Effectiveness of a home-based exercise program among patients with lower limb spasticity post-stroke: A randomised controlled trial.

Abstract:

PURPOSE:To evaluate the effectiveness of advanced practice nurse (APRN)-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. 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 group. 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.

journal_title

Asian nursing research

authors

Chen S,Lv C,Wu J,Zhou C,Shui X,Wang Y

doi

10.1016/j.anr.2020.08.007

subject

Has Abstract

pub_date

2020-09-02 00:00:00

eissn

1976-1317

issn

2093-7482

pii

S1976-1317(20)30069-4

pub_type

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