Proving the effectiveness of Home and Community based Rehabilitation post CVA

Writing in Archives of Physical Medicine and Rehabilitation, 03/12/2013 Dr. Altman IM et al and his team from Rehab Without Walls USA look at the effectiveness of Home and Community based Rehabilitation (HCBR). The team looked at 738 individuals with CVA who completed the prescribed course of rehabilitation (CCT) compared to 150 who were discharged prior to program completion.
The group looked at the outcome measure of the Mayo-Portland Adaptability Inventory. The Mayo-Portland Adaptability Inventory (MPAI) was designed to assist in the clinical evaluation of patients during the postacute (posthospital) period following acquired brain injury (ABI). It is also designed to assist in the evaluation of rehabilitation programs for these patients. The MPAI-4 represents a range of physical, cognitive, emotional, behavioral, and social problems that patients post ABI may encounter.
The group that completed the course of HCBR therapy – CCT group showed greater improvement on all MPAI-4 indices than the group that were discharged prior to completing the prescribed exercise therapy program.

 

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