Does a short period of rehabilitation in the home setting facilitate functioning after stroke? A randomized controlled trial

Abstract

Aim: The purpose of the thesis was to describe and evaluate different aspects of rehabilitation after discharge for persons of working age after stroke. Aims were to compare an approach of support, information and training in the home setting with ordinary outpatient rehabilitation at the clinic and to describe the costs and factors influencing the costs.

Multidisciplinary care for stroke patients living in the community: A systematic review

“…the two reviewers reached consensus on 89 articles, 9 articles were presented to the third reviewer and two were untraceable. fourteen articles were selected for the review (25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35)(36)(37)(38) and 84 articles did not meet the inclusion criteria; no randomized clinical trial (n = 54), no stroke patients or community living patients (n = 12), no multidisciplinary intervention (n = 14), other outcome domains (n = 3) and no English, dutch or german (n = 1). the selected 14 articles were published in English.…”

“…the mean age of patients was under 70 years in 3 studies (26,27,35) and over 70 years in 11 studies. In general, men and women were equally represented in each of the studies; however, in 1 study there were considerably more men (75%) in the study group (27).…”

“…the number of stroke patients in the intervention groups varied from 30 (27) to 190 (26). the mean age of patients was under 70 years in 3 studies (26,27,35) and over 70 years in 11 studies.…”

“…they provided therapy for a period of 6 months (30, 31) or as long as needed (32). the third type of intervention (rehabilitation) aimed to improve functional outcome and skills and involved disciplines such as physiotherapists, occupational therapists, physicians and speech therapists (27,35,36). the duration of the programme varied between 3 weeks (27) to as long as needed (35), as well as varying in intensity.…”

Stroke Rehabilitation at Home

“…Later results are concur. 25 While not designed to test a hypothesis about the effectiveness of home rehabilitation, the surprising results from the LEAPS study, 26 published in 2011, contributes additional evidence that rehabilitation at home can be as, or even more effective, than institutional based care. First, the features of LEAPS study will be presented, and then some reasons why home rehabilitation is so powerful will be explored.…”