Effectiveness of Telerehabilitation in Improving Walking and Balance Among Stroke Survivors?
Could Telerehabilitation be a Promising Tool in Improving Walking and Balance Among Stroke Survivors? "Case Study"
調査の概要
詳細な説明
Background: Rehabilitation program is commonly provided after stroke to improve functional outcomes. A good rehabilitation program may not be accessible for all individuals living with stroke due to cost, transportation and compliance. Telerehabilitation is an alternative health care program that has been used to provide therapy for stroke survivors living in rural areas. With COVID-19 pandemic, many stroke survivors have lost their access to rehabilitation. Therefore, telerehabilitation may help in overcoming this issue. In this study we aim to find if the use of telerehabilitation in Saudi Arabia would improve balance and walking in stroke survivors during this pandemic.
Methods: 2 stroke survivors ( male and female/ >6 months post stroke) are included in this case study. Participants will receive a task-specific activity training (3days/week moderate exercises for 4 weeks) Both participants will provide feedback through questionnaires pre and post the 4 weeks intervention. We will use the Activities- specific balance confidence (ABC) scale, Lower limb functional scale (LEFS) and Stroke severity quality of life scale ( SS-Qol).
• Intervention: The participants will follow a home-based exercise through videos with follow up from the therapists for 4 weeks.
研究の種類
入学 (実際)
段階
- 適用できない
連絡先と場所
研究場所
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-
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Riyadh、サウジアラビア、11451
- King Saud University
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参加基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
説明
Inclusion Criteria:
- Subjects who have been diagnosed with stroke 6 months or more.
- Either right or left hemiparesis.
- Subjects able to walk with or without assistive device.
- age between 40-70. 5) Subjects can understand and follow commands.
Exclusion Criteria:
- subjects with uncontrolled Blood pressure, heart rate or breathing problems.
- Having an orthopedic problem or pain that limits walking and standing.
- Subject with vestibular disorders.
- Subjects with cognitive disorders. 5) Subjects with hemi spatial neglect
研究計画
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：処理
- 割り当て：なし
- 介入モデル：単一グループの割り当て
- マスキング：なし（オープンラベル）
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
|
実験的：Stroke survivors participants
Subjects who have been diagnosed with stroke 6 months or more. 1)Either right and left hemiparesis. 2) Subjects able to walk with or without assistive device. 3) age between 40-80. 4) Subjects can understand and follow commands. Exclusion criteria is: 1) subjects with uncontrolled Blood pressure, heart rate or breathing problems. 2) Having an orthopedic problem or |
The exercise program will include task specific training to improve balance and the training will progress every two weeks. A Physical therapist will be following up and monitoring the participants adherence to the training by audio or video call. The exercise program for Week 1: Sit to Stand 5 times, Steps forward, backward and to the sides 5 times, 10 meters walk. 45 minutes session /3 times per week. Week 2: Sit to stand 10 times, Steps forward, backward and to the sides 5 times , Sit and reach 5 min for each hand and walk for 15 meters. 45 minutes session, 3 times per week. Week3 Sit to stand 10 times, Step on bench 5 times, Stand and reach 5 and walk for 15 meters. 45 minutes session, 3 times per week. Week 4 Stand and reach 5 times, Step on bench 10 times, climbing stairs (5 steps flight stairs up and down) and walk for 20 meters. 50 minutes session, 3 times per week. |
この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Change of balance confidence -The Activities- specific balance confidence (ABC) scale
時間枠：pre and post intervention (1st and 4th week)
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Consists of 16 items scored from 0% to 100%, with 0 % equate no confidence and 100% equate total confidence.
The higher score indicates higher balance confidence
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pre and post intervention (1st and 4th week)
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二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
Change in lower extremity function - The lower extremity functional scale (LEFS)
時間枠：pre and post intervention (1st and 4th week)
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consisted of 20 question to evaluate the lower limb functional impairment.The lower score equates greater disability
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pre and post intervention (1st and 4th week)
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Change in Quality of life - Stroke Specific Quality Of Life scale (SS-QOL
時間枠：pre and post intervention (1st and 4th week)
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measure aspects related to quality of life and designed specifically for stroke survivors
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pre and post intervention (1st and 4th week)
|
協力者と研究者
スポンサー
捜査官
- スタディディレクター：Almarwani, PhD、Assistant professor at King Saud university
研究記録日
主要日程の研究
研究開始 (実際)
一次修了 (実際)
研究の完了 (実際)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
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