Miho Asano1, Bee C Tai1, Felicity Yt Yeo1, Shi C Yen2, Arthur Tay2, Yee S Ng3, Deidre A De Silva4, Kevin Caves5, Eiffie Chew6, Helen Hoenig7,8, Gerald C Koh1. 1. National University of Singapore, Saw Swee Hock School of Public Health, Singapore. 2. Department of Electrical and Computer Engineering, National University of Singapore, Singapore. 3. Department of Rehabilitation Medicine, Singapore General Hospital, Singapore. 4. Department of Neurology, National Neuroscience Institute, Singapore. 5. Department of Surgery, Duke University Medical Center, USA. 6. Department of Rehabilitation Medicine, National University Hospital, Singapore. 7. Physical Medicine and Rehabilitation Service, Durham Veterans Affairs Medical Center, USA. 8. Department of Medicine, Duke University Medical Center, USA.
Abstract
INTRODUCTION: The aim of this research was to evaluate the impact of a novel tele-rehabilitation system on self-reported functional outcomes compared to usual care during the first three months after stroke. METHODS: A parallel, two-arm, evaluator-blinded, randomised controlled trial was conducted. Adults aged ≥40 years who had suffered a stroke within four weeks of the start of the study were recruited from the general community. The intervention group received access to a novel tele-rehabilitation system and programme for three months. The primary outcome measures utilised were the frequency and limitation total scores of the Late-Life Function and Disability Instrument (LLFDI) at three months. RESULTS:A total of 124 individuals were recruited. The mean differences in the LLDFI frequency and limitation total scores at three months comparing the intervention and control groups were -3.30 (95% confidence interval (CI) -7.81 to 1.21) and -6.90 (95% CI -15.02 to 1.22), respectively. Adjusting for the respective baseline covariates and baseline Barthel Index also showed no significant difference between interventions in the LLFDI outcomes. DISCUSSION: The intervention and control groups self-reported similar improvements in functional outcomes. Tele-rehabilitation may be a viable option to provide post-stroke rehabilitation services in Singapore while reducing barriers to continue rehabilitation conventionally after discharge from hospital and encouraging more participation.
RCT Entities:
INTRODUCTION: The aim of this research was to evaluate the impact of a novel tele-rehabilitation system on self-reported functional outcomes compared to usual care during the first three months after stroke. METHODS: A parallel, two-arm, evaluator-blinded, randomised controlled trial was conducted. Adults aged ≥40 years who had suffered a stroke within four weeks of the start of the study were recruited from the general community. The intervention group received access to a novel tele-rehabilitation system and programme for three months. The primary outcome measures utilised were the frequency and limitation total scores of the Late-Life Function and Disability Instrument (LLFDI) at three months. RESULTS: A total of 124 individuals were recruited. The mean differences in the LLDFI frequency and limitation total scores at three months comparing the intervention and control groups were -3.30 (95% confidence interval (CI) -7.81 to 1.21) and -6.90 (95% CI -15.02 to 1.22), respectively. Adjusting for the respective baseline covariates and baseline Barthel Index also showed no significant difference between interventions in the LLFDI outcomes. DISCUSSION: The intervention and control groups self-reported similar improvements in functional outcomes. Tele-rehabilitation may be a viable option to provide post-stroke rehabilitation services in Singapore while reducing barriers to continue rehabilitation conventionally after discharge from hospital and encouraging more participation.
Authors: Aoife Stephenson; Sarah Howes; Paul J Murphy; Judith E Deutsch; Maria Stokes; Katy Pedlow; Suzanne M McDonough Journal: PLoS One Date: 2022-05-11 Impact factor: 3.752
Authors: Siti Nur Suhaidah Selamat; Rosalam Che Me; Husna Ahmad Ainuddin; Mazatulfazura S F Salim; Hafiz Rashidi Ramli; Muhammad Hibatullah Romli Journal: Front Public Health Date: 2022-02-07