Systematic Review and Meta-Analysis of Home-Based Rehabilitation on Improving Physical Function Among Home-Dwelling Patients With a Stroke

研究成果: 雜誌貢獻回顧型文獻

摘要

Objective: To evaluate the effects of home-based rehabilitation on improving physical function in home-dwelling patients after a stroke. Data Sources: Various electronic databases, including PubMed, Cumulative Index to Nursing and Allied Health, Embase, the Cochrane Central Register of Controlled Trials, and 2 Chinese data sets (ie, Chinese Electronic Periodical Services and China Knowledge Resource Integrated) were searched for studies published before March 20, 2019. Study Selection: Randomized controlled trials conducted to examine the effect of home-based rehabilitation on improving physical function in home-dwelling patients with a stroke and published in English or Chinese were included. In total, 49 articles in English (n=23) and Chinese (n=26) met the inclusion criteria. Data Extraction: Data related to patient characteristics, study characteristics, intervention details, and outcomes were extracted by 2 independent reviewers. Data Synthesis: A random-effects model with a sensitivity analysis showed that home-based rehabilitation exerted moderate improvements on physical function in home-dwelling patients with a stroke (g=0.58; 95% CI, 0.45∼0.70). Moderator analyses revealed that those patients with stroke of a younger age, of male sex, with a first-ever stroke episode, in the acute stage, and receiving rehabilitation training from their caregiver showed greater improvements in physical function. Conclusions: Home rehabilitation can improve functional outcome in survivors of stroke and should be considered appropriate during discharge planning if continuation care is required.

原文英語
頁(從 - 到)359-373
頁數15
期刊Archives of Physical Medicine and Rehabilitation
101
發行號2
DOIs
出版狀態已發佈 - 二月 2020

指紋

Meta-Analysis
Rehabilitation
Stroke
Patient Discharge
Information Storage and Retrieval
PubMed
Caregivers
Survivors
China
Nursing
Randomized Controlled Trials
Databases
Health

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

引用此文

@article{48da39d68cd84c83baf1900041b8c804,
title = "Systematic Review and Meta-Analysis of Home-Based Rehabilitation on Improving Physical Function Among Home-Dwelling Patients With a Stroke",
abstract = "Objective: To evaluate the effects of home-based rehabilitation on improving physical function in home-dwelling patients after a stroke. Data Sources: Various electronic databases, including PubMed, Cumulative Index to Nursing and Allied Health, Embase, the Cochrane Central Register of Controlled Trials, and 2 Chinese data sets (ie, Chinese Electronic Periodical Services and China Knowledge Resource Integrated) were searched for studies published before March 20, 2019. Study Selection: Randomized controlled trials conducted to examine the effect of home-based rehabilitation on improving physical function in home-dwelling patients with a stroke and published in English or Chinese were included. In total, 49 articles in English (n=23) and Chinese (n=26) met the inclusion criteria. Data Extraction: Data related to patient characteristics, study characteristics, intervention details, and outcomes were extracted by 2 independent reviewers. Data Synthesis: A random-effects model with a sensitivity analysis showed that home-based rehabilitation exerted moderate improvements on physical function in home-dwelling patients with a stroke (g=0.58; 95{\%} CI, 0.45∼0.70). Moderator analyses revealed that those patients with stroke of a younger age, of male sex, with a first-ever stroke episode, in the acute stage, and receiving rehabilitation training from their caregiver showed greater improvements in physical function. Conclusions: Home rehabilitation can improve functional outcome in survivors of stroke and should be considered appropriate during discharge planning if continuation care is required.",
keywords = "Home care services, Meta-analysis, Rehabilitation, Stroke",
author = "Chi, {Nai Fang} and Huang, {Yi Chieh} and Chiu, {Hsiao Yean} and Chang, {Hsiu Ju} and Huang, {Hui Chuan}",
year = "2020",
month = "2",
doi = "10.1016/j.apmr.2019.10.181",
language = "English",
volume = "101",
pages = "359--373",
journal = "Archives of Physical Medicine and Rehabilitation",
issn = "0003-9993",
publisher = "W.B. Saunders Ltd",
number = "2",

