Collaborative Care Model Based Telerehabilitation Exercise Training Program for Acute Stroke Patients in China: A Randomized Controlled Trial

Wu, Zhishui; Xu, Jingjuan; Yue, Chunxian; Li, Yang; Liang, Yongchun

doi:10.1016/j.jstrokecerebrovasdis.2020.105328

Cited by 37 publications

(107 citation statements)

References 26 publications

Supporting

Mentioning

104

Contrasting

Unclassified

Order By: Relevance

“…Our results show that specific barriers have emerged from this condition. The adherence to the remote physical exercise program was higher compared with the literature (Beit Yosef et al, 2019;Wu et al, 2020). Such a high adherence rate might have two reasons, namely, these participants were already engaged in a face-toface physical exercise and they were highly informed about how important it is to exercise.…”

Section: Travelingmentioning

confidence: 85%

“…Our participants have different clinical impairments, and they might have not felt safe and comfortable to exercise. Studies (van Wijck et al, 2019;Wu et al, 2020) suggest that the need to attend a remote program is related to transportation issues (home-to-facility distance or access to reference rehabilitation centers). Although they have approved the remote program, they did not agree to stay on the remote mode when the face-to-face mode was available again (Chen et al, 2020).…”

Section: Programmentioning

confidence: 99%

See 1 more Smart Citation

Adherence Rate, Barriers to Attend, Safety, and Overall Experience of a Remote Physical Exercise Program During the COVID-19 Pandemic for Individuals After Stroke

et al. 2021

View full text Add to dashboard Cite

Introduction: The actions taken by the government to deal with the consequences of the coronavirus diseases 2019 (COVID-19) pandemic caused different levels of restriction on the mobility of the population. The need to continue offering physical exercise to individuals after stroke became an emergency. However, these individuals may have barriers to adhere to the programs delivered remotely. There is a lack of evidence related to adherence, attendance, safety, and satisfaction of remote exercise programs for this population.Objective: The aim was to evaluate adherence and barriers to attend a remote physical exercise program for individuals after stroke. We aimed (a) to identify adherence and attendance rate of the remote physical exercise program (i.e., number of participants engaged, number of sessions attended, and exercise time in remote program); (b) to identify the safety of a remote physical exercise program (i.e., falls, pain, or dizziness when performing the exercises, fear, or insecurity); and (c) to identify the overall experience to participate in a remote program.Materials and methods: This is a longitudinal study, including 36 stroke survivors who already attended a face-to-face physical exercise program prior to the COVID-19 pandemic. The remote physical exercise program included sessions for 2 days/week for a duration of 22 weeks, with a total of 44 sessions, which were delivered asynchrony via recorded video sessions. As outcome measures, we performed two questionnaires (via weekly telephone calls) to identify attendance, barriers, safety, and overall experience related to the program.Results: The adherence rate was 86 (9%). The attendance rate was 19, with a total of 8 sessions (108.3 min/week). The main barriers for lower attendance rate were as follows: lack of motor skills and physical fitness to workout in 80 reports (20.6%), followed by no exercise companion in 44 reports (11.3%). The remote physical program has been shown to be safe, and the overall experience was positive from the perspectives of the participants and the family members.Conclusion: Although the adherence rate was high, the attendance rate was low on the remote physical exercise program. The main barriers to attending the program remotely reflect the need of tailoring individually an asynchrony mode of delivering the sessions to individuals after stroke. Our results also indicate how the COVID-19 impacted the health conditions of stroke survivors. The program was safe, and the overall experience indicated a change in the mental, physical, and social health of individuals after stroke and their family members.

show abstract

Section: Travelingmentioning

confidence: 85%

Section: Programmentioning

confidence: 99%

Adherence Rate, Barriers to Attend, Safety, and Overall Experience of a Remote Physical Exercise Program During the COVID-19 Pandemic for Individuals After Stroke

et al. 2021

View full text Add to dashboard Cite

show abstract

“…A dosagem adequada e o tempo de tratamento neurorreabilitativo são essenciais para um resultado positivo 31 . Entretanto, com base na análise dos estudos incluídos, as intervenções por meio da telereabilitação apresentaram variações quanto à duração, de três semanas 11 a 12 semanas 16 ; a frequência semanal, de duas 15,16 a 5 vezes na semana 11 ; e o tempo de terapia, que variou de 15 minutos 11 a 50 minutos 12,14 32,33 , e na atual situação mundial, permite que os pacientes continuem com seus tratamentos em domicílio de forma segura e eficiente 34 . Para isso é necessário avaliar a condição de saúde e nível de alfabetização digital, além de ouvir e compreender as preferências do paciente, orientar e esclarecer possíveis dúvidas, utilizar de linguagem e comando simples, e assim, motivar a participação ativa do paciente em seu tratamento 35 .…”

