Physiotherapy Department, Faculty of Medicine and Health Science Campus Sant Cugat, Universitat Internacional de Catalunya, 08195 Barcelona, Spain.
Institut d'Investigació Biomèdica Sant Pau (IIB Sant Pau), CIBER de Epidemiología y Salud Pública (CIBERESP), 08025 Barcelona, Spain.
Int J Environ Res Public Health. 2022 May 7;19(9):5689. doi: 10.3390/ijerph19095689.
Stroke is one of the main causes of disability. Telerehabilitation could face the growing demand and a good strategy for post-stroke rehabilitation. The aim of this study is to examine the possible effects of therapeutic exercises performed by an App on trunk control, balance, and gait in stroke survivors. A preliminary 12-week randomized controlled trial was developed. Thirty chronic stroke survivors were randomly allocated into two groups. Both groups performed conventional physiotherapy, in addition to, the experimental group (EG) had access to a telerehabilitation App to guide home-based core-stability exercises (CSE). Trunk performance was measured with the Spanish-Trunk Impairment Scale (S-TIS 2.0) and Spanish-Function in Sitting Test. Balance and gait were measured with Spanish-Postural Assessment Scale for Stroke patient, Berg Balance Scale and an accelerometer system. In EG was observed an improvement of 2.76 points in S-TIS 2.0 ( = 0.001). Small differences were observed in balance and gait. Adherence to the use of the App was low. CSE guided by a telerehabilitation App, combined with conventional physiotherapy, seem to improve trunk function and sitting balance in chronic post-stroke. Active participation in the rehabilitation process should be increased among stroke survivors. Further confirmatory studies are necessary with a large sample size.
中风是导致残疾的主要原因之一。远程康复可能会面临日益增长的需求，是中风后康复的一个很好的策略。本研究旨在探讨通过应用程序进行治疗性运动对中风幸存者躯干控制、平衡和步态的可能影响。进行了一项初步的 12 周随机对照试验。将 30 名慢性中风幸存者随机分配到两组。两组均接受常规物理治疗，此外，实验组（EG）还可以使用远程康复应用程序指导家庭核心稳定性练习（CSE）。使用西班牙躯干障碍量表（S-TIS 2.0）和西班牙坐姿功能测试评估躯干表现。使用西班牙卒中患者姿势评估量表、伯格平衡量表和加速度计系统评估平衡和步态。在 EG 中，S-TIS 2.0 改善了 2.76 分（ = 0.001）。在平衡和步态方面观察到了较小的差异。对应用程序的依从性低。由远程康复应用程序指导的 CSE 结合常规物理治疗，似乎可以改善慢性中风后患者的躯干功能和坐姿平衡。应增加中风幸存者对康复过程的积极参与。需要进一步进行更大样本量的验证性研究。