}

TY - JOUR

T1 - Systematic Review and Meta-Analysis of Home-Based Rehabilitation on Improving Physical Function Among Home-Dwelling Patients With a Stroke

AU - Chi, Nai Fang

AU - Huang, Yi Chieh

AU - Chiu, Hsiao Yean

AU - Chang, Hsiu Ju

AU - Huang, Hui Chuan

PY - 2020/2

Y1 - 2020/2

N2 - Objective: To evaluate the effects of home-based rehabilitation on improving physical function in home-dwelling patients after a stroke. Data Sources: Various electronic databases, including PubMed, Cumulative Index to Nursing and Allied Health, Embase, the Cochrane Central Register of Controlled Trials, and 2 Chinese data sets (ie, Chinese Electronic Periodical Services and China Knowledge Resource Integrated) were searched for studies published before March 20, 2019. Study Selection: Randomized controlled trials conducted to examine the effect of home-based rehabilitation on improving physical function in home-dwelling patients with a stroke and published in English or Chinese were included. In total, 49 articles in English (n=23) and Chinese (n=26) met the inclusion criteria. Data Extraction: Data related to patient characteristics, study characteristics, intervention details, and outcomes were extracted by 2 independent reviewers. Data Synthesis: A random-effects model with a sensitivity analysis showed that home-based rehabilitation exerted moderate improvements on physical function in home-dwelling patients with a stroke (g=0.58; 95% CI, 0.45∼0.70). Moderator analyses revealed that those patients with stroke of a younger age, of male sex, with a first-ever stroke episode, in the acute stage, and receiving rehabilitation training from their caregiver showed greater improvements in physical function. Conclusions: Home rehabilitation can improve functional outcome in survivors of stroke and should be considered appropriate during discharge planning if continuation care is required.

AB - Objective: To evaluate the effects of home-based rehabilitation on improving physical function in home-dwelling patients after a stroke. Data Sources: Various electronic databases, including PubMed, Cumulative Index to Nursing and Allied Health, Embase, the Cochrane Central Register of Controlled Trials, and 2 Chinese data sets (ie, Chinese Electronic Periodical Services and China Knowledge Resource Integrated) were searched for studies published before March 20, 2019. Study Selection: Randomized controlled trials conducted to examine the effect of home-based rehabilitation on improving physical function in home-dwelling patients with a stroke and published in English or Chinese were included. In total, 49 articles in English (n=23) and Chinese (n=26) met the inclusion criteria. Data Extraction: Data related to patient characteristics, study characteristics, intervention details, and outcomes were extracted by 2 independent reviewers. Data Synthesis: A random-effects model with a sensitivity analysis showed that home-based rehabilitation exerted moderate improvements on physical function in home-dwelling patients with a stroke (g=0.58; 95% CI, 0.45∼0.70). Moderator analyses revealed that those patients with stroke of a younger age, of male sex, with a first-ever stroke episode, in the acute stage, and receiving rehabilitation training from their caregiver showed greater improvements in physical function. Conclusions: Home rehabilitation can improve functional outcome in survivors of stroke and should be considered appropriate during discharge planning if continuation care is required.

KW - Home care services

KW - Meta-analysis

KW - Rehabilitation

KW - Stroke

UR - http://www.scopus.com/inward/record.url?scp=85076628275&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85076628275&partnerID=8YFLogxK

U2 - 10.1016/j.apmr.2019.10.181

DO - 10.1016/j.apmr.2019.10.181

M3 - Review article

AN - SCOPUS:85076628275

VL - 101

SP - 359

EP - 373

JO - Archives of Physical Medicine and Rehabilitation

JF - Archives of Physical Medicine and Rehabilitation

SN - 0003-9993

IS - 2

ER -