Bone and Joint Institute
Effectiveness of Client-Centered Tune-Ups on Community Reintegration, Mobility, and Quality of Life After Stroke: A Randomized Controlled Trial
Document Type
Article
Publication Date
2018
Journal
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
Volume
99
Issue
7
First Page
1325
Last Page
1325
URL with Digital Object Identifier
10.1016/j.apmr.2017.12.034
Abstract
Objective: To explore the effectiveness of a 2-week client-centered rehabilitation intervention (tune-up) delivered 6 months after inpatient discharge on community reintegration at 1 year in people with stroke. Design: A multicenter randomized controlled trial with 2 groups: an intervention (tune-up) group and a control group having the same exposure to assessment. Setting: Three research laboratories. Participants: Participants (N=103) with hemiparetic stroke recruited from inpatient rehabilitation units at the time of discharge. Interventions: Participants randomized to the tune-up group received 1-hour therapy sessions in their home 3times/wk for 2 weeks at 6 months postdischarge focusing on identified mobility-related goals. A second tune-up was provided at 12 months. Main Outcome Measures: Community reintegration measured by the Subjective Index of Physical and Social Outcome at 12 months and secondary outcomes included the Berg Balance Scale and measures of mobility and health-related quality of life up to 15 months. Results: At 12 months, both groups showed significant improvement in community reintegration (P=.0.5), but no group differences (P >=.30). Conclusions: All participants in the tune-up group met or exceeded at least 1 mobility-related goal; however, the intervention did not differentially improve community reintegration. The improvements in mobility and quality of life over the 15-month postdischarge period may be secondary to high activity levels in both study groups and exposure to regular assessment. Crown Copyright (C) 2018 Published by Elsevier Inc. on behalf of the American Congress of Rehabilitation Medicine
