Effect of a comprehensive erehabilitation intervention alongside conventional stroke rehabilitation on disability and healthrelated quality of life: A pre post comparison

Berber Brouns, Leti Van Bodegom-Vos, Arend J. de Kloet, Sietske J. Tamminga, Gerard Volker, Monique A. M. Berger, Marta Fiocco, Paulien H. Goossens, Thea P. M. Vliet Vlieland, Jorit J. L. Meesters, Berber Brouns

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Abstract

Digital eRehabilitation, including cognitive/physical exercises, activity-Tracking and psycho-education, is available for rehabilitation after stroke. In daily practice, these are used in parallel, and evidence regarding the effect of combining applications is scarce. The aim of this study was to investigate the effect of eRehabilitation in clinical practice. Outcomes for 153 people with stroke admitted to conventional rehabilitation only (control group) were compared with the outcomes for 165 people with stroke admitted when eRehabilitation was available (intervention group). A total of 82 people in the intervention group (50%) received the intervention, of whom 54 (66%) used it. In the first 3 months of rehabilitation, no differences were found between the groups. Between 3 and 6 months, the intervention group as a whole showed greater improvements regarding communication and physical strength. However, differences were below minimal clinical importance. In conclusion, adding eRehabilitation alongside conventional stroke rehabilitation had a small positive effect on communication and physical strength on the longer term, compared to conventional rehabilitation only.
Original languageEnglish
Article numberjrm00161
JournalJournal of rehabilitation medicine
Volume53
Issue number3
DOIs
Publication statusPublished - 1 Mar 2021

Keywords

  • Stroke Impact Scale
  • comprehensive healthcare
  • eHealth
  • eRehabilitation.
  • patient-reported outcome measures
  • rehabilitation
  • stroke
  • telerehabilitation

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