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Effects of Home-based Telesupervising Rehabilitation on Physical Function for Stroke Survivors with Hemiplegia.
- Source :
-
American Journal of Physical Medicine & Rehabilitation . Mar2017, Vol. 96 Issue 3, p152-160. 9p. - Publication Year :
- 2017
-
Abstract
- Objective: The aims of this work were to evaluate the effects of home-based telesupervising rehabilitation on physical function for stroke survivors with hemiplegia and to determine if the rehabilitation therapy can relieve the burden on caregivers. Design: This study is a randomized, controlled, assessor-blinded trial. Stroke survivors were randomly assigned to either home-based telesupervising rehabilitation group or conventional rehabilitation group to receive physical exercise and electromyography-triggered neuro-muscular stimulation. Modified Barthel Index, Berg Balance Scale, modified Rankin Scale, Caregiver Strain Index, root mean square of extensor carpi radialis longus and tibialis anterior muscle were measured at 3 time points: baseline, postintervention (12 weeks), and 12-week follow-up (24 weeks). Results: Both the home-based telerehabilitation and conventional rehabilitation groups demonstrated significant effects within groups over the 3 time points in increasing Modified Barthel Index, Berg Balance Scale, and root mean square value of extensor carpi radialis longus and tibialis anterior, as well as decreasing Caregiver Strain Index (P < 0.001), but none of the between-group differences was significant. For modified Rankin Scale, the percentage of participants of grades 0 and 1 in 2 groups increased over time without significant difference between the groups. Conclusions: Home-based telesupervising rehabilitation is most likely as effective as the conventional outpatient rehabilitation for improving functional recovery in stroke survivors and could ease the burden of caregivers as conventional rehabilitation. [ABSTRACT FROM AUTHOR]
- Subjects :
- *ACTIVE oxygen in the body
*BLOOD pressure
*BODY temperature
*CHI-squared test
*CONFIDENCE intervals
*FUNCTIONAL assessment
*ELECTRIC stimulation
*POSTURAL balance
*FISHER exact test
*HEMIPLEGIA
*HOME care services
*OCCUPATIONAL therapy
*HEALTH outcome assessment
*PHYSICAL therapy
*PROBABILITY theory
*PSYCHOLOGICAL tests
*PULSE (Heart beat)
*QUALITY of life
*QUESTIONNAIRES
*REHABILITATION
*RESEARCH funding
*RESPIRATORY measurements
*SIGNAL processing
*T-test (Statistics)
*TELEMEDICINE
*THERAPEUTICS
*VITAL signs
*NEURODEVELOPMENTAL treatment
*ACTIVITIES of daily living
*RANDOMIZED controlled trials
*DISCHARGE planning
*BURDEN of care
*BLIND experiment
*DATA analysis software
*STROKE rehabilitation
*DESCRIPTIVE statistics
*GLASGOW Coma Scale
*NIH Stroke Scale
GAIT disorder treatment
Subjects
Details
- Language :
- English
- ISSN :
- 08949115
- Volume :
- 96
- Issue :
- 3
- Database :
- Academic Search Index
- Journal :
- American Journal of Physical Medicine & Rehabilitation
- Publication Type :
- Academic Journal
- Accession number :
- 121429641
- Full Text :
- https://doi.org/10.1097/PHM.0000000000000559