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Arch Phys Med Rehabil. 2012 Dec;93(12):2177-83. doi: 10.1016/j.apmr.2012.06.025. Epub 2012 Jul 10.

Effectiveness of a video-based therapy program at home after acute stroke: a randomized controlled trial.

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  • 1Department of Rehabilitation Medicine, University of Malaya, Kuala Lumpur, Malaysia.

Abstract

OBJECTIVE:

To evaluate the effectiveness of an intervention using video to deliver therapy at home for patients with stroke.

DESIGN:

Randomized controlled trial.

SETTING:

The neurology ward and rehabilitation medicine department of a tertiary hospital.

PARTICIPANTS:

Patients with stroke (N=90). There were 44 patients in the intervention group and 46 patients in the control group.

INTERVENTIONS:

The intervention group received a combination of at-home rehabilitation guided by a digital videodisk containing therapy techniques and twice-monthly outpatient follow-up for 3 months. The conventional therapy group (control) attended weekly outpatient therapy sessions.

MAIN OUTCOME MEASURES:

The primary outcome measure was the modified Barthel Index (MBI) score. The secondary measures were the incidence of poststroke complications and the Caregiver Strain Index.

RESULTS:

At 3 months, there were no significant differences with regard to the number of patients with improved MBI score, complication rate, or Caregiver Strain Index score between the 2 groups. Both groups had significant increases in the MBI score at 3 months (P<.001 for both groups). Regression analysis revealed that only stroke severity significantly influenced the MBI score (P<.001), complication rate (P<.01), and caregiver stress level (P<.05).

CONCLUSIONS:

Video-based therapy at home for post-acute stroke patients is safe, does not negatively impact independence, and is not stressful for caregivers.

Copyright © 2012 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

PMID:
22789773
[PubMed - indexed for MEDLINE]
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