Stroke rehabilitation at home before and after discharge reduced disability and improved quality of life: a randomised controlled trial

Clinical Rehabilitation
Rune Skovgaard RasmussenKarsten Overgaard

Abstract

To evaluate if home-based rehabilitation of inpatients improved outcome compared to standard care. Interventional, randomised, safety/efficacy open-label trial. University hospital stroke unit in collaboration with three municipalities. Seventy-one eligible stroke patients (41 women) with focal neurological deficits hospitalised in a stroke unit for more than three days and in need of rehabilitation. Thirty-eight patients were randomised to home-based rehabilitation during hospitalization and for up to four weeks after discharge to replace part of usual treatment and rehabilitation services. Thirty-three control patients received treatment and rehabilitation following usual guidelines for the treatment of stroke patients. Ninety days post-stroke the modified Rankin Scale score was the primary endpoint. Other outcome measures were the modified Barthel-100 Index, Motor Assessment Scale, CT-50 Cognitive Test, EuroQol-5D, Body Mass Index and treatment-associated economy. Thirty-one intervention and 30 control patients completed the study. Patients in the intervention group achieved better modified Rankin Scale score (Intervention median = 2, IQR = 2-3; Control median = 3, IQR = 2-4; P=0.04). EuroQol-5D quality of life median scores...Continue Reading

References

Jan 1, 1989·Journal of Clinical Epidemiology·S ShahB Cooper
Feb 1, 1985·Physical Therapy·J H CarrD Lynne
May 8, 2000·Stroke; a Journal of Cerebral Circulation·N E MayoR Tamblyn
Aug 9, 2001·Annals of Medicine·R Rabin, F de Charro
Sep 7, 2002·Stroke; a Journal of Cerebral Circulation·J T Lindsay WilsonIan Bone
Feb 8, 2003·Stroke; a Journal of Cerebral Circulation·Josephine TengSusan Scott
Jan 20, 2004·Journal of the American Geriatrics Society·Nicoletta Aimonino RicaudaFabrizio Fabris
Oct 11, 2005·Archives of Physical Medicine and Rehabilitation·Leigh A Hale, Jan Piggot
Mar 14, 2007·Journal of Rehabilitation Medicine·Peter LanghorneUNKNOWN Early Supported Discharge Trialists
Oct 2, 2007·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Ann-Mari ThorsénLena von Koch
Nov 15, 2008·Stroke; a Journal of Cerebral Circulation·Omer SakaCharles C D A Wolfe
Apr 9, 2011·Stroke; a Journal of Cerebral Circulation·Hild FjærtoftBent Indredavik
Jan 1, 2009·Neurology International·Pakaratee ChaiyawatPaskorn Sritipsukho
Feb 11, 2012·Clinical Neurology and Neurosurgery·Pakaratee Chaiyawat, Kongkiat Kulkantrakorn
Sep 22, 2012·Psychogeriatrics : the Official Journal of the Japanese Psychogeriatric Society·Pakaratee Chaiyawat, Kongkiat Kulkantrakorn
Dec 12, 2012·International Journal of Stroke : Official Journal of the International Stroke Society·Miquel Àngel Mas, Marco Inzitari
Apr 18, 2013·International Journal of Integrated Care·Johanneke F M M TummersJohanna M A Visser-Meily

❮ Previous
Next ❯

Citations

May 11, 2017·International Journal of Environmental Research and Public Health·Yuncui WangHui Hu
Jul 7, 2017·Stroke; a Journal of Cerebral Circulation·Bruce H Dobkin, Andrew K Dorsch
Oct 3, 2018·PM & R : the Journal of Injury, Function, and Rehabilitation·Thomas K WatanabeSteven Flanagan
Sep 2, 2016·The Cochrane Database of Systematic Reviews·Roshan das NairNadina B Lincoln
Jul 20, 2017·The Cochrane Database of Systematic Reviews·Lynn A LeggPeter Langhorne
Jul 14, 2017·The Cochrane Database of Systematic Reviews·Peter LanghorneUNKNOWN Early Supported Discharge Trialists
Jun 27, 2017·The Cochrane Database of Systematic Reviews·Daniela C Gonçalves-BradleySasha Shepperd
Jun 18, 2018·The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care·S RajsicUwe Siebert
Jul 23, 2020·Frontiers in Neurology·Echezona Nelson Dominic EkechukwuMayowa Ojo Owolabi
May 1, 2021·International Journal of Environmental Research and Public Health·Yu-Ju TungWilly Chou

❮ Previous
Next ❯

Clinical Trials Mentioned

NCT00626353

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.