Nature-based rehabilitation to reduce post-stroke fatigue is not effective: A randomized controlled trial
Autor: | A Pálsdóttir, K Stigmar, B Norrving, P Grahn, I Petersson, M Åström, H Pessah-Rasmussen |
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Rok vydání: | 2020 |
Předmět: |
030506 rehabilitation
medicine.medical_specialty Randomization Rehabilitation business.industry medicine.medical_treatment Physical Therapy Sports Therapy and Rehabilitation General Medicine Hospital Anxiety and Depression Scale medicine.disease law.invention 03 medical and health sciences Quality of life Randomized controlled trial Modified Rankin Scale law medicine Physical therapy Anxiety medicine.symptom 0305 other medical science business Stroke |
Zdroj: | Journal of Rehabilitation Medicine. |
ISSN: | 1650-1977 |
Popis: | Objective: To determine whether nature-based rehabilitation, as an add-on to standard care, has a long-term influence on post-stroke fatigue, perceived value of everyday occupations, disability, health-related quality of life, anxiety, and depression at follow-up 8 and 14 months after randomization. Design: Single-blinded, 2-armed, randomized controlled trial. Methods: Stroke survivors, identified through routine 3-month follow-up visit (sub-acute) or medical records (chronic stroke >1 year previously), were randomized to standard care + nature-based rehabilitation (intervention group) or standard care alone (control group). Blinded evaluations were conducted at follow-up 8 and 14 months after randomization, for the following outcomes: post-stroke fatigue (Mental Fatigue Scale; MFS), perceived value of everyday occupations (Occupational value instrument with predefined items), disability (modified Rankin Scale; mRS), health-related quality of life (Euro-QoL-5 Demension Questionnaire), anxiety (Hospital Anxiety and Depression Scale; HAD) and depression (HAD). Results: Approximately one-quarter of the screened patients were eligible for inclusion in the study; of these, half agreed to participate; a final total of 101 patients were randomized (mean age 67 years, 60% female). The patients with sub-acute stroke were highly compliant with the intervention. The participants in both the intervention and control groups improved, However, no statistically significant differences in improvement were found between the intervention and control groups for any of the outcome measures. Fatigue decreased to a value below the suggested cut-off for mental fatigue ( |
Databáze: | OpenAIRE |
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