Video-based therapy program at home after acute stroke equivalent to 2 traditional OT sessions in the control group

home rehabilitation

In research published in the January edition of Archives of  Physical Medicine Rehabilitation produced by the American Congress of Rehabilitation Medicine, Dr Redzuan from the Department of Rehabilitation Medicine, University of Malaya, Kuala Lumpur, Malaysia evaluate the effectiveness of an intervention using video to deliver therapy at home for patients with stroke. The study looked at 44 patients in the intervention group and 46 patients in the control group. The intervention group received a combination of guided at-home rehabilitation by a digital and twice-monthly outpatient follow-up for 3 months. The conventional therapy group (control) attended weekly outpatient therapy sessions. The outcome measures looked at were the modified Barthel Index (MBI) score with secondary measures of incidence of post stroke complications and the Caregiver Strain Index.

After 3 months, there were no significant differences with regard to the number of patients with improved MBI score, complication rate, or Caregiver Strain Index score between the 2 groups.  It was shown that only stroke severity significantly influenced the MBI score.

The group concluded that video-based therapy at home for post-acute stroke patients is safe, does not negatively impact independence, and is not stressful for caregivers.

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