Effect of a comprehensive eRehabilitation intervention alongside conventional stroke rehabilitation on disability and health-related quality of life: A pre?post comparison
Keywords:eHealth, stroke, rehabilitation, comprehensive healthcare, patient-reported outcome measures, telerehabilitation, Stroke Impact Scale, eRehabilitation
AbstractObjective: 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.
How to Cite
Copyright (c) 2021 Berber Brouns, Leti van Bodegom-Vos, Arend J. de Kloet, Sietske J. Tamminga, Gerard Volker, Monique A.M. Berger, Marta Fiocco, Paulien H. Goossens, Thea P. M. Vliet Vlieland, Jorit J. L. Meesters
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (https://creativecommons.org/licenses/by-nc/4.0/), allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material for non-commercial purposes, provided proper attribution to the original work.