Article

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 neuromuscular
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.

Langue : ANGLAIS