Effect of a comprehensive eRehabilitation intervention alongside conventional stroke rehabilitation on disability and health-related quality of life: A pre?post comparison
DOI:
https://doi.org/10.2340/16501977-2785Keywords:
eHealth, stroke, rehabilitation, comprehensive healthcare, patient-reported outcome measures, telerehabilitation, Stroke Impact Scale, eRehabilitationAbstract
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.Downloads
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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
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