Feasibility of a self-rehabilitation program for the upper limb for stroke patients in Benin.

Autor: Niama Natta DD; Université catholique de Louvain, cliniques universitaires Saint-Luc, 1200 Brussels, Belgium., Alagnide E; Université catholique de Louvain, cliniques universitaires Saint-Luc, 1200 Brussels, Belgium., Kpadonou GT; Université catholique de Louvain, cliniques universitaires Saint-Luc, 1200 Brussels, Belgium., Stoquart GG; Université catholique de Louvain, cliniques universitaires Saint-Luc, 1200 Brussels, Belgium., Detrembleur C; Université catholique de Louvain, cliniques universitaires Saint-Luc, 1200 Brussels, Belgium., Lejeune TM; Université catholique de Louvain, cliniques universitaires Saint-Luc, 1200 Brussels, Belgium. Electronic address: thierry.lejeune@uclouvain.be.
Jazyk: angličtina
Zdroj: Annals of physical and rehabilitation medicine [Ann Phys Rehabil Med] 2015 Dec; Vol. 58 (6), pp. 322-5. Date of Electronic Publication: 2015 Sep 26.
DOI: 10.1016/j.rehab.2015.08.003
Abstrakt: Introduction: Stroke is a major cause of disability and represents a very high cost in developing countries. Self-rehabilitation programs represent a new and original treatment for stroke patients, likely to reduce upper limb impairments and improve activity and participation. The goal of this study is to evaluate the feasibility of a self-rehabilitation protocol in Benin.
Methods: Twelve chronic stroke patients carried out the upper limb self-rehabilitation program (3 hours/day, 5 days/week for 2 weeks). The performance of these patients was evaluated before and after the self-rehabilitation program, by measuring the number of exercises that patients were able to achieve during a three-hour session, and by assessing their gross manual dexterity.
Results: Twelve patients were effectively able to complete the entire program. The number of unimanual exercises and self-mobilizations performed during a three-hour session as well as the score of the Box and Block test were improved by the self-rehabilitation program (P<0.05).
Discussion and Conclusion: Self-rehabilitation programs are feasible and inexpensive as they do not involve a therapist. It is then a promising approach in stroke rehabilitation, particularly in developing countries, where rehabilitation costs are usually supported by patients.
(Copyright © 2015 Elsevier Masson SAS. All rights reserved.)
Databáze: MEDLINE
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