Abstract
Background
A
significant number of people with physical disabilities in the world,
especially in most developing countries face a lot of impediments. There
is a dearth of literature describing the consensus of effectiveness of
home-based rehabilitation programs designed specifically for people
living with different types of physical disabilities resulting from
stroke, Parkinson's and other musculoskeletal conditions.
Objective
To determine if home-based rehabilitation is effective in improving physical function of people with physical disabilities.
Method
A
systematic review of randomized controlled trials was done. An
electronic search of the literature was done by PubMed, Cochrane
Library, the Physiotherapy Evidence Database and Cumulative Index to
Nursing and Allied Health Literature from 1990 to March 2018 to identify
full text, peer-reviewed randomized controlled trials, Published in
English. Selected randomized controlled trials were critically appraised
with 11 items Physiotherapy Evidence Database scale scores extracted
from the Physiotherapy Evidence Database and studies were included if
the cutoff of 5 points was reached on Physiotherapy Evidence Database
scale score.
Results
Nine
randomized controlled trials met the preset eligibility criteria. This
systematic review found that there is the consistency of findings among
the included studies which showed that home-based rehabilitation is an
effective option for people with physical disabilities.
Conclusion
Home-based
rehabilitation is not superior to hospital-based rehabilitation in
improving nearly all patient outcomes assessed. However, home-based
exercise programs require patient enthusiasm and regular follow-up to
yield positive outcomes.
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