Journal of the neurological sciences · 2025
Effect of home-based telerehabilitation on motor function and health-related quality of life in stroke survivors.
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Yokota Chiaki, Nakatsuka Kiyomasa, Takegami Misa, Nishimura Kunihiro, Taniguchi Tatsunori, Ito Koichi
Аннотация
BACKGROUND: Home-based telerehabilitation (TR) for stroke survivors is expected to fill gaps in poststroke care for improvement of functional status. The aim was to examine the efficacy of the home-based TR for enhancing motor function and health-related quality of life (HRQOL) in stroke or transient ischemic attack (TIA) survivors 3 months after disease onset (3 M).
METHODS: Patients admitted from December 2021 to March 2024 who were discharged directly home with the ability to live independently were enrolled. Twenty-nine patients who agreed to participate in a 3-month home-based TR program entered the TR group. As the control group, 276 patients without TR were included. Changes in motor function and the Medical Outcomes Study 36-Item Short-Form Health Survey at 3 M were compared between the two groups after propensity score matching (PSM).
RESULTS: One patient with a cardiac pacemaker, four who were readmitted, and one who dropped out after the first session in the TR group, and two who died, 12 who were readmitted, and 32 with incomplete data in the control group, were excluded before PSM. The data from 21 patients in the TR group and 63 in the control group were analyzed after PSM. At 3 M, increases in 6-min walking distance were more significant in the TR group than in the control group (least-square mean change, 57.9 m [95 %CI: 38.9, 76.9] vs. 16.7 m [5.6, 27.7]). No significant between-group differences were found in the HRQOL.
CONCLUSIONS: In functionally independent stroke survivors, home-based TR improved exercise capacity but not HRQOL at 3 M.
METHODS: Patients admitted from December 2021 to March 2024 who were discharged directly home with the ability to live independently were enrolled. Twenty-nine patients who agreed to participate in a 3-month home-based TR program entered the TR group. As the control group, 276 patients without TR were included. Changes in motor function and the Medical Outcomes Study 36-Item Short-Form Health Survey at 3 M were compared between the two groups after propensity score matching (PSM).
RESULTS: One patient with a cardiac pacemaker, four who were readmitted, and one who dropped out after the first session in the TR group, and two who died, 12 who were readmitted, and 32 with incomplete data in the control group, were excluded before PSM. The data from 21 patients in the TR group and 63 in the control group were analyzed after PSM. At 3 M, increases in 6-min walking distance were more significant in the TR group than in the control group (least-square mean change, 57.9 m [95 %CI: 38.9, 76.9] vs. 16.7 m [5.6, 27.7]). No significant between-group differences were found in the HRQOL.
CONCLUSIONS: In functionally independent stroke survivors, home-based TR improved exercise capacity but not HRQOL at 3 M.