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Effectiveness of Telerehabilitation in Improving Walking and Balance Among Stroke Survivors?

Not Applicable
Completed
Conditions
Stroke
Interventions
Other: Home-based exercise program
Registration Number
NCT04875910
Lead Sponsor
King Saud University
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.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
2
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 40-70. 5) 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

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Stroke survivors participantsHome-based exercise programSubjects 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
Primary Outcome Measures
NameTimeMethod
Change of balance confidence -The Activities- specific balance confidence (ABC) scalepre 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 Outcome Measures
NameTimeMethod
Change in Quality of life - Stroke Specific Quality Of Life scale (SS-QOLpre and post intervention (1st and 4th week)

measure aspects related to quality of life and designed specifically for stroke survivors

Change in lower extremity function - The lower extremity functional scale (LEFS)pre and post intervention (1st and 4th week)

consisted of 20 question to evaluate the lower limb functional impairment.The lower score equates greater disability

Trial Locations

Locations (1)

King Saud university

🇸🇦

Riyadh, Saudi Arabia

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