To examine the feasibility of improving stroke patients' physical functional recovery and social participation through improving caregiver's care capability.
In the hospital, most rehabilitation units are like sheltered workshops and the therapists work with stroke patients in well-designed, but non-home-like, environment to improve the stroke patient's functional ability. After returning home, stroke patients face new challenges and also need to assume more responsibility for daily activities. Without continuing rehabilitation training or proper support, the patients can easily fall into a sedentary lifestyle and lead to declines in functional ability.However, providing home-based exercise by therapists directly would increase the health care cost and may not be practical for chronic stroke patients. Hence, the objective of the present study was to determine whether a caregiver-mediated, home-based intervention program is effective for improving stroke patients' functional ability and social participation.
- Care-giver mediated training Other
Intervention Desc: A physical therapist visited each subject and the caregiver (of the intervention group) once weekly for about 90 min/session to teach patient-skills and caregiver-skills. The therapist first reviewed the condition of each patient and planned patient-specific training programs, continuously performed 12 weeks. ARM 1: Kind: Experimental Label: Care-giver mediated training Description: Each patient and the caregiver of the intervention group received weekly home training and exercise counseling by a physical therapist about the caregiver mediated home exercise skill for stroke patient. The training program were progress weekly based on the patient's need.
- Allocation: Randomized
- Masking: Single Blind (Outcomes Assessor)
- Purpose: Health Services Research
- Endpoint: Safety/Efficacy Study
- Intervention: Parallel Assignment
|Type||Measure||Time Frame||Safety Issue|
|Primary||Stroke Impact Scale||Baseline and 12 weeks||No|
|Secondary||10-meter walking speed||Baseline and 12 weeks||No|
|Secondary||Berg balance scale||Baseline and 12 weeks||No|
|Secondary||6-min walking distance||Baseline and 12 weeks||No|
|Secondary||Bathel index score||Baseline and 12 weeks||No|
|Secondary||Lawton Instrumental Activities of Daily Living scale (IADL)||Baseline and 12 weeks||No|
|Secondary||Fugl-Meyer Assessment Scale||Baseline and 12 weeks||No|