Home-based functional evaluation of upper extremity stroke survivals after 6 - months discharge from high intensity neurorehabilitation program at Rehabilitation Centre Kladruby
Abstract
The aim of the work was to evaluate a current condition upper extremity (UE) of stroke survivals after 6 months discharge from high intensity neurorehabilitation program at Rehabilitation Centre Kladruby, who underwent video-observation therapy combine with robot assistive therapy to improve hand function.Inclusion criterion were moderate to severe hand movements impairment equivalent to a score two or three of a possible six points on the Motor Assessment Scale (MAS) items 7, able to follow commands, either with verbal instructions, demonstration or other non-verbal cues. 20 patients were screened at a time T0 (admission), T1 (after 1 month) and T2 (after 6 months post discharge in home environment). All participants signed written informed consent before entering the study.
Primary outcome measures showed up improvement in 50% patients and worsening in 15% for Box and Block Test (BBT), MAS in item 7 showed up improvement in 55% patients and worsening in 15%, MAS in item 8 showed up improvement in 45% patients and 55% patients remain the same at a time T2. During Home based functional evaluation of UE at a time T2 was taken as well dataset about access to local and community rehabilitation care.
Data showed up none to minimum access for psychology and 25 % for speech language pathology care. Occupational therapy was accessible for 20% stroke survivals and conventional physiotherapy and physical therapy for 80% stroke survivals.