Investigating the effects of home-based rehabilitation after intensive inpatient rehabilitation on motor function, activities of daily living, and caregiver burden.
<h4>Background</h4>Home-based rehabilitation involves professional rehabilitation care and guidance offered by physical, occupational, and speech therapists to patients in their homes to help them recuperate in a familiar living environment. The effects on the patient's motor functi...
Saved in:
| Main Authors: | , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Public Library of Science (PLoS)
2024-01-01
|
| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0316163 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1841555542583017472 |
|---|---|
| author | Kenji Sato Eri Otaka Kenichi Ozaki Kenta Shiramoto Rie Narukawa Takeshi Kamiya Masaki Kamiya Daiki Shimotori Chiaki Kamizato Naoki Itoh Hitoshi Kagaya Izumi Kondo |
| author_facet | Kenji Sato Eri Otaka Kenichi Ozaki Kenta Shiramoto Rie Narukawa Takeshi Kamiya Masaki Kamiya Daiki Shimotori Chiaki Kamizato Naoki Itoh Hitoshi Kagaya Izumi Kondo |
| author_sort | Kenji Sato |
| collection | DOAJ |
| description | <h4>Background</h4>Home-based rehabilitation involves professional rehabilitation care and guidance offered by physical, occupational, and speech therapists to patients in their homes to help them recuperate in a familiar living environment. The effects on the patient's motor function and activities of daily living (ADLs), and caregiver burden for community-dwelling patients are well-documented; however, little is known about the immediate benefits in patients discharged from the hospital. Therefore, we examined the effects of continuous home-based rehabilitation immediately after discharge to patients who received intensive rehabilitation during hospitalization.<h4>Methods</h4>We retrospectively reviewed 150 patients [mean (standard deviation, SD) = 81 (9) years] discharged from the convalescent rehabilitation and community-based integrated care wards undergoing tailored home-based rehabilitation for 6 months (provided by physical or occupational therapists: 1-2 sessions of 40-60 min each per week). The outcome measures at baseline and after 3 and 6 months were compared.<h4>Results</h4>The participants included in this study had orthopedic (n = 76), cerebrovascular (n = 50), neuromuscular (n = 11), cardiovascular (n = 5), respiratory (n = 3), cancer (n = 3) and other diseases (n = 2). The mean (SD) time from discharge to the start of rehabilitation was 4 (4) days. One-way analysis of variance and post-hoc comparisons showed significant improvements at 3 months from baseline in grip strength (p = 0.002), 5-repetition sit-to-stand test (p < 0.001), Standing test for Imbalance and Disequilibrium test (p = 0.025), Functional Independence Measure (p < 0.001), modified Frenchay Activities Index (p < 0.001). Additionally, a statistically significant improvement was observed in the Japanese Zarit Caregiver Burden Interview score at 6 months from baseline (p < 0.001).<h4>Conclusions</h4>Home-based rehabilitation improves motor function, ADLs, and instrumental ADLs even after intensive inpatient rehabilitation and decreases the burden of the caregiver in the long term. Hence, tailored home-based rehabilitation should be continuously implemented after the completion of intensive inpatient rehabilitation. |
| format | Article |
| id | doaj-art-f71f41a648bf480cbd1348244ef4935b |
| institution | Kabale University |
| issn | 1932-6203 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj-art-f71f41a648bf480cbd1348244ef4935b2025-01-08T05:32:24ZengPublic Library of Science (PLoS)PLoS ONE1932-62032024-01-011912e031616310.1371/journal.pone.0316163Investigating the effects of home-based rehabilitation after intensive inpatient rehabilitation on motor function, activities of daily living, and caregiver burden.Kenji SatoEri OtakaKenichi OzakiKenta ShiramotoRie NarukawaTakeshi KamiyaMasaki KamiyaDaiki ShimotoriChiaki KamizatoNaoki ItohHitoshi KagayaIzumi Kondo<h4>Background</h4>Home-based rehabilitation involves professional rehabilitation care and guidance offered by physical, occupational, and speech therapists to patients in their homes to help them recuperate in a familiar living environment. The effects on the patient's motor function and activities of daily living (ADLs), and caregiver burden for community-dwelling patients are well-documented; however, little is known about the immediate benefits in patients discharged from the hospital. Therefore, we examined the effects of continuous home-based rehabilitation immediately after discharge to patients who received intensive rehabilitation during hospitalization.