Cargando…

Efficacy and Safety of Caregiver-Mediated Exercise in Post-stroke Rehabilitation

OBJECTIVE: To assess the efficacy and safety of our 4-week caregiver-mediated exercise (CME) in improving trunk control capacity, gait, and balance and in decreasing concerns about post-stroke falls when there is an increase in its efficacy. METHODS: Acute or subacute stroke survivors were assigned...

Descripción completa

Detalles Bibliográficos
Autores principales: Lee, Min Jun, Yoon, Seihee, Kang, Jung Joong, Kim, Jungin, Kim, Jong Moon, Han, Jun Young
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Academy of Rehabilitation Medicine 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6058591/
https://www.ncbi.nlm.nih.gov/pubmed/29961738
http://dx.doi.org/10.5535/arm.2018.42.3.406
_version_ 1783341730219687936
author Lee, Min Jun
Yoon, Seihee
Kang, Jung Joong
Kim, Jungin
Kim, Jong Moon
Han, Jun Young
author_facet Lee, Min Jun
Yoon, Seihee
Kang, Jung Joong
Kim, Jungin
Kim, Jong Moon
Han, Jun Young
author_sort Lee, Min Jun
collection PubMed
description OBJECTIVE: To assess the efficacy and safety of our 4-week caregiver-mediated exercise (CME) in improving trunk control capacity, gait, and balance and in decreasing concerns about post-stroke falls when there is an increase in its efficacy. METHODS: Acute or subacute stroke survivors were assigned to either the trial group (n=35) or the control group (n=37). Changes in Modified Barthel Index (MBI), Functional Ambulation Categories (FAC), Berg Balance Scale (BBS), and Trunk Impairment Scale (TIS) scores at 4 weeks from baseline served as primary outcome measures. Correlations of primary outcome measures with changes in Fall Efficacy Scale-International (FES-I) scores at 4 weeks from baseline in the trial group served as secondary outcome measures. Treatment-emergent adverse events (TEAEs) served as safety outcome measures. RESULTS: There were significant differences in changes in MBI, FAC, BBS, TIS-T, TIS-D, TIS-C, and FES-I scores at 4 weeks from baseline between the two groups (all p<0.0001). There were no significant (p=0.0755) differences in changes in TIS-S scores at 4 weeks from baseline between the two groups. MBI, FAC, BBS, and TIS scores showed significantly inverse correlations with FES-I scores in patients receiving CME. There were no TEAEs in our series. CONCLUSION: CME was effective and safe in improving the degree of independence, ambulation status, dynamic and static balance, trunk function, and concerns about post-stroke falls in stroke survivors.
format Online
Article
Text
id pubmed-6058591
institution National Center for Biotechnology Information
language English
publishDate 2018
publisher Korean Academy of Rehabilitation Medicine
record_format MEDLINE/PubMed
spelling pubmed-60585912018-08-02 Efficacy and Safety of Caregiver-Mediated Exercise in Post-stroke Rehabilitation Lee, Min Jun Yoon, Seihee Kang, Jung Joong Kim, Jungin Kim, Jong Moon Han, Jun Young Ann Rehabil Med Original Article OBJECTIVE: To assess the efficacy and safety of our 4-week caregiver-mediated exercise (CME) in improving trunk control capacity, gait, and balance and in decreasing concerns about post-stroke falls when there is an increase in its efficacy. METHODS: Acute or subacute stroke survivors were assigned to either the trial group (n=35) or the control group (n=37). Changes in Modified Barthel Index (MBI), Functional Ambulation Categories (FAC), Berg Balance Scale (BBS), and Trunk Impairment Scale (TIS) scores at 4 weeks from baseline served as primary outcome measures. Correlations of primary outcome measures with changes in Fall Efficacy Scale-International (FES-I) scores at 4 weeks from baseline in the trial group served as secondary outcome measures. Treatment-emergent adverse events (TEAEs) served as safety outcome measures. RESULTS: There were significant differences in changes in MBI, FAC, BBS, TIS-T, TIS-D, TIS-C, and FES-I scores at 4 weeks from baseline between the two groups (all p<0.0001). There were no significant (p=0.0755) differences in changes in TIS-S scores at 4 weeks from baseline between the two groups. MBI, FAC, BBS, and TIS scores showed significantly inverse correlations with FES-I scores in patients receiving CME. There were no TEAEs in our series. CONCLUSION: CME was effective and safe in improving the degree of independence, ambulation status, dynamic and static balance, trunk function, and concerns about post-stroke falls in stroke survivors. Korean Academy of Rehabilitation Medicine 2018-06 2018-06-27 /pmc/articles/PMC6058591/ /pubmed/29961738 http://dx.doi.org/10.5535/arm.2018.42.3.406 Text en Copyright © 2018 by Korean Academy of Rehabilitation Medicine This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Lee, Min Jun
Yoon, Seihee
Kang, Jung Joong
Kim, Jungin
Kim, Jong Moon
Han, Jun Young
Efficacy and Safety of Caregiver-Mediated Exercise in Post-stroke Rehabilitation
title Efficacy and Safety of Caregiver-Mediated Exercise in Post-stroke Rehabilitation
title_full Efficacy and Safety of Caregiver-Mediated Exercise in Post-stroke Rehabilitation
title_fullStr Efficacy and Safety of Caregiver-Mediated Exercise in Post-stroke Rehabilitation
title_full_unstemmed Efficacy and Safety of Caregiver-Mediated Exercise in Post-stroke Rehabilitation
title_short Efficacy and Safety of Caregiver-Mediated Exercise in Post-stroke Rehabilitation
title_sort efficacy and safety of caregiver-mediated exercise in post-stroke rehabilitation
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6058591/
https://www.ncbi.nlm.nih.gov/pubmed/29961738
http://dx.doi.org/10.5535/arm.2018.42.3.406
work_keys_str_mv AT leeminjun efficacyandsafetyofcaregivermediatedexerciseinpoststrokerehabilitation
AT yoonseihee efficacyandsafetyofcaregivermediatedexerciseinpoststrokerehabilitation
AT kangjungjoong efficacyandsafetyofcaregivermediatedexerciseinpoststrokerehabilitation
AT kimjungin efficacyandsafetyofcaregivermediatedexerciseinpoststrokerehabilitation
AT kimjongmoon efficacyandsafetyofcaregivermediatedexerciseinpoststrokerehabilitation
AT hanjunyoung efficacyandsafetyofcaregivermediatedexerciseinpoststrokerehabilitation