To examine the feasibility of improving stroke patients' physical functional recovery and social participation through improving caregiver's care capability.
In the hospital, most rehabilitation units are like sheltered workshops and the therapists work with stroke patients in well-designed, but non-home-like, environment to improve the stroke patient's functional ability. After returning home, stroke patients face new challenges and also need to assume more responsibility for daily activities. Without continuing rehabilitation training or proper support, the patients can easily fall into a sedentary lifestyle and lead to declines in functional ability.However, providing home-based exercise by therapists directly would increase the health care cost and may not be practical for chronic stroke patients. Hence, the objective of the present study was to determine whether a caregiver-mediated, home-based intervention program is effective for improving stroke patients' functional ability and social participation.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
SINGLE
Enrollment
50
A physical therapist visited each subject and the caregiver (of the intervention group) once weekly for about 90 min/session to teach patient-skills and caregiver-skills. The therapist first reviewed the condition of each patient and planned patient-specific training programs, continuously performed 12 weeks.
St. Joseph Hospital
Kaohsiung City, Taiwan
Stroke Impact Scale
Change from baseline in Stroke Impact Scale at 12 weeks
Time frame: Baseline and 12 weeks
10-meter walking speed
Change from baseline in 10-meter walking speed (cm/sec) at 12 weeks
Time frame: Baseline and 12 weeks
Berg balance scale
Change from baseline in berg balance scale score at 12 weeks
Time frame: Baseline and 12 weeks
6-min walking distance
Change from baseline in 6-min walking distance at 12 weeks
Time frame: Baseline and 12 weeks
Bathel index score
Change from baseline in Bathel index score at 12 weeks
Time frame: Baseline and 12 weeks
Lawton Instrumental Activities of Daily Living scale (IADL)
Change from baseline in Lawton Instrumental Activities of Daily Living Scale at 12 weeks
Time frame: Baseline and 12 weeks
Fugl-Meyer Assessment Scale
Change frome baseline in Fugl-Meyer Assessment Scale score at 12 weeks
Time frame: Baseline and 12 weeks
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