Effects of task-oriented training for patients with ischemic stroke in intermediate care through home-based telerehabilitation: The Nopparat Model
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Abstract
Background: Telerehabilitation (TR) is an alternative service that enhances accessibility to rehabilitation. The Nopparat Model has been developed to provide effective task-oriented training (TOT) through TR for patients with ischemic stroke in intermediate care rehabilitation.
Objective: To investigate the effectiveness of TOT provided through TR compared with in clinic rehabilitation (IC) and standard rehabilitation as control (Control) in patients with ischemic stroke.
Methods: Three groups of patients with ischemic stroke, including TR group and IC group, received TOT 5 times/week for the first 2 weeks, 3 times/week for the 3rd-12th weeks, and 2 times/week for the 13th-24th weeks, respectively. The control group received standard PT services. Fugl-Meyer assessment lower extremities (FMA-LE), Mobility to participation scale (MPASS), Barthel index (BI), and Euro Qol Group 5 Dimension 5 Levels (EQ-5D-5L) were re-evaluated at 2nd, 6th, 12th, and 24th weeks. Two-Way Mixed ANCOVA was used for statistical analysis.
Results: Sixty-one patients with ischemic stroke included 18 participants in the TR group, 24 participants in the IC group and 19 participants in the control group. FMA-LE, MPASS, BI and EQ-5D-5L scores after treatment in the TR and the IC groups were significantly higher than the Control (p<0.05) but no differences were found between the TR and IC groups.
Conclusion: The TOT provided through the TR and IC groups was effective in enhancing lower limb function, mobility to participation, activities of daily living, and quality of life than the Control group thus the TR group could be applied to increase accessibility to rehabilitation services.
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