To investigate the effectiveness of task-oriented training (TOT) provided through TR compared with in clinic rehabilitation and standard services in patients with stroke.
Three groups of patients with ischemic stroke including TR group and IC group received TOT 5 times/week for the first 2 weeks, 3 times/week for the 3rd-12th weeks, and 2 times/week for the 13th-24th weeks respectively. The control group received standard services. Fugl-Meyer assessment lower extremities (FMA-LE), Mobility to participation scale (MPASS), Barthel index (BI), and EQ5D5L were re-evaluated at 2nd, 6th, 12th, and 24th weeks. Two-way repeated measure ANOVA was used for statistical analysis.
Sixty-one patients with ischemic stroke included 18 in TR group (40-77 years), 24 in IC group (29-70 years) and 19 in control group (45-84 years). FMA-LE, MPASS, BI and EQ5D5L scores after treatment in TR group and IC group were significantly higher than control (p .05) but no different was found between TR group and IC group.
TOT provided through TR and IC was effective in enhancing accessibility to rehabilitation services.
Intermediate care physical therapy using TOT for patients with stroke could be delivered effectively by telerehabilitation and in clinic. However, more severe patients may required physiotherapy services at their home.
telerehabilitation
task-oriented training
