| Objective: To investigate the effect of home-based rehabilitation of community stroke patients.Methods: In a randomized controlled study, 59 subjects were randomly assigned to two groups (community-rehab group and control group).The basic domiciliary medical treatment for both groups was medicine. Medical doctors conducted home visit to subjects. Community-rehab group received extra domiciliary rehabilitation treatment including acupuncture, motor relearning program and neurodevelopment treatment for two months. Control group received simple rehabilitation exercise assisted by family members or nursing service. Measurements included Composite Spasticity Scale (CSS), Fugl-Meyer Motor Assessment (FMA), Motor Assessment Scale (MAS), Berg Balance Scale (BBS), Postural Assessment Scale for Stroke Patients (PASS), Functional Ambulation Classification (FAC) and Modified Barthel Index (MBI), and conducted before treatment, at the end of 1 month, at the end of 2 months and 3 months after treatment. Results:After treatment,both groups showed significant improved in FMA、MAS、BBS、PASS、FAC and MBI scores than before treatment(P<0.05),and the scores in the community-rehab group were much higher(P<0.05).CSS scores in the community-rehab group after treatmen were significant decreased than in the control group and before treatment(P<0.05).The difference of CSS scores in the control group had no statistical significance before and after treatment.Conclusion:The stroke patients recovering from home-based rehabilition model in the community can effectively improve the hemiplegic limb motor function,restore activities of daily liviing and improve the quality of life. |
