Deans' stroke musings: Efficacy and Safety of Caregiver-Mediated Exercise in Post-stroke Rehabilitation

Even though this works your incompetent hospital will not bring this in house. Have they brought ANY new rehab protocols in in the last 50 years? Are you willing to wait another 50 years?
https://europepmc.org/abstract/med/29961738

(PMID:29961738)

Lee MJ ¹ ,

Yoon S ¹ ,

Kang JJ ¹ ,

Kim J ¹ ,

Kim JM ¹ ,

Han JY ¹

Affiliations

6 authors
1.Department of Rehabilitation Medicine, Konkuk University Chungju Hospital, Chungju, Korea.

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Annals of Rehabilitation Medicine [27 Jun 2018, 42(3):406-415]

Type: Journal Article
DOI: 10.5535/arm.2018.42.3.406

The Digital Object Identifier (DOI) System enables identification of digital entities

Abstract

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.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.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. 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.