<h4>Methods</h4>We retrospectively reviewed 150 patients [mean (standard deviation, SD) = 81 (9) years] discharged from the convalescent rehabilitation and community-based integrated care wards undergoing tailored home-based rehabilitation for 6 months (provided by physical or occupational therapists: 1-2 sessions of 40-60 min each per week). The outcome measures at baseline and after 3 and 6 months were compared.<h4>Results</h4>The participants included in this study had orthopedic (n = 76), cerebrovascular (n = 50), neuromuscular (n = 11), cardiovascular (n = 5), respiratory (n = 3), cancer (n = 3) and other diseases (n = 2). The mean (SD) time from discharge to the start of rehabilitation was 4 (4) days. One-way analysis of variance and post-hoc comparisons showed significant improvements at 3 months from baseline in grip strength (p = 0.002), 5-repetition sit-to-stand test (p < 0.001), Standing test for Imbalance and Disequilibrium test (p = 0.025), Functional Independence Measure (p < 0.001), modified Frenchay Activities Index (p < 0.001). Additionally, a statistically significant improvement was observed in the Japanese Zarit Caregiver Burden Interview score at 6 months from baseline (p < 0.001).<h4>Conclusions</h4>Home-based rehabilitation improves motor function, ADLs, and instrumental ADLs even after intensive inpatient rehabilitation and decreases the burden of the caregiver in the long term. Hence, tailored home-based rehabilitation should be continuously implemented after the completion of intensive inpatient rehabilitation.https://doi.org/10.1371/journal.pone.0316163 |
| spellingShingle | Kenji Sato Eri Otaka Kenichi Ozaki Kenta Shiramoto Rie Narukawa Takeshi Kamiya Masaki Kamiya Daiki Shimotori Chiaki Kamizato Naoki Itoh Hitoshi Kagaya Izumi Kondo Investigating the effects of home-based rehabilitation after intensive inpatient rehabilitation on motor function, activities of daily living, and caregiver burden. PLoS ONE |
| title | Investigating the effects of home-based rehabilitation after intensive inpatient rehabilitation on motor function, activities of daily living, and caregiver burden. |
| title_full | Investigating the effects of home-based rehabilitation after intensive inpatient rehabilitation on motor function, activities of daily living, and caregiver burden. |
| title_fullStr | Investigating the effects of home-based rehabilitation after intensive inpatient rehabilitation on motor function, activities of daily living, and caregiver burden. |
| title_full_unstemmed | Investigating the effects of home-based rehabilitation after intensive inpatient rehabilitation on motor function, activities of daily living, and caregiver burden. |
| title_short | Investigating the effects of home-based rehabilitation after intensive inpatient rehabilitation on motor function, activities of daily living, and caregiver burden. |
| title_sort | investigating the effects of home based rehabilitation after intensive inpatient rehabilitation on motor function activities of daily living and caregiver burden |
| url | https://doi.org/10.1371/journal.pone.0316163 |
| work_keys_str_mv | AT kenjisato investigatingtheeffectsofhomebasedrehabilitationafterintensiveinpatientrehabilitationonmotorfunctionactivitiesofdailylivingandcaregiverburden AT eriotaka investigatingtheeffectsofhomebasedrehabilitationafterintensiveinpatientrehabilitationonmotorfunctionactivitiesofdailylivingandcaregiverburden AT kenichiozaki investigatingtheeffectsofhomebasedrehabilitationafterintensiveinpatientrehabilitationonmotorfunctionactivitiesofdailylivingandcaregiverburden AT kentashiramoto investigatingtheeffectsofhomebasedrehabilitationafterintensiveinpatientrehabilitationonmotorfunctionactivitiesofdailylivingandcaregiverburden AT rienarukawa investigatingtheeffectsofhomebasedrehabilitationafterintensiveinpatientrehabilitationonmotorfunctionactivitiesofdailylivingandcaregiverburden AT takeshikamiya investigatingtheeffectsofhomebasedrehabilitationafterintensiveinpatientrehabilitationonmotorfunctionactivitiesofdailylivingandcaregiverburden AT masakikamiya investigatingtheeffectsofhomebasedrehabilitationafterintensiveinpatientrehabilitationonmotorfunctionactivitiesofdailylivingandcaregiverburden AT daikishimotori investigatingtheeffectsofhomebasedrehabilitationafterintensiveinpatientrehabilitationonmotorfunctionactivitiesofdailylivingandcaregiverburden AT chiakikamizato investigatingtheeffectsofhomebasedrehabilitationafterintensiveinpatientrehabilitationonmotorfunctionactivitiesofdailylivingandcaregiverburden AT naokiitoh investigatingtheeffectsofhomebasedrehabilitationafterintensiveinpatientrehabilitationonmotorfunctionactivitiesofdailylivingandcaregiverburden AT hitoshikagaya investigatingtheeffectsofhomebasedrehabilitationafterintensiveinpatientrehabilitationonmotorfunctionactivitiesofdailylivingandcaregiverburden AT izumikondo investigatingtheeffectsofhomebasedrehabilitationafterