International Journal of Physiotherapy Research and Clinical Practice
DOI: 10.54839/ijprcp.v2i3.stephanie
Year: 2023, Volume: 2, Issue: 3, Pages: 9-12
Original Article
Stephanie1, Saru Latha1, Samuel Paul Isaac1,∗
1Krupanidhi College of Physiotherapy, Bangalore, Karnataka, India
Background: Stroke, a major cause of disability, often results in upper limb dysfunction, impaired daily activities, and reduced independence. Rehabilitation strategies, including home-based interventions, have shown promise for enhancing motor recovery during the subacute phase of stroke. This study aimed to evaluate the efficacy of home-based upper-extremity training on functional recovery in patients with subacute stroke. Methods: A quasi-experimental design was employed with 30 participants aged 40-70 years diagnosed with subacute stroke (30-150 days post-stroke). Participants underwent six weeks of home-based upper extremity training, focusing on functional, goal-directed exercises using minimal equipment. Pre- and post-intervention functional recovery were assessed using the Fugl-Meyer Assessment (FMA), Action Research Arm Test (ARAT), and Chedoke Arm and Hand Activity-9 (CAHAI-9). Results: Significant improvements were observed in the ARAT, FMA, and CAHAI-9 scores (mean increases: 3.3, 3.47, and 4.43, respectively). These results indicate substantial functional gains in upper limb mobility, strength, and daily activity performance after six weeks of home-based training. Conclusion: This study contributes to the growing evidence supporting home-based rehabilitation as an effective, cost-efficient alternative to traditional rehabilitation methods, particularly for subacute stroke patients with limited access to institutional care.
Keywords: Stroke Rehabilitation, Home-Based Training, Upper Extremity, Functional Recovery, Sub-Acute Stroke
@ 2023 Published by Krupanidhi College of Physiotherapy. This is an open-access article under the CC BY license (https://creativecommons.org/licenses/by/4.0/)
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