Could Telerehabilitation be a Promising Tool in Improving Walking and Balance Among Stroke Survivors? "Case Study"
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- King Saud University
- Enrollment
- 2
- Locations
- 1
- Primary Endpoint
- Change of balance confidence -The Activities- specific balance confidence (ABC) scale
Study Overview
Brief Summary
A good rehabilitation program may not be accessible for all individuals living with stroke due to cost, transportation and compliance. Telerehabilitation is an alternative health care program that may help in overcoming this issue. In this study we aim to find if the use of telerehabilitation in Saudi Arabia would improve balance and walking in stroke survivors during this pandemic.
Detailed Description
Background: Rehabilitation program is commonly provided after stroke to improve functional outcomes. A good rehabilitation program may not be accessible for all individuals living with stroke due to cost, transportation and compliance. Telerehabilitation is an alternative health care program that has been used to provide therapy for stroke survivors living in rural areas. With COVID-19 pandemic, many stroke survivors have lost their access to rehabilitation. Therefore, telerehabilitation may help in overcoming this issue. In this study we aim to find if the use of telerehabilitation in Saudi Arabia would improve balance and walking in stroke survivors during this pandemic.
Methods: 2 stroke survivors ( male and female/ >6 months post stroke) are included in this case study. Participants will receive a task-specific activity training (3days/week moderate exercises for 4 weeks) Both participants will provide feedback through questionnaires pre and post the 4 weeks intervention. We will use the Activities- specific balance confidence (ABC) scale, Lower limb functional scale (LEFS) and Stroke severity quality of life scale ( SS-Qol).
• Intervention: The participants will follow a home-based exercise through videos with follow up from the therapists for 4 weeks.
Study Design
- Study Type
- Interventional
- Allocation
- Na
- Intervention Model
- Single Group
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 40 Years to 85 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Subjects who have been diagnosed with stroke 6 months or more.
- •Either right or left hemiparesis.
- •Subjects able to walk with or without assistive device.
- •age between 40-
- •Subjects can understand and follow commands.
Exclusion Criteria
- •subjects with uncontrolled Blood pressure, heart rate or breathing problems.
- •Having an orthopedic problem or pain that limits walking and standing.
- •Subject with vestibular disorders.
- •Subjects with cognitive disorders. 5) Subjects with hemi spatial neglect
Arms & Interventions
Stroke survivors participants
Subjects who have been diagnosed with stroke 6 months or more.
1)Either right and left hemiparesis. 2) Subjects able to walk with or without assistive device. 3) age between 40-80. 4) Subjects can understand and follow commands.
Exclusion criteria is: 1) subjects with uncontrolled Blood pressure, heart rate or breathing problems. 2) Having an orthopedic problem or
Intervention: Home-based exercise program (Other)
Outcomes
Primary Outcomes
Change of balance confidence -The Activities- specific balance confidence (ABC) scale
Time Frame: pre and post intervention (1st and 4th week)
Consists of 16 items scored from 0% to 100%, with 0 % equate no confidence and 100% equate total confidence. The higher score indicates higher balance confidence
Secondary Outcomes
- Change in Quality of life - Stroke Specific Quality Of Life scale (SS-QOL(pre and post intervention (1st and 4th week))
- Change in lower extremity function - The lower extremity functional scale (LEFS)(pre and post intervention (1st and 4th week))
Investigators
Emtenan Alsadhan
Master's student
King Saud University