National University of Singapore, Saw Swee Hock School of Public Health, Singapore.
Department of Electrical and Computer Engineering, National University of Singapore, Singapore.
J Telemed Telecare. 2021 May;27(4):231-238. doi: 10.1177/1357633X19868905. Epub 2019 Aug 28.
The aim of this research was to evaluate the impact of a novel tele-rehabilitation system on self-reported functional outcomes compared to usual care during the first three months after stroke.
A parallel, two-arm, evaluator-blinded, randomised controlled trial was conducted. Adults aged ≥40 years who had suffered a stroke within four weeks of the start of the study were recruited from the general community. The intervention group received access to a novel tele-rehabilitation system and programme for three months. The primary outcome measures utilised were the frequency and limitation total scores of the Late-Life Function and Disability Instrument (LLFDI) at three months.
A total of 124 individuals were recruited. The mean differences in the LLDFI frequency and limitation total scores at three months comparing the intervention and control groups were -3.30 (95% confidence interval (CI) -7.81 to 1.21) and -6.90 (95% CI -15.02 to 1.22), respectively. Adjusting for the respective baseline covariates and baseline Barthel Index also showed no significant difference between interventions in the LLFDI outcomes.
The intervention and control groups self-reported similar improvements in functional outcomes. Tele-rehabilitation may be a viable option to provide post-stroke rehabilitation services in Singapore while reducing barriers to continue rehabilitation conventionally after discharge from hospital and encouraging more participation.
本研究旨在评估新型远程康复系统对中风后三个月内自我报告的功能结果的影响，与常规护理相比。
进行了一项平行、双臂、评估者盲法、随机对照试验。从普通社区招募年龄≥40 岁、在研究开始后四周内发生中风的成年人。干预组在三个月内可使用新型远程康复系统和计划。主要结局指标为三个月时晚期生活功能和残疾工具（LLFDI）的频率和限制总分。
共招募了 124 人。与对照组相比，干预组在 LLFDI 频率和限制总分上的平均差异为-3.30（95%置信区间（CI）-7.81 至 1.21）和-6.90（95%CI-15.02 至 1.22）。调整各自的基线协变量和基线巴氏量表后，在 LLFDI 结局方面，干预组之间也没有显著差异。
干预组和对照组自我报告的功能结果改善相似。远程康复可能是一种可行的选择，可在新加坡提供中风后康复服务，同时减少常规出院后继续康复的障碍，并鼓励更多的参与。
