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EFFECT OF A COMPREHENSIVE EREHABILITATION INTERVENTION ALONGSIDE CONVENTIONAL STROKE REHABILITATION ON DISABILITY AND HEALTH-RELATED QUALITY OF LIFE: A PRE–POST COMPARISON

OBJECTIVE: To compare the effect on disability and quality of life, of conventional rehabilitation (control group) with individualized, tailored eRehabilitation intervention alongside conventional rehabilitation (Fast@home; intervention group), for people with stroke. METHODS: Pre–post design. The i...

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Autores principales: BROUNS, Berber, VAN BODEGOM-VOS, Leti, DE KLOET, Arend J., TAMMINGA, Sietske J., VOLKER, Gerard, BERGER, Monique A. M., FIOCCO, Marta, GOOSSENS, Paulien H., VLIET VLIELAND, Thea P. M., MEESTERS, Jorit J. L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Foundation for Rehabilitation Information 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8814840/
https://www.ncbi.nlm.nih.gov/pubmed/33369683
http://dx.doi.org/10.2340/16501977-2785
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author BROUNS, Berber
VAN BODEGOM-VOS, Leti
DE KLOET, Arend J.
TAMMINGA, Sietske J.
VOLKER, Gerard
BERGER, Monique A. M.
FIOCCO, Marta
GOOSSENS, Paulien H.
VLIET VLIELAND, Thea P. M.
MEESTERS, Jorit J. L.
author_facet BROUNS, Berber
VAN BODEGOM-VOS, Leti
DE KLOET, Arend J.
TAMMINGA, Sietske J.
VOLKER, Gerard
BERGER, Monique A. M.
FIOCCO, Marta
GOOSSENS, Paulien H.
VLIET VLIELAND, Thea P. M.
MEESTERS, Jorit J. L.
author_sort BROUNS, Berber
collection PubMed
description OBJECTIVE: To compare the effect on disability and quality of life, of conventional rehabilitation (control group) with individualized, tailored eRehabilitation intervention alongside conventional rehabilitation (Fast@home; intervention group), for people with stroke. METHODS: Pre–post design. The intervention comprised cognitive (Braingymmer®) and physical (Telerevalidatie®/Physitrack®) exercises, activity-tracking (Activ8®) and psycho-education. Assessments were made at admission (T0) and after 3 (T3) and 6 months (T6). The primary outcome concerned disability (Stroke Impact Scale; SIS). Secondary outcomes were: health-related quality of life, fatigue, self-management, participation and physical activity. Changes in scores between T0–T3, T3–T6, and T0–T6 were compared by analysis of variance and linear mixed models. RESULTS: The study included 153 and 165 people with stroke in the control and intervention groups, respectively. In the intervention group, 82 (50%) people received the intervention, of whom 54 (66%) used it. Between T3 and T6, the change in scores for the SIS subscales Communication (control group/intervention group –1.7/–0.3) and Physical strength (–5.7/3.3) were significantly greater in the total intervention group (all mean differences< minimally clinically important differences). No significant differences were found for other SIS subscales or secondary outcomes, or between T0–T3 and T0–T6. CONCLUSION: eRehabilitation alongside conventional stroke rehabilitation had a small positive effect on communication and physical strength on the longer term, compared to conventional rehabilitation only.
