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"
Studieöversikt
Detaljerad beskrivning
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.
Studietyp
Inskrivning (Faktisk)
Fas
- Inte tillämpbar
Kontakter och platser
Studieorter
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Riyadh, Saudiarabien, 11451
- King Saud University
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Deltagandekriterier
Urvalskriterier
Åldrar som är berättigade till studier
Tar emot friska volontärer
Kön som är behöriga för studier
Beskrivning
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
Studieplan
Hur är studien utformad?
Designdetaljer
- Primärt syfte: Behandling
- Tilldelning: N/A
- Interventionsmodell: Enskild gruppuppgift
- Maskning: Ingen (Open Label)
Vapen och interventioner
Deltagargrupp / Arm |
Intervention / Behandling |
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Experimentell: 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. |
Vad mäter studien?
Primära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
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Change of balance confidence -The Activities- specific balance confidence (ABC) scale
Tidsram: 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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Sekundära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
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Change in lower extremity function - The lower extremity functional scale (LEFS)
Tidsram: 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
Tidsram: 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)
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Samarbetspartners och utredare
Sponsor
Utredare
- Studierektor: Almarwani, PhD, Assistant professor at King Saud university
Studieavstämningsdatum
Studera stora datum
Studiestart (Faktisk)
Primärt slutförande (Faktisk)
Avslutad studie (Faktisk)
Studieregistreringsdatum
Först inskickad
Först inskickad som uppfyllde QC-kriterierna
Första postat (Faktisk)
Uppdateringar av studier
Senaste uppdatering publicerad (Faktisk)
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
Senast verifierad
Mer information
Termer relaterade till denna studie
Ytterligare relevanta MeSH-villkor
Andra studie-ID-nummer
- Tele-rehabilitaion exercises
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