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- Title
EFFECT OF A COMPREHENSIVE EREHABILITATION INTERVENTION ALONGSIDE CONVENTIONAL STROKE REHABILITATION ON DISABILITY AND HEALTH-RELATED QUALITY OF LIFE: A PRE-POST COMPARISON.
- Authors
BROUNS, Berber; VAN BODEGOM-VOS, Leti; DE KLOET, Arend J.; TAMMINGA, Sietske J.; VOLKER, Gerard; BERGER, Monique A. M.; FIOCCO, Marta; GOOSSENS, Paulien H.; VLIET VLIELAND, Thea P. M.; MEESTERS, Jorit J. L.
- Abstract
Objective: To compare the effect on disability and quality of life, of conventional rehabilitation (control group) with individualized, tailored eRehabilitation intervention alongside conventional rehabilitation (Fast@home; intervention group), for people with stroke. Methods: Pre-post design. The intervention comprised cognitive (Braingymmer®) and physical (Telerevalidatie®/Physitrack®) exercises, activity-tracking (Activ8®) and psycho-education. Assessments were made at admission (T0) and after 3 (T3) and 6 months (T6). The primary outcome concerned disability (Stroke Impact Scale; SIS). Secondary outcomes were: health-related quality of life, fatigue, self-management, participation and physical activity. Changes in scores between T0-T3, T3-T6, and T0-T6 were compared by analysis of variance and linear mixed models. Results: The study included 153 and 165 people with stroke in the control and intervention groups, respectively. In the intervention group, 82 (50%) people received the intervention, of whom 54 (66%) used it. Between T3 and T6, the change in scores for the SIS subscales Communication (control group/intervention group -1.7/-0.3) and Physical strength (-5.7/3.3) were significantly greater in the total intervention group (all mean differences< minimally clinically important differences). No significant differences were found for other SIS subscales or secondary outcomes, or between T0-T3 and T0-T6. Conclusion: eRehabilitation alongside conventional stroke rehabilitation had a small positive effect on communication and physical strength on the longer term, compared to conventional rehabilitation only.
- Subjects
ANALYSIS of variance; CLINICAL trials; STATISTICAL reliability; RESEARCH evaluation; MULTIVARIATE analysis; ACTIVITIES of daily living; VISUAL analog scale; DISCRIMINANT analysis; MANN Whitney U Test; FISHER exact test; TREATMENT effectiveness; PRE-tests &; post-tests; PHYSICAL activity; SOCIOECONOMIC factors; T-test (Statistics); STROKE rehabilitation; QUALITY of life; DESCRIPTIVE statistics; QUESTIONNAIRES; SCALE analysis (Psychology); MENTAL depression; ANALYSIS of covariance; RESEARCH funding; PEOPLE with disabilities; FATIGUE (Physiology); ANXIETY; DATA analysis software; HEALTH self-care
- Publication
Journal of Rehabilitation Medicine (Stiftelsen Rehabiliteringsinformation), 2021, Vol 53, Issue 3, p1
- ISSN
1650-1977
- Publication type
Article
- DOI
10.2340/16501977-2785