Efficacy and Safety of Caregiver-Mediated Exercise in Post-stroke Rehabilitation.
10.5535/arm.2018.42.3.406
- Author:
Min Jun LEE
1
;
Seihee YOON
;
Jung Joong KANG
;
Jungin KIM
;
Jong Moon KIM
;
Jun Young HAN
Author Information
1. Department of Rehabilitation Medicine, Konkuk University Chungju Hospital, Chungju, Korea. skysea333@hanmail.net
- Publication Type:Original Article
- Keywords:
Stroke;
Exercise;
Caregivers;
Gait;
Postural balance
- MeSH:
Accidental Falls;
Caregivers;
Gait;
Humans;
Outcome Assessment (Health Care);
Postural Balance;
Rehabilitation*;
Stroke;
Survivors;
Walking
- From:Annals of Rehabilitation Medicine
2018;42(3):406-415
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVE: To assess the efficacy and safety of our 4-week caregiver-mediated exercise (CME) in improving trunk control capacity, gait, and balance and in decreasing concerns about post-stroke falls when there is an increase in its efficacy. METHODS: Acute or subacute stroke survivors were assigned to either the trial group (n=35) or the control group (n=37). Changes in Modified Barthel Index (MBI), Functional Ambulation Categories (FAC), Berg Balance Scale (BBS), and Trunk Impairment Scale (TIS) scores at 4 weeks from baseline served as primary outcome measures. Correlations of primary outcome measures with changes in Fall Efficacy Scale-International (FES-I) scores at 4 weeks from baseline in the trial group served as secondary outcome measures. Treatment-emergent adverse events (TEAEs) served as safety outcome measures. RESULTS: There were significant differences in changes in MBI, FAC, BBS, TIS-T, TIS-D, TIS-C, and FES-I scores at 4 weeks from baseline between the two groups (all p < 0.0001). There were no significant (p=0.0755) differences in changes in TIS-S scores at 4 weeks from baseline between the two groups. MBI, FAC, BBS, and TIS scores showed significantly inverse correlations with FES-I scores in patients receiving CME. There were no TEAEs in our series. CONCLUSION: CME was effective and safe in improving the degree of independence, ambulation status, dynamic and static balance, trunk function, and concerns about post-stroke falls in stroke survivors.
