| 제목 |
Self rehAbilitation Video Exercise (SAVE): effects of the self exercise program with stroke patients |
| 소속 |
Kyungpook National University Hospital, Department of Rehabilitation Medicine1, Kyungpook National University Chilgok Hospital, Department of Rehabilitation Medicine2 |
| 저자 |
Seung-Hwan Jung1*, Jae-Eun Lee2, Dae-Won Gwak2, Chan-Hee Park1, Seong-Hun Kim1, Chul-Hyun Kim1, Tae-Du Jung2† |
Abstract
It is well known that stroke survivors are easily deconditioned and hardly recover their abilities of daily living in short period. Thus the adherence to physical activities is critical for improvement, in this study we developed a new video program called ‘SAVE(Self-rehAbilitation Video Exercise)’ to improve adherence of physical activities and exercises and evaluated the functional effects and possibilities.
Method
Patients registered in our department of rehabilitation unit as stroke from 2016 to 2020, total 208 volunteers were recruited for this study. All participants were able to communicate with our rehabilitation team and obey verbal commands. Patients with impaired cognition or vision loss or aphasia so that they cannot perform adequate communication to execute self-exercises had been excluded. Patients with orthopedic conditions that limit their physical activity were also excluded. All participants were randomly divided into two groups; the intervention group (SAVE group) and the control group.
Following inpatient physical and occupational rehabilitation session, SAVE group underwent ‘additional’ training by watching the SAVE video during 20 minutes per day for 4 weeks in hospitalization period. SAVE videos consist of stretching, strengthening, alignment exercises (Fig. 1) and videos were distributed for personalized purpose, depends on the patient’s symptoms or impairments. After watching SAVE videos, they were taught to carry out their own self-exercises for extra 60 minutes per day for 4 weeks.
In the control group, our team conducted the same conventional exercise sessions in rehabilitation unit. All participants were assessed initially and after 4-weeks intervention. For the outcome measurements, Berg Balance Scale (BBS), Modified Bathel Index (MBI) and Beck Depression Inventory (BDI) were evaluated. The within-group improvement of functional recovery was analyzed using the paired t-test for comparison before and after intervention. The changed values, defined by the change from baseline to post-intervention, were compared between the two groups using student’s t-test.
Results
Demographic characteristics shows no significant difference between two groups (Table 1). Comparing initial and post intervention outcome measurements, All patients improved functional performance in BBS, MBI and MMSE (p<0.05) after intervention (Table 2), while BDI score has not improved significantly in both group after intervention (p=0.490, p=0.521, respectively). Compare to the control group, the SAVE group showed significant improvement in BBS and BDI score after 4-week SAVE program (Table 2, p < 0.05).
Conclusion
The results of the present study suggest that a new SAVE program can significantly improve capacity for daily living activities and mood compared to the conventional self-exercise program in stroke patients’ rehabilitation.
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SAVE video programs. For example, (A) Quadriceps strengthening exercise, (B) Calf stretching exercise
Demographic characteristics. N, the number of patients; mean ± SD, mean ± standard deviation, *p > 0.05 in all categories.
Comparing both group after 4-week intervention. N, the number of patients; mean ± SD, mean ± standard deviation. †p value, comparison basement and after 4-week intervention in each groups; *p value < 0.05.
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