scholarly journals Telerehabilitation of Post-Stroke Patients as a Therapeutic Solution in the Era of the Covid-19 Pandemic

Healthcare ◽  
2021 ◽  
Vol 9 (6) ◽  
pp. 654
Author(s):  
Paulina Magdalena Ostrowska ◽  
Maciej Śliwiński ◽  
Rafał Studnicki ◽  
Rita Hansdorfer-Korzon
Keyword(s):  
Hospital Admissions ◽  
Meta Analysis ◽  
Inpatient Rehabilitation ◽  
Functional Condition ◽  
Health Care Facilities ◽  
Stroke Patients ◽  
Post Stroke ◽  
Study Results ◽  
Neurological Patients ◽  
Randomised Control Trials

(1) Background: Due to the pandemic caused by the SARS-CoV-2 virus, rehabilitation centres have become less available for neurological patients. This is the result of efforts to physically distance society, to try to slow the spread of the pathogen. Health care facilities were mainly restricted to urgent cases, while most physiotherapy treatments, mainly for patients with chronic conditions, were suspended. Some countries have seen a reduction in acute stroke hospital admissions of from 50% to 80%. One solution to the above problem is the use of telerehabilitation in the home environment as an alternative to inpatient rehabilitation. (2) Aim of the study: The purpose of this review is to analyse the benefits and limitations of teletherapy in relation to the functional condition of post-stroke patients. (3) Methods: Selected publications from 2019 to 2021 on the telerehabilitation of stroke patients were reviewed. The review was based on the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) checklist. (4) Results: Studies have proven that teletherapy significantly improves the functional condition of post-stroke patients, resulting in improved quality of life and faster return to independence (while maintaining maximum possible precautions related to the SARS-CoV-2 virus pandemic). (5) Conclusions: Analysis of the study results showed comparable effectiveness of rehabilitation in the tele system to inpatient therapy. However, it should be emphasised that patients undergoing telerehabilitation must meet strict conditions to be eligible for this type of treatment program. However, the strength of the evidence itself supporting the effectiveness of this method ranks low due to the limited number of randomised control trials (RCT), small number of participants, and heterogeneous trials.

VP54 Costs And Benefits Of Intensive Inpatient Rehabilitation After Stroke

2017 ◽  
Vol 33 (S1) ◽  
pp. 172-173
Author(s):  
Youshin Suh ◽  
Jeonghoon Ahn
Keyword(s):  
Functional Status ◽  
Societal Perspective ◽  
Cost Savings ◽  
Inpatient Rehabilitation ◽  
Government Subsidy ◽  
Costs And Benefits ◽  
Stroke Patients ◽  
Post Stroke ◽  
Study Results ◽  
The Cost

INTRODUCTION:This study estimated, from the societal perspective, the costs and benefits of the intensive inpatient rehabilitation treatments (IIRT) on patients after stroke using the interim results of a large ongoing registry in Korea, the Korean Stroke Cohort for Functioning and Rehabilitation (KOSCO) (1).METHODS:Among others, the benefits were measured by two major cost savings: (i) decrease in government disability subsidy and (ii) caregiver savings. One of the KOSCO study results showed the functional status of the post-stroke patients, measured by the Korean Modified Barthel Index (K-MBI), improved significantly and the disability grades, which the government is using to classify the subsidy amount, reduced as well. Caregiver cost savings were calculated by K-MBI improvements, the average daily compensation of caregivers (USD58.33) and the average period of caregiving. To measure the cost of IIRT on post-stroke patients, the average costs reported by a National Evidence-based Healthcare Collaboration Agency (NECA) Health Technology Assessment report was used (2).RESULTS:The disability grade improvements showed savings of government subsidy by USD58.65 to USD478.39 depending on the patient income from the registry. The average caregiving cost decrease was USD6,042 annually. The average cost of IIRT on post-stroke patients was USD926.34 for the first year.CONCLUSIONS:This study estimated the cost-benefit of IIRT on post-stroke patients using the KOSCO study interim data. The intensive rehabilitation treatment improves patients functional status significantly enough to save two major cost items, the disability grades which also resulted in a decrease in government subsidy amounts and the caregiver costs which the patient family has to pay in Korea. The results warrant the use of IIRT for the post-stroke patients in Korea from the societal perspective.

