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Effectiveness of a home-based exercise program among patients with lower limb spasticity post-stroke: a randomised controlled trial
Chen S, Lv C, Wu J, Zhou C, Shui X, Wang Y
Asian Nursing Research 2021 Feb;15(1):1-7
clinical trial
5/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

PURPOSE: To evaluate the effectiveness of advanced practice nurse (APRN)-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. 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 group. 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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