Effectiveness of a self-rehabilitation program to improve upper-extremity function after stroke in developing countries: A randomized controlled trial
| Autor: | Thierry Lejeune, Ditouah Didier Niama Natta, Gaëtan Stoquart, Etienne Alagnide, Clara Selves, Berenice Yarou, Emmanuel S. Sogbossi, Christine Detrembleur, Toussaint G. Kpadonou |
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| Přispěvatelé: | UCL - SSS/IREC/NMSK - Neuro-musculo-skeletal Lab, UCL - (SLuc) Service de médecine physique et de réadaptation motrice |
| Rok vydání: | 2021 |
| Předmět: |
Quality of life
030506 rehabilitation medicine.medical_specialty Upper extremity medicine.medical_treatment Context (language use) International Classification of Functioning Developing countries law.invention Upper Extremity 03 medical and health sciences 0302 clinical medicine Randomized controlled trial International Classification of Functioning Disability and Health law Self-management medicine Humans Single-Blind Method Orthopedics and Sports Medicine Developing Countries Stroke Rehabilitation business.industry Stroke Rehabilitation Recovery of Function medicine.disease Treatment Outcome medicine.anatomical_structure Quality of Life Physical therapy Upper limb Disability and Health 0305 other medical science business 030217 neurology & neurosurgery |
| Zdroj: | Annals of Physical and Rehabilitation Medicine, Vol. 64, no. 1, p. 101413 [1-7] (2021) |
| ISSN: | 1877-0657 |
| Popis: | BACKGROUND: About two-thirds of stroke patients present long-term upper-limb impairment and limitations of activity, which constitutes a challenge in rehabilitation. This situation is particularly true in developing countries, where there is a need for inexpensive rehabilitation solutions. OBJECTIVE: This study assessed the effectiveness of a self-rehabilitation program including uni- or bi-manual functional exercises for improving upper-limb function after stroke with respect to the context in Benin, West Africa. METHODS: In this single-blind randomized controlled trial, chronic stroke individuals (>6 months post-stroke) performed a supervised home-based self-rehabilitation program for 8 weeks (intervention group); the control group did not receive any treatment. Participants were assessed before treatment (T0), at the end of treatment (T1) and 8 weeks after the end of treatment (T2). The primary outcome was the manual ability of the upper limb, assessed with ABILHAND-Stroke Benin. Secondary outcomes were grip force, motor impairment (Fugl-Meyer Assessment - Upper Extremity), gross manual ability (Box and Block test, Wolf Motor Function test) and quality of life (WHOQOL-26). RESULTS: We included 28 individuals in the intervention group and 31 in the control group. Adherence to the program was 83%. After 8 weeks of self-rehabilitation, individuals in the intervention group showed significantly improved manual ability and grip force as compared with the control group (P |
| Databáze: | OpenAIRE |
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