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Home Rehabilitation System in Chronic Stroke: An Observational Study in Central Italy.

Home Rehabilitation System in Chronic Stroke: An Observational Study in Central Italy.

Authors :
Saggini, Raoul
Veraldi, Roberto
Carmignano, Simona
Palermo, Tommaso
Russo, Chiara
Barassi, Giovanni
Bellomo, Rosa
Carmignano, Simona Maria
Bellomo, Rosa Grazia
Source :
Neurology India. Sep/Oct2021, Vol. 69 Issue 5, p1285-1292. 8p.
Publication Year :
2021

Abstract

<bold>Introduction: </bold>By 6 months following a stroke, approximately 65% of stroke survivors cannot incorporate into daily activities, resulting completely dependent. The aim of this study is to assess the overall outcome in psychological and physical well-being, increase in residual abilities, reintegration and social inclusion for people with chronic disabilities resulting from stroke, after home rehabilitation.<bold>Materials and Methods: </bold>We assessed the functional outcome of a group of 600 patients with disability related to several pathological conditions and undergoing home rehabilitation therapy (twice a week for 40 sessions per year) as granted by the Public Health. We evaluated the outcome with Barthel and Functional Independence Measure (FIM) scales. Furthermore, in a group of 73 persons with chronic stroke we also carried out an overall evaluation, by using specific rating scales (FIM, Stroke Impact Scale, Motricity Index, Tinetti Balance Scale, 10-m Walking Test, 6-min Walking Test, 5 Repetitions Sit-to-Stand Test, and Hamilton Depression Scale) after 120 days (114 ± 6) from the end of the home rehabilitation program.<bold>Results: </bold>The results highlighted a statistically significant improvement between T0 and T1 and a significant worsening between T1 and T2 (follow-up at 3 months). Hamilton Depression Scale is the only parameter that significantly improves both at the time T1 and T2.<bold>Conclusions: </bold>Territorial rehabilitation system should consider some fundamental aspects: centrality of the person and the individual health project; identification of specific and personalized rehabilitation plan and prognosis based on the results of a follow-up; ultra-specialization of interventions; multidisciplinary team; highlight of the emerging needs; and coordination of the different care pathways. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
00283886
Volume :
69
Issue :
5
Database :
Academic Search Index
Journal :
Neurology India
Publication Type :
Academic Journal
Accession number :
153430483
Full Text :
https://doi.org/10.4103/0028-3886.329548