Article

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.
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.
CI - Copyright (c) 2012 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS