The Compliance and Barrier of Home Exercise and Physical Therapy in Stroke Patients
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Abstract
Objective: To study the compliance and barrier of home exercise and physical therapy in stroke patients and care givers
Designs: Descriptive study
Settings: Prasat Neurological Institute
Subjects: Fifty hemiplegic-stroke patients who admitted to Prasat Neurological Institute
Methods: Patients received routine rehabilitation program during admission. Before discharge from the hospital, the patients and their care givers were taught home exercise and physical therapy program and received the program pamphlet. The Barthel index score was used to evaluate the patients before and 1 month after discharge. At the 1-month after discharge the patients were examined for the common complication of the stroke hemiplegia. The patients and care givers were rechecked for the accuracy and also informed about the compliance and barriers of home exercise and physical therapy program.
Results: Significant difference was observed on the Barthel Index score at before discharge and 1-month after discharge from the hospital (95%CI -22.89 to -14.52; p<.005). About eighty percent of patients/care givers did their home exercise and physical therapy correctly and frequently (>2 times/day and every day). Most common complication was shoulder pain on the affected side (58%). And most common barrier that found during home exercise and physical therapy was uncomfortableness during/after exercise and physical therapy period.
Conclusion: In this study, the compliances of home exercise and physical therapy of stroke patients/care givers at 1-month after discharge are quite good. The main barrier is uncomfortableness during/after exercise and physical therapy period.
Key words: Compliance, Problem, Barrier, Home exercise and physical therapy, Stroke patient.
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References
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