Randomised controlled trial of rehabilitation at home after stroke in southwest Stockholm.

Completed

Phase N/A Results

Trial Description

To determine whether home rehabilitation is more effective and/or resource efficient than organizationally diverse rehabilitation in a hospital or day care or through outpatient care.

Interventions

Trial Design

Population-based, randomized controlled trial of 81 patients in southwest Stockholm.

Patient Involvement

Patients were randomized either to early supported discharge with continuity of rehabilitation at home for 3 to 4 months or to routine rehabilitation service in a hospital, day care, and/or outpatient care. The home rehabilitation team consisted of two physical therapists, two occupational therapists, and one speech therapist; one of the therapists was assigned as case manager for the patient. The rehabilitation program at home emphasized a task- and context-oriented approach. The activities were chosen on the basis of the patient's personal interests. Spouses were offered education and individual counseling.

Outcomes

Type Measure Time Frame Safety Issue
Primary Frenchay Social Activity Index, Extended Katz Index, Barthel Index, Lindmark Motor Capacity Assessment, Nine-Hole Peg Test, walking speed over 10 m, reported falls, and subjective dysfunction according to the Sickness Impact Profile.