The Effects of a Home-Based Combined Motor Control and Ergonomic Program on Functional Ability and Fear of Falling: A Randomized Controlled Trial

BACKGROUND: Early mobilisation (EM) after-ischemic stroke is a motor learning intervention aimed to restore nerve cells and to improve balance and functional ability. Unfortunately, the study of when this intervention began has not been widely studied. AIM: On this study was compared the effect of EM started at 24 hours and 48 hours after an ischemic stroke on balance and functional ability. MATERIAL AND METHODS: Randomized controlled trial involving 40 patients on 2 groups meeting predefined inclusion criteria. The levels of balance were measured using the Berg Balance Scale, and the functional ability was measured using the Barthel Index, at 5th and 7th day. RESULTS: A significant difference was observed in both balance (p = 0.038) and functional ability (p = 0.021) obtained on the 7th day of assessment between both groups. A significant difference on the 5th day was observed only in the functional ability (p = 0.002) and not in the balance (p = 0.147), between the groups. CONCLUSION: EM started at 24 hours after the ischemic stroke has been found to have a better impact on balance and functional ability compared to that at 48 hours.

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Home-Based Exercise Training During COVID-19 Pandemic in Post-Bariatric Patients: a Randomized Controlled Trial

Obesity Surgery ◽

10.1007/s11695-021-05621-5 ◽

2021 ◽

Author(s):

Gersiel Nascimento de Oliveira Júnior ◽

Karla Fabiana Goessler ◽

Jhonnatan Vasconcelos Pereira Santos ◽

Alisson Padilha de Lima ◽

Rafael Genário ◽

...

Keyword(s):

Randomized Controlled Trial ◽

Exercise Training ◽

Controlled Trial ◽

Randomized Controlled ◽

Home Based ◽

Bariatric Patients

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Home‐Based Intervention to Test and Start (HITS): a community‐randomized controlled trial to increase HIV testing uptake among men in rural South Africa

Journal of the International AIDS Society ◽

10.1002/jia2.25665 ◽

2021 ◽

Vol 24 (2) ◽

Author(s):

Frank C Tanser ◽

Hae‐Young Kim ◽

Thulile Mathenjwa ◽

Maryam Shahmanesh ◽

Janet Seeley ◽

...

Keyword(s):

South Africa ◽

Randomized Controlled Trial ◽

Hiv Testing ◽

Controlled Trial ◽

Rural South ◽

Randomized Controlled ◽

Home Based ◽

Testing Uptake ◽

Home Based Intervention ◽

Rural South Africa

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Effectiveness of interactive augmented reality-based telerehabilitation in patients with adhesive capsulitis: protocol for a multi-center randomized controlled trial

BMC Musculoskeletal Disorders ◽

10.1186/s12891-021-04261-1 ◽

2021 ◽

Vol 22 (1) ◽

Author(s):

Seung Mi Yeo ◽

Ji Young Lim ◽

Jong Geol Do ◽

Jae-Young Lim ◽

Jong In Lee ◽

...

Keyword(s):

Randomized Controlled Trial ◽

Physical Therapy ◽

Augmented Reality ◽

Controlled Trial ◽

Adhesive Capsulitis ◽

Performance Measure ◽

Home Exercise ◽

Randomized Controlled ◽

Link Type ◽

Home Based

Abstract Background As the primary treatment for adhesive capsulitis, intensive and accurate home exercise is as important as physical therapy in hospitals. Augmented reality (AR)-based telerehabilitation has been implemented recently in various musculoskeletal conditions to increase patient compliance and enable patients to exercise with the correct posture. The objective of this study is to present a protocol for investigating the additive effect of interactive AR-based telerehabilitation in comparison with the usual care for patients with adhesive capsulitis. Methods This study presents the protocol of a prospective, multi-center, single-blinded, two-armed randomized controlled trial (RCT). One hundred patients with stage I or II adhesive capsulitis will be recruited at the physical medicine and rehabilitation clinic. Patients will be randomly divided into two groups with 1:1 allocation. The intervention group will receive 3 months of hospital-based physical therapy in conjunction with home-based telerehabilitation. The control group will receive 3 months of hospital-based physical therapy in conjunction with a home-based exercise described in a brochure provided by the hospital. The primary outcome will be the change in passive range of motion (ROM) of the affected shoulder joint from baseline to 12 weeks after baseline assessment. The secondary outcomes will be active ROM, pain measured with the numeric rating scale, shoulder pain and disability index, 36-Item Short Form Survey, EuroQoL-5D-5L, and Canadian Occupational Performance Measure. Discussion This will be the first RCT study protocol to investigate the effect of telerehabilitation in patients with adhesive capsulitis. The result of this RCT will determine whether AR-based telerehabilitation is more effective than a brochure-based home exercise program and will provide evidence of the usefulness of “telerehabilitation” using hardware (IoT) and software (monitoring platform) technologies to develop “digital therapeutics” for the future. Trial registration This trial was retrospectively registered at the Clinicaltrials.gov website on 20 March 2020, with the identifier NCT04316130.

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