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( Chen Shaomin ) - Wenzhou Medical University Second Affiliated Hospital and Yuying Children’s Hospital Department of Rehabilitation
( Lv Chang ) - Wenzhou Medical University Second Affiliated Hospital and Yuying Children’s Hospital Department of Rehabilitation
( Wu Jiaozhen ) - Wenzhou Medical University Second Affiliated Hospital and Yuying Children’s Hospital Department of Orthopedics
( Zhou Chengwei ) - Wenzhou Medical University Second Affiliated Hospital and Yuying Children’s Hospital Department of Orthopedics
( Shui Xiaolong ) - Wenzhou Medical University Second Affiliated Hospital and Yuying Children’s Hospital Department of Orthopedics
( Wang Yi ) - Wenzhou Medical University Second Affiliated Hospital and Yuying Children’s Hospital Department of Orthopedics
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Abstract
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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.
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KeyWords
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home nursing, lower extremity, muscle spasticity, rehabilitation, stroke
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원문 및 링크아웃 정보
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등재저널 정보
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