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spelling pubmed-88148402022-02-08 EFFECT OF A COMPREHENSIVE EREHABILITATION INTERVENTION ALONGSIDE CONVENTIONAL STROKE REHABILITATION ON DISABILITY AND HEALTH-RELATED QUALITY OF LIFE: A PRE–POST COMPARISON BROUNS, Berber VAN BODEGOM-VOS, Leti DE KLOET, Arend J. TAMMINGA, Sietske J. VOLKER, Gerard BERGER, Monique A. M. FIOCCO, Marta GOOSSENS, Paulien H. VLIET VLIELAND, Thea P. M. MEESTERS, Jorit J. L. J Rehabil Med Original Report OBJECTIVE: To compare the effect on disability and quality of life, of conventional rehabilitation (control group) with individualized, tailored eRehabilitation intervention alongside conventional rehabilitation (Fast@home; intervention group), for people with stroke. METHODS: Pre–post design. The intervention comprised cognitive (Braingymmer®) and physical (Telerevalidatie®/Physitrack®) exercises, activity-tracking (Activ8®) and psycho-education. Assessments were made at admission (T0) and after 3 (T3) and 6 months (T6). The primary outcome concerned disability (Stroke Impact Scale; SIS). Secondary outcomes were: health-related quality of life, fatigue, self-management, participation and physical activity. Changes in scores between T0–T3, T3–T6, and T0–T6 were compared by analysis of variance and linear mixed models. RESULTS: The study included 153 and 165 people with stroke in the control and intervention groups, respectively. In the intervention group, 82 (50%) people received the intervention, of whom 54 (66%) used it. Between T3 and T6, the change in scores for the SIS subscales Communication (control group/intervention group –1.7/–0.3) and Physical strength (–5.7/3.3) were significantly greater in the total intervention group (all mean differences< minimally clinically important differences). No significant differences were found for other SIS subscales or secondary outcomes, or between T0–T3 and T0–T6. CONCLUSION: eRehabilitation alongside conventional stroke rehabilitation had a small positive effect on communication and physical strength on the longer term, compared to conventional rehabilitation only. Foundation for Rehabilitation Information 2020-12-28 /pmc/articles/PMC8814840/ /pubmed/33369683 http://dx.doi.org/10.2340/16501977-2785 Text en © 2021 Journal of Rehabilitation Medicine https://creativecommons.org/licenses/by-nc/4.0/This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Original Report
BROUNS, Berber
VAN BODEGOM-VOS, Leti
DE KLOET, Arend J.
TAMMINGA, Sietske J.
VOLKER, Gerard
BERGER, Monique A. M.
FIOCCO, Marta
GOOSSENS, Paulien H.
VLIET VLIELAND, Thea P. M.
MEESTERS, Jorit J. L.
EFFECT OF A COMPREHENSIVE EREHABILITATION INTERVENTION ALONGSIDE CONVENTIONAL STROKE REHABILITATION ON DISABILITY AND HEALTH-RELATED QUALITY OF LIFE: A PRE–POST COMPARISON
title EFFECT OF A COMPREHENSIVE EREHABILITATION INTERVENTION ALONGSIDE CONVENTIONAL STROKE REHABILITATION ON DISABILITY AND HEALTH-RELATED QUALITY OF LIFE: A PRE–POST COMPARISON
title_full EFFECT OF A COMPREHENSIVE EREHABILITATION INTERVENTION ALONGSIDE CONVENTIONAL STROKE REHABILITATION ON DISABILITY AND HEALTH-RELATED QUALITY OF LIFE: A PRE–POST COMPARISON
title_fullStr EFFECT OF A COMPREHENSIVE EREHABILITATION INTERVENTION ALONGSIDE CONVENTIONAL STROKE REHABILITATION ON DISABILITY AND HEALTH-RELATED QUALITY OF LIFE: A PRE–POST COMPARISON
title_full_unstemmed EFFECT OF A COMPREHENSIVE EREHABILITATION INTERVENTION ALONGSIDE CONVENTIONAL STROKE REHABILITATION ON DISABILITY AND HEALTH-RELATED QUALITY OF LIFE: A PRE–POST COMPARISON
title_short EFFECT OF A COMPREHENSIVE EREHABILITATION INTERVENTION ALONGSIDE CONVENTIONAL STROKE REHABILITATION ON DISABILITY AND HEALTH-RELATED QUALITY OF LIFE: A PRE–POST COMPARISON
title_sort effect of a comprehensive erehabilitation intervention alongside conventional stroke rehabilitation on disability and health-related quality of life: a pre–post comparison
topic Original Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8814840/
https://www.ncbi.nlm.nih.gov/pubmed/33369683
http://dx.doi.org/10.2340/16501977-2785
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