Shaomin Chen1, Chang Lv1, Jiaozhen Wu2, Chengwei Zhou2, Xiaolong Shui2, Yi Wang3. 1. Department of Rehabilitation, The Second Affiliated Hospital & Yuying Children's Hospital of Wenzhou Medical University, Zhejiang, China. 2. Department of Orthopedics, The Second Affiliated Hospital & Yuying Children's Hospital of Wenzhou Medical University, Zhejiang, China. 3. Department of Orthopedics, The Second Affiliated Hospital & Yuying Children's Hospital of Wenzhou Medical University, Zhejiang, China. Electronic address: wangyi692078@163.com.
Abstract
PURPOSE: To evaluate the effectiveness of advanced practice nurse-guided home-based rehabilitation exercise program (HREPro) among patients with lower limb spasticity post-stroke. METHODS: This randomized controlled study recruited 121 patients with lower limb spasticity post-stroke. Intervention (n = 59) and control (n = 62) groups underwent 12-month HREPro and conventional rehabilitation, respectively, after discharge. The Fugl-Meyer assessment of spasticity measurement, modified Ashworth scale of motor function, 10-Meter Walk Test of walking ability, and Barthel index of activities of daily living (ADL) were evaluated at 0, 3, 6, and 12 months after discharge. RESULTS: Significant differences were found in spasticity degree, motor function, walking ability, and ADL at 6 and 12 months after discharge between the control and intervention groups. Lower limb spasticity and ADL in the intervention group were significantly improved. CONCLUSION:HREPro is effective for rehabilitation of patients with lower limb spasticity post-stroke and has favorable home application.
RCT Entities:
PURPOSE: To evaluate the effectiveness of advanced practice nurse-guided home-based rehabilitation exercise program (HREPro) among patients with lower limb spasticity post-stroke. METHODS: This randomized controlled study recruited 121 patients with lower limb spasticity post-stroke. Intervention (n = 59) and control (n = 62) groups underwent 12-month HREPro and conventional rehabilitation, respectively, after discharge. The Fugl-Meyer assessment of spasticity measurement, modified Ashworth scale of motor function, 10-Meter Walk Test of walking ability, and Barthel index of activities of daily living (ADL) were evaluated at 0, 3, 6, and 12 months after discharge. RESULTS: Significant differences were found in spasticity degree, motor function, walking ability, and ADL at 6 and 12 months after discharge between the control and intervention groups. Lower limb spasticity and ADL in the intervention group were significantly improved. CONCLUSION: HREPro is effective for rehabilitation of patients with lower limb spasticity post-stroke and has favorable home application.
Authors: Xiao-Ming Yu; Xue-Ming Jin; Yan Lu; Yang Gao; Hai-Chen Xu; Xin Xue; Lei Fang; Jun Hu Journal: Evid Based Complement Alternat Med Date: 2020-12-19 Impact factor: 2.629