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Effects of Home-based Telesupervising Rehabilitation on Physical Function for Stroke Survivors with Hemiplegia

A Randomized Controlled Trial

Chen, Jing, MD; Jin, Wei, PhD; Dong, Wen Shuai, MD; Jin, Yan, PT; Qiao, Feng Lei, PT; Zhou, Ya Fei, PT; Ren, Cheng Chuan, PhD

American Journal of Physical Medicine & Rehabilitation: March 2017 - Volume 96 - Issue 3 - p 152–160
doi: 10.1097/PHM.0000000000000559
Original Research Articles

Objective The aims of this work were to evaluate the effects of home-based telesupervising rehabilitation on physical function for stroke survivors with hemiplegia and to determine if the rehabilitation therapy can relieve the burden on caregivers.

Design This study is a randomized, controlled, assessor-blinded trial. Stroke survivors were randomly assigned to either home-based telesupervising rehabilitation group or conventional rehabilitation group to receive physical exercise and electromyography-triggered neuromuscular stimulation. Modified Barthel Index, Berg Balance Scale, modified Rankin Scale, Caregiver Strain Index, root mean square of extensor carpi radialis longus and tibialis anterior muscle were measured at 3 time points: baseline, postintervention (12 weeks), and 12-week follow-up (24 weeks).

Results Both the home-based telerehabilitation and conventional rehabilitation groups demonstrated significant effects within groups over the 3 time points in increasing Modified Barthel Index, Berg Balance Scale, and root mean square value of extensor carpi radialis longus and tibialis anterior, as well as decreasing Caregiver Strain Index (P < 0.001), but none of the between-group differences was significant. For modified Rankin Scale, the percentage of participants of grades 0 and 1 in 2 groups increased over time without significant difference between the groups.

Conclusions Home-based telesupervising rehabilitation is most likely as effective as the conventional outpatient rehabilitation for improving functional recovery in stroke survivors and could ease the burden of caregivers as conventional rehabilitation.

From the Departments of Neurology (JC, WJ, WSD, CCR) and Rehabilitation (YJ, FLQ, YFZ), Shanghai 5th People’s Hospital, Fudan University, Shanghai, China.

All correspondence and requests for reprints should be addressed to: Cheng Chuan Ren, PhD, Department of Neurology, Shanghai 5th People’s Hospital, Fudan University, 801 Heqing Rd, Minhang District, Shanghai 200240, China.

We certify that no party having a direct interest in the results of the research supporting this article has or will confer a benefit on us or on any organization with which we are associated, and, if applicable, we certify that all financial and material support for this research (eg, NIH or NHS grants) and work are clearly identified in the title page of the manuscript.

Financial disclosure statements have been obtained, and no conflicts of interest have been reported by the authors or by any individuals in control of the content of this article.

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