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Allied rehabilitation using caregiver-mediated exercises combined with telerehabilitation for stroke (ARMed4Stroke): A randomised controlled trial.
Mulder, Marijn; Nikamp, Corien Dm; Prinsen, Erik C; Nijland, Rinske Hm; van Dorp, Matthijs; Buurke, Jaap; Kwakkel, Gert; van Wegen, Erwin Eh.
Afiliación
  • Mulder M; Amsterdam Rehabilitation Research Centre, Reade, Amsterdam, the Netherlands.
  • Nikamp CD; Department of Rehabilitation Medicine, Amsterdam University Medical Center, VUmc, Amsterdam Movement Sciences, Amsterdam, the Netherlands.
  • Prinsen EC; Roessingh Research and Development, Enschede, the Netherlands.
  • Nijland RH; Department of Biomedical Signals and Systems, Technical Medical Center, University of Twente, Enschede, the Netherlands.
  • van Dorp M; Roessingh Research and Development, Enschede, the Netherlands.
  • Buurke J; Department of Biomechanical Engineering, Technical Medical Center, University of Twente, Enschede, the Netherlands.
  • Kwakkel G; Amsterdam Rehabilitation Research Centre, Reade, Amsterdam, the Netherlands.
  • van Wegen EE; Telerevalidatie.nl, Enschede, the Netherlands.
Clin Rehabil ; : 2692155241261700, 2024 Aug 01.
Article en En | MEDLINE | ID: mdl-39091094
ABSTRACT

OBJECTIVE:

To assess the added value of caregiver-mediated exercises combined with telerehabilitation in addition to usual care compared to usual care alone on the self-reported mobility outcome after subacute stroke.

DESIGN:

Multicentre, observer-blinded, parallel randomised controlled trial. An off-site researcher allocated treatments using minimisation.

SETTING:

Four rehabilitation centres in the Netherlands.

PARTICIPANTS:

Forty-one patient-caregiver dyads within 3 months poststroke. INTERVENTION Eight-week blended care program with caregiver-mediated mobility exercises for 2.5 h per week supported by telerehabilitation and four face-to-face sessions in addition to usual care. MAIN

MEASURES:

Self-reported mobility domain of the Stroke Impact Scale postintervention. Secondary outcomes were functional outcome, dyads' psychosocial wellbeing, care transition to the community postintervention and after 6 months.

RESULTS:

Forty-one dyads (21 intervention, 20 control) were randomised, and 37 (N = 18; N = 19) were analysed following intention-to-treat. The Stroke Impact Scale mobility was not significantly different between groups postintervention (B 0.8, 95% CI -6.8-8.5, p = 0.826). The secondary outcomes, namely, (a) caregivers' quality of life postintervention (p = 0.013), (b) caregivers' symptoms of depression postintervention (p = 0.025), and (c) independence in leisurely activities at 6 months (p = 0.024), showed significant benefits in favour of caregiver-mediated exercises with telerehabilitation. A significant difference favouring controls was found in self-reported muscle strength at 6 months (p = 0.002).

CONCLUSIONS:

Caregiver-mediated exercises combined with telerehabilitation yielded no differential effect on our primary outcome self-reported mobility. Although the trial is underpowered, current findings are in line with previous trials. Future studies should further explore beneficial effects of caregiver involvement in stroke rehabilitation targeting psychosocial wellbeing.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Clin Rehabil Asunto de la revista: REABILITACAO Año: 2024 Tipo del documento: Article País de afiliación: Países Bajos Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Clin Rehabil Asunto de la revista: REABILITACAO Año: 2024 Tipo del documento: Article País de afiliación: Países Bajos Pais de publicación: Reino Unido