Ann Rehabil Med.  2018 Jun;42(3):406-415. 10.5535/arm.2018.42.3.406.

Efficacy and Safety of Caregiver-Mediated Exercise in Post-stroke Rehabilitation

• Lee MJ
• Yoon S
• Kang JJ
• Kim J
• Kim JM
• Han JY

• KMID: 2417832
• DOI: http://doi.org/10.5535/arm.2018.42.3.406

Abstract

OBJECTIVE
To assess the efficacy and safety of our 4-week caregiver-mediated exercise (CME) in improving trunk control capacity, gait, and balance and in decreasing concerns about post-stroke falls when there is an increase in its efficacy.
METHODS
Acute or subacute stroke survivors were assigned to either the trial group (n=35) or the control group (n=37). Changes in Modified Barthel Index (MBI), Functional Ambulation Categories (FAC), Berg Balance Scale (BBS), and Trunk Impairment Scale (TIS) scores at 4 weeks from baseline served as primary outcome measures. Correlations of primary outcome measures with changes in Fall Efficacy Scale-International (FES-I) scores at 4 weeks from baseline in the trial group served as secondary outcome measures. Treatment-emergent adverse events (TEAEs) served as safety outcome measures.
RESULTS
There were significant differences in changes in MBI, FAC, BBS, TIS-T, TIS-D, TIS-C, and FES-I scores at 4 weeks from baseline between the two groups (all p < 0.0001). There were no significant (p=0.0755) differences in changes in TIS-S scores at 4 weeks from baseline between the two groups. MBI, FAC, BBS, and TIS scores showed significantly inverse correlations with FES-I scores in patients receiving CME. There were no TEAEs in our series.
CONCLUSION
CME was effective and safe in improving the degree of independence, ambulation status, dynamic and static balance, trunk function, and concerns about post-stroke falls in stroke survivors.

Keyword

Stroke; Exercise; Caregivers; Gait; Postural balance

MeSH Terms

Accidental Falls
Caregivers
Gait
Humans
Outcome Assessment (Health Care)
Postural Balance
Rehabilitation*
Stroke
Survivors
Walking

Figure

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  Fig. 1. Study schema.

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  Fig. 2. Study flow chart.

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  Fig. 3. Correlations of MBI, BBS, FAC, and TIS scores with FES-I scores. Linear relation (A) between MBI and FES-I scores, (B) between BBS and FES-I scores, (C) between FAC and FES-I scores, and (D) between TIS and FES-I scores. MBI, Modified Barthel Index; BBS, Berg Balance Scale; FAC, Functional Ambulation Category; TIS, Trunk Impairment Scale; FES-I, Fall Efficacy Scale-International.

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