scholarly journals The Effectiveness Of Tai Chi For Rehabilitation Of Post-stroke Patients: A Meta-analysis

2019 ◽  
Vol 51 (Supplement) ◽  
pp. 860
Author(s):  
Jiao Lu ◽  
Lin Liu ◽  
Ya Wei Song ◽  
Yan Chen ◽  
Juan Wei
Keyword(s):  
Tai Chi ◽  
Meta Analysis ◽  
Stroke Patients ◽  
Post Stroke

Use of Kinesio taping in lower-extremity rehabilitation of post-stroke patients: A systematic review and meta-analysis

2019 ◽  
Vol 35 ◽  
pp. 22-32 ◽  
Author(s):  
Mian Wang ◽  
Zi-wen Pei ◽  
Bei-dou Xiong ◽  
Xian-mei Meng ◽  
Xiao-li Chen ◽  
...  
Keyword(s):  
Systematic Review ◽  
Lower Extremity ◽  
Meta Analysis ◽  
Stroke Patients ◽  
Post Stroke ◽  
Kinesio Taping

scholarly journals The Level of Knowledge, Motivation, and Self Efficacy of Post-Stroke Patients in Lumajang

2021 ◽  
Vol 8 (2) ◽  
pp. 201-205
Author(s):  
Atikah Fatmawati ◽  
Fendik Pradana
Keyword(s):  
Self Efficacy ◽  
Sampling Technique ◽  
Rehabilitation Program ◽  
Health Care Facilities ◽  
Rank Test ◽  
Stroke Patients ◽  
Cross Sectional ◽  
Term Care ◽  
Post Stroke ◽  
Level Of Knowledge

Post-stroke conditions can be stressful and unpredictable. Knowledge, motivation, and self-efficacy are essential to the long-term care of post-stroke patients. This study aimed to analyze the correlation between the level of knowledge, motivation, and self-efficacy of post-stroke patients in Lumajang. This study used a cross-sectional design. The population of this study was post-stroke patients in Lumajang. The sampling technique used consecutive sampling with the number of samples obtained, namely 55 samples. The variables of this study were the level of knowledge, motivation, and self-efficacy. The data collection was carried out by using a questionnaire. The data analysis was performed by using the Spearman Rank test. The results showed a correlation between knowledge and motivation with self-efficacy in post-stroke patients, with p-values of 0.004 (r: 0.383) and 0.000 (r: 0.581). A person who had high knowledge and motivation would show positive results in managing his disease; for example, in the stroke concept, the patient will actively participate in the rehabilitation program, treatment program, and schedule visits to health care facilities.

The Impact of Immersive and Non-Immersive Virtual Reality Trends in Sensorimotor Recovery of Post-Stroke Patients-A Meta-Analysis

2021 ◽  
Vol 9 (5) ◽  
pp. 555-564
Author(s):  
Jaza Rizvi ◽  
◽  
Abid Khan ◽  
Sumaira Imran Farooqui ◽  
Bashir Ahmed Soomro ◽  
...  
Keyword(s):  
Virtual Reality ◽  
Randomized Controlled Trials ◽  
Meta Analysis ◽  
Cochrane Library ◽  
Controlled Trials ◽  
Stroke Patients ◽  
Post Stroke ◽  
Randomized Controlled ◽  
Sensorimotor Recovery ◽  
The Impact

Virtual Reality (VR) is an approach in stroke rehabilitation with ever-improving technological advancement for targeted motor rehabilitation by providing a user interface in a simulated environment with proprioceptive and visual feedback. This meta-analysis intended to evaluate the impact of immersive and non-immersive VR-based interventions compared to conventional rehabilitation in sensorimotor recovery following stroke. Randomized Controlled Trials based on the impact of VR, either immersive or non-immersive type in comparison to conventional rehabilitation on post-stroke patients (>18 years) sensorimotor recovery were searched on six databases including Google Scholar, PEDro, MEDLINE, Cochrane Library, EMBASE, and Web of Science from August to November 2020. A total of 17 randomized controlled trials on VR based intervention showed significant improvement in sensorimotor recovery following a stroke in overall FMA outcomes in comparison to the control group with pool effects in terms of SMD in a random effect model showed an impact of 0.498 at 95% CI (p<0.001) depicts a moderate effect size. An immersive and non-immersive emerging VR trend appears to be a promising therapeutic tool in sensorimotor recovery following stroke.

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