Section: Discussionunclassified

O uso da telereabilitação para melhora do equilíbrio nas disfunções neurológicas

et al. 2021

View full text Add to dashboard Cite

Introdução. Distúrbios neurológicos são capazes de causar comprometimento no desempenho funcional, como a dificuldade da manutenção do equilíbrio, exigindo um tratamento a longo prazo, e a telereabilitação favorece a continuidade do tratamento à distância. Objetivo. Verificar se a telereabilitação é efetiva no treino de equilíbrio de pacientes com disfunção neurológica. Método. Trata-se de uma revisão de literatura, em que foi realizado busca nas bases de dados PubMed, Cochrane Library, Biblioteca Virtual de Saúde, Scielo e PEDro, no mês de setembro de 2020, sendo a busca atualizada em março de 2021. Resultados. Foram incluídos 7 ensaios clínicos controlados realizados entre 2004 e 2020. Para os desfechos de equilíbrio estático e dinâmico, dois estudos mostraram que o grupo de telereabilitação apresentou melhora superior do que o grupo controle, enquanto, os demais obtiveram efeitos semelhantes. Quando avaliado o nível de confiança de equilíbrio, apenas um de dois estudos apresentou melhoras significativas. Para a adesão e satisfação avaliada em três estudos, um obteve boa satisfação e dois não tiveram diferenças quanto ao grupo controle. Conclusões. Telereabilitação é uma forma eficaz para o treinamento de equilíbrio de pacientes com disfunção neurológica, sendo uma opção viável, capaz de gerar benefícios similares ao da fisioterapia convencional.

show abstract

“…MET is a technique for musculoskeletal system disorders by applying isometric contraction, relaxation, and reciprocal inhibition to the targeted muscles. It relaxes tense muscles, activates relaxed muscles, and restores muscle length, tone, and stability to enhance the function of the musculoskeletal system and alleviate pain [ 7 , 8 ]. In MET, patients are required to use their muscles to proactively and consciously fight against the resistance imposed by the therapist by using specific muscles to perform contraction, relaxation, and cross-inhibition to adjust muscle length and tone, increase muscle strength and stability, and restore the normal biomechanics of the joint, thereby achieving good therapeutic results [ 9 – 11 ].…”

Section: Introductionmentioning

confidence: 99%

Muscle Energy Technique plus Neurac Method in Stroke Patients with Hemiplegia Complicated by Diabetes Mellitus and Assessment of Quality of Life

Wang

et al. 2022

Disease Markers

View full text Add to dashboard Cite

Objective. To analyze the role of muscle energy technique (MET) plus Neurac method in stroke patients with hemiplegia complicated by diabetes mellitus and the impact on quality of life. Methods. From January 2021 to December 2021, 100 stroke patients with hemiplegia complicated by diabetes mellitus treated in our institution and assessed for eligibility were recruited and randomly assigned (1 : 3) via the random sampling method to either the conventional rehabilitation group or the experimental group. The patients in the experimental group were randomized (1 : 1 : 1) into either the MET group (receives MET), the Neurac group (receives Neurac), or the joint group (receives MET plus Neurac). The primary endpoint is the clinical efficacy, and the second endpoint is the quality of life. Results. The eligible patients had similar pretreatment Barthel index scores, Visual Analogue Scale (VAS) scores, Berg balance scale (BBS) scores, Tinetti scores, Fugl-Meyer scores, and quality of life (QoL) scores ( P > 0.05 ). The treatment herein achieved significant improvements in Barthel index scores, VAS scores ( 2.71 ± 0.28 ), BBS scores, Tinetti scores, Fugl-Meyer scores, and QoL scores ( 99.67 ± 10.62 ), and MET plus Neurac method obtained the best results versus both the conventional rehabilitation and monotherapy of either MET or Neurac ( P < 0.05 ). Conclusion. Neurac method plus MET improves the independent mobility of stroke patients with hemiplegia and diabetes, relieves pain, enhances balance and stability, mitigates limb dysfunction, and boosts patients’ quality of life, so it is worthy of clinical application.

show abstract

Collaborative Care Model Based Telerehabilitation Exercise Training Program for Acute Stroke Patients in China: A Randomized Controlled Trial

Cited by 37 publications

References 26 publications

Adherence Rate, Barriers to Attend, Safety, and Overall Experience of a Remote Physical Exercise Program During the COVID-19 Pandemic for Individuals After Stroke

Adherence Rate, Barriers to Attend, Safety, and Overall Experience of a Remote Physical Exercise Program During the COVID-19 Pandemic for Individuals After Stroke

O uso da telereabilitação para melhora do equilíbrio nas disfunções neurológicas

Muscle Energy Technique plus Neurac Method in Stroke Patients with Hemiplegia Complicated by Diabetes Mellitus and Assessment of Quality of Life

Contact Info

Product

Resources

About