Effectiveness of a home-based exercise program among patients with lower limb spasticity post-stroke: A randomized controlled trial

• Main Authors: Shaomin Chen (Author), Chang Lv (Author), Jiaozhen Wu (Author), Chengwei Zhou (Author), Xiaolong Shui (Author), Yi Wang (Author)
• Format: Book
• Published: Elsevier, 2021-02-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.
• Notes: 1976-1317; 10.1016/j.anr.2020.08.007
• Keywords: home nursing; lower extremity; muscle spasticity; rehabilitation; stroke; Nursing; RT1-120
• Source: Asian Nursing Research, Vol 15, Iss 1, Pp 1-7 (2021)

Purpose: To evaluate the effectiveness of advanced practice nurse-guided home-based rehabilitation exercise program (HREPro) among patients with lower limb spasticity post-stroke. Methods: This randomized controlled study recruited 121 patients with lower limb spasticity post-stroke. Intervention (n = 59) and control (n = 62) groups underwent 12-month HREPro and conventional rehabilitation, respectively, after discharge. The Fugl-Meyer assessment of spasticity measurement, modified Ashworth scale of motor function, 10-Meter Walk Test of walking ability, and Barthel index of activities of daily living (ADL) were evaluated at 0, 3, 6, and 12 months after discharge. Results: Significant differences were found in spasticity degree, motor function, walking ability, and ADL at 6 and 12 months after discharge between the control and intervention groups. Lower limb spasticity and ADL in the intervention group were significantly improved. Conclusion: HREPro is effective for rehabilitation of patients with lower limb spasticity post-stroke and has favorable home application.