering while seated on tub transfer bench Modified independence for toileting Total assistance for simple and complex meal preparation Total assistance for home management tasks	Decreased active range of motion: 60% of total function Flexor synergy pattern involving bicep; improved to 90° of shoulder flexion without flexor synergy pattern Wearing shoulder brace for support while jogging; using kinesiology tape for shoulder support during daily activities ½-finger shoulder subluxation 10° of active flexion and 10° of active extension of proximal inter-phalangeal joints of 4th and 5th digits Strength measures: biceps 4/5; triceps 4-/5; wrist extension 3/5; wrist flexion 3/5; with elbow stabilized on table, 5° of wrist flexion Modified independence for upper body dressing Modified independence for lower body dressing Modified independence for donning/doffing socks and shoes Total assistance for grooming hair (i.e., ponytail) Modified independence for showering while standing Modified independence for toileting Modified independence for simple and complex meal preparation Modified independence for home management tasks
Right lower extremity	Normal range of motion Stiffness in calf and hamstring muscles that limit active movement Standing on left leg for 30 seconds; unable to stand on right leg Tandem standing: Not tested Requires 3 to 4 steps to turn around Requires extra time to move from sitting to lying position and vice versa Needs use of arms to transfer from sit to stand position from surface height lower than 18 in. Ambulating 0.4 – 0.5 miles outside with single point cane Treadmill gait speed while jogging: Unable to perform No arm swing while walking Step-over-step pattern with handrail when ascending stairs; step- to pattern with handrail when descending stairs Unable to transfer to and from floor Berg Balance Assessment: 46/56 Functional Gait Assessment: Not tested Activity-specific Balance Confidence Scale: Not tested	Normal range of motion Reduced strength in terminal knee extension, active dorsiflexion/eversion, and gluteus medius Standing on left leg for 60 seconds; standing on right leg for 60 seconds given cueing and contact guard assist Tandem standing for 1 minute with different foot positions Pivots and turns around quickly with no extra steps Moves from sitting to lying position and vice versa independently and within normal time limit Does not need use of arms to go from sit to stand position from surface height lower than 18 in. Ambulating up to 3 miles outdoors with no assistive device; uses an electrical orthosis for foot drop assistance Treadmill gait speed up to 3.7 mph for short stints while jogging Reduced arm swing while walking; needs cueing for heel strike on right side Step-over-step pattern without handrail when ascending stairs; step-over-step pattern with handrail when descending stairs Independently transfers to and from floor without stable object Berg Balance Assessment: 56/56 Functional Gait Assessment: 28/30 Activity-specific Balance Confidence Scale: 88%
Communication	Recalls 2/7 details after silent reading of single paragraph (Quicksand passage) Use of verbal summarization to demonstrate understanding and recall of content after silent reading of lengthy material: Not tested Recalls 2/6 details after listening to paragraph-length content (Gold Rush passage) Use of verbal summarization to demonstrate understanding and recall of content presented during 30-minutes interaction: Not tested Generates exemplars of common categories given 30 seconds: 7 fruits, 6 weather conditions, 3 words beginning with m Generates exemplars relating to professional terminology given 30 seconds: Not tested Self-report of attention and processing problems when listening Independently performs 6/6 steps for using calendar app on phone to schedule/structure day	Recalls 6/7 details after silent reading of single paragraph (Quicksand passage) Independent use of verbal summarization to demonstrate full understanding and recall of content after silent reading of lengthy material Recalls 4/6 details after listening to paragraph-length content (Gold Rush passage) Independent use of verbal summarization to demonstrate understanding and recall of content presented during 30-minutes interaction Generates exemplars of common categories given 30 s: 12 fruits, 7 weather conditions, 8 words beginning with m Generates exemplars relating to professional terminology given 30 s: 12 exemplars No self-report of attention and processing problems when listening Independently performs 6/6 steps for using calendar app on phone to schedule/structure day