Caregiver-Mediated Intervention Can Improve Physical Functional Recovery of Patients With Chronic Stroke: A Randomized Controlled Trial

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题名:	Caregiver-Mediated Intervention Can Improve Physical Functional Recovery of Patients With Chronic Stroke: A Randomized Controlled Trial
作者:	王子綺;Wang, Tzu-Chi;蔡仲弘;Alan, C.Tsai;王俊毅;Wang, Jiun-Yi;Lin, Yu-Te;Lin, Yu-Te;Lin, Ko-Long;Lin, Ko-Long;Jiun Jiang, C;Chen, Jiun Jiang;Lin, Bei Yi;Lin, Bei Yi;Li, Tai Ching;Lin, Tai Ching
贡献者:	健康產業管理學系
关键词:	caregiver;chronic stroke;functional recovery;home-based rehabilitation;rehabilitation;stroke
日期:	2014
上传时间:	2014-06-05 04:01:54 (UTC+0)
摘要:	BACKGROUND: and PURPOSE: Patients with chronic stroke may benefit from continuing rehabilitation training after hospital discharge. This study examined whether caregiver-mediated, home-based intervention (CHI) could improve physical functioning and social participation in these patients. METHODS: A single-blind, randomized, controlled 12-week trial conducted with 51 patients from 3 hospitals in Taiwan who had chronic stroke (>6 months; Brunnstrom recovery stages III-V). Patients and their caregivers in the intervention arm (n = 25) were given weekly personalized CHI trainings designed by a physical therapist. Patients in the control arm (n = 26) received visits from the therapist without intervention. All were evaluated for physical recovery through the Stroke Impact Scale, Berg Balance Scale, 10-Meter Walk Test, 6-Minute Walk Test, and Barthel Index at baseline and endpoint. Caregivers were evaluated with the Caregiver Burden Scale. RESULTS: were analyzed through Mann-Whitney U test. Results. CHI significantly improved scores of the Stroke Impact Scale: strength (control vs intervention, respectively: 1.4 vs 15.5; P = .002), mobility (-0.5 vs 13.7; P < .001), composite physical (-0.7 vs 11.2; P < .001), and general recovery domain (0.2 vs 17.4; P < .001). CHI also significantly improved free-walking velocity (-1.4 vs 7.5 cm/s; P = .006), 6-minute walk distance (-10.5 vs 15.8 m; P = .003), Berg Balance Scale score (-0.8 vs 4.5; P = .006), and Barthel Index score (0.6 vs 7.2; P = .008). CHI did not significantly increase caregiver burden at endpoint. CONCLUSION: CHI can improve physical functional recovery and, possibly, social participation in patients with chronic stroke.
關聯:	NEUROREHABILITATION AND NEURAL REPAIR
显示于类别:	[國際企業學系] 期刊論文

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