| Titre : | Effectiveness of Client-Centered “Tune-Ups” on Community Reintegration, Mobility, and Quality of Life After Stroke: A Randomized Controlled Trial (2018) |
| Auteurs : | Brenda Brouwer ; Dianne Bryant ; Jayne Garland |
| Type de document : | Article |
| Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 99, n° 7, 2018) |
| Article en page(s) : | p. 1325-1332 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Mobilité réduite ; Rééducation et réadaptation |
| Mots-clés: | Intégration communautaire ; Community Integration ; Mobility limitation ; Treatment Outcome ; Résultat thérapeutique |
| Résumé : |
Objective To explore the effectiveness of a 2-week client-centered rehabilitation intervention (tune-up) delivered 6 months after inpatient discharge on community reintegration at 1 year in people with stroke. Design A multicenter randomized controlled trial with 2 groups: an intervention (“tune-up”) group and a control group having the same exposure to assessment. Setting Three research laboratories. Participants Participants (N=103) with hemiparetic stroke recruited from inpatient rehabilitation units at the time of discharge. Interventions Participants randomized to the tune-up group received 1-hour therapy sessions in their home 3times/wk for 2 weeks at 6 months postdischarge focusing on identified mobility-related goals. A second tune-up was provided at 12 months. Main Outcome Measures Community reintegration measured by the Subjective Index of Physical and Social Outcome at 12 months and secondary outcomes included the Berg Balance Scale and measures of mobility and health-related quality of life up to 15 months. Results At 12 months, both groups showed significant improvement in community reintegration (P<.05 a trend evident at all time points with no difference between groups confidence interval to p=".68)." similarly main effect of reflected improvement in mobility-related and quality life outcomes for both but group differences> Conclusions All participants in the tune-up group met or exceeded at least 1 mobility-related goal; however, the intervention did not differentially improve community reintegration. The improvements in mobility and quality of life over the 15-month postdischarge period may be secondary to high activity levels in both study groups and exposure to regular assessment. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999318300716 |
Bibliothèques HE Vinci
