Collaborative Care Model Based Telerehabilitation Exercise Training Program for Acute Stroke Patients in China: A Randomized Controlled Trial

Zhishui Wu; Jingjuan Xu; Chunxian Yue; Yi Li; Yongchun Liang

doi:10.1016/j.jstrokecerebrovasdis.2020.105328

Collaborative Care Model Based Telerehabilitation Exercise Training Program for Acute Stroke Patients in China: A Randomized Controlled Trial

J Stroke Cerebrovasc Dis. 2020 Dec;29(12):105328. doi: 10.1016/j.jstrokecerebrovasdis.2020.105328. Epub 2020 Sep 29.

Authors

Zhishui Wu¹, Jingjuan Xu², Chunxian Yue³, Yi Li⁴, Yongchun Liang⁵

Affiliations

¹ Department of neurology, the Third Affiliated Hospital of Soochow University, Changzhou, Jiangsu, China. Electronic address: 958414840@qq.com.
² Outpatient Office, the Third Affiliated Hospital of Soochow University, Changzhou, Jiangsu, China. Electronic address: 13255107918@163.com.
³ Department of neurology, the Third Affiliated Hospital of Soochow University, Changzhou, Jiangsu, China. Electronic address: 1210906885@qq.com.
⁴ Tzu Chi elderly care service center, Changzhou, Jiangsu, China. Electronic address: 18262284203@qq.com.
⁵ School of nursing, Taihu University of Wuxi, Wuxi, Jiangsu, China. Electronic address: yongchun0526@163.com.

PMID: 33002792
DOI: 10.1016/j.jstrokecerebrovasdis.2020.105328

Abstract

Background: Early rehabilitation has been proved very important for stroke patients. However, the effective model of transitioning from early in-hospital rehabilitation to discharge rehabilitation using the collaborative remote rehabilitation nursing model has not been thoroughly studied.

Objective: To explore the feasibility and effectiveness of collaborative care model based telerehabilitation exercise training for acute stroke patients.

Methods: A randomized controlled clinical trial was conducted. Patients were recruited and randomly divided into intervention and control group. Both groups were given regular treatment and acute rehabilitation nursing instructions during hospitalization. The control group was followed by regular telephone follow-up after discharge. The intervention group received Internet-based remote rehabilitation project after discharge. Motor function, balance ability and quality of life were measured at the day of discharge, the 4^th week, 8^th week and 12^th week after patients were discharged. The CONSORT checklist was used to check the procedure.

Results: A total of 61 patients completed the study, 30 cases in the intervention group and 31 cases in the control group. Both groups were significantly improved in terms of motor function and quality of life, but the intervention group showed greater improvement in Fugl-Meyer Motor Function Assessment (intervention group = 83.70 ± 4.44, control group = 75.29 ± 2.89), Berg Balance Scale (intervention group = 43.13 ± 2.32, control group = 38.29 ± 2.70) and Stroke-Specific Quality of Life Scale (intervention group = 190.57 ± 5.09, control group = 175.90 ± 5.78). Group-time interaction was significant in motor function and quality of life.

Conclusion: Collaborative care model based telerehabilitation exercise training program can safely and effectively improve the recovery of motor function and improve the quality of life in patients with stroke.

Keywords: collaborative care; hemiplegia; rehabilitation; remote technology; stroke; telerehabilitation.

Publication types

Randomized Controlled Trial

MeSH terms

Aged
China
Exercise Therapy*
Feasibility Studies
Female
Humans
Male
Middle Aged
Motor Activity
Patient Participation
Postural Balance
Quality of Life
Recovery of Function
Self Care*
Single-Blind Method
Stroke / diagnosis
Stroke / physiopathology
Stroke / therapy*
Stroke Rehabilitation*
Telemedicine*
Time Factors
Treatment Outcome