抄録
We made a population-based study in subjects with chronic stroke, undergoing home rehabilitation, to assess the overall psychological and physical outcome, increase in residual abilities, nutritional intake and social reintegration. 41 patients undergoing home rehabilitation at a frequency of 2 sessions per week for 40 days a year were assessed by FIM, Mini Mental State Examination, Stroke Impact Scale, Tinetti Balance Scale, Hamilton Depression Scale, Ashworth Scale, Motricity Index, 10-Meter Walking Test, 6-Minutes Walking Test, 5 Repetitions Sit-To-Stand Test. The home rehabilitation treatment consisted of: passive mobilization of the limbs, postural changes, exercise relearning of motor tasks by executing specific tasks congruent with the residual abilities, assisted gait in gravitary environment, education for self-repeating of the re-learned motor task, training of the caregiver. Patients were evaluated at T0 (beginning of the rehabilitation program), T1 (4 months after twice a week therapy), T2 (one year follow-up). The results showed a statistically significant improvement only in the treatment period and a decrease of results after 16 months from the initial assessment. This applies to all parameters taken into account, except for the emotional factor, assessed with the Hamilton Depression Scale, the only parameter statistically significantly improved one year after the first assessment; In fact, it was found an improvement in mood during the whole measurement period; that, in line with what is stated in literature may be indicative of the importance and necessity of adequate family and social relationships in the management of patients with stroke in chronic phase. The pilot study described is still under further enrollment in order to collect a larger series.
