Effects of Self RehAbilitation Video Exercises (SAVE) on Functional Restorations in Patients with Subacute Stroke

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Effects of Self RehAbilitation Video Exercises (SAVE) on Functional Restorations in Patients with Subacute Stroke

Seung-Hwan Jung 1,†, Eunhee Park 2,3,† , Ju-Hyun Kim 1 , Bi-Ang Park 4 , Ja-Won Yu 4 , Ae-Ryoung Kim 1,2 and Tae-Du Jung 2,3,*


 Citation: Jung, S.-H.; Park, E.; Kim, J.-H.; Park, B.-A.; Yu, J.-W.; Kim, A.-R.; Jung, T.-D. Effects of Self RehAbilitation Video Exercises (SAVE) on Functional Restorations in Patients with Subacute Stroke. Healthcare 2021, 9, 565. https:// doi.org/10.3390/healthcare9050565 Academic Editor: Tadashi Ito Received: 25 March 2021 Accepted: 6 May 2021 Published: 11 May 2021 Publisher’s Note: MDPI stays neutral with regard to jurisdictional claims in published maps and institutional affiliations. Copyright: © 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https:// creativecommons.org/licenses/by/ 4.0/). 1 Department of Rehabilitation Medicine, Kyungpook National University Hospital, Daegu 41944, Korea; pyromyth@naver.com (S.-H.J.); kjoohyun88@gmail.com (J.-H.K.); ryoung20@hanmail.net (A.-R.K.) 2 Department of Rehabilitation Medicine, School of Medicine, Kyungpook National University, Daegu 41944, Korea; ehmdpark@knu.ac.kr 3 Department of Rehabilitation Medicine, Kyungpook National University Chilgok Hospital, Daegu 41404, Korea 4 Unit of Rehabilitation Therapy, Kyungpook National University Chilgok Hospital, Daegu 41404, Korea; biang8@naver.com (B.-A.P.); jawon0809@naver.com (J.-W.Y.) * Correspondence: teeed0522@hanmail.net; Tel.: +82-53-200-2167 † Authors made an equal contribution as first authors to this work. 

Abstract: 

Background: 

Additional exercise therapy has been shown to positively affect acute stroke rehabilitation, which requires an effective method to deliver increased exercise. In this study, we designed a 4-week caregiver-supervised self-exercise program with videos, named “Self rehAbilitation Video Exercises (SAVE)”, to improve the functional outcomes and facilitate early recovery by increasing the continuity of rehabilitation therapy after acute stroke. 

Methods: 

This study is a non-randomized trial. Eighty-eight patients were included in an intervention group (SAVE group), who received conventional rehabilitation therapies and an additional self-rehabilitation session by watching bedside exercise videos and continued their own exercises in their rooms for 60 min every day for 4 weeks. Ninety-six patients were included in a control group, who received only conventional rehabilitation therapies. After 4 weeks of hospitalization, both groups assessed several outcome measurements, including the Berg Balance Scale (BBS), Modified Barthel Index (MBI), physical component summary (PCS) and the mental component summary of the Short-Form Survey 36 (SF-36), Mini-Mental State Examination, and Beck Depression Inventory. 

Results: 

Differences in BBS, MBI, and PCS components in SF-36 were more statistically significant in the SAVE group than that in the control group (p < 0.05). Patients in the SAVE group showed more significant improvement in BBS, MBI, and PCS components in SF-36 as compared to that in the control group. 

Conclusions: 

This evidence-based SAVE intervention can optimize patient recovery after a subacute stroke while keeping the available resources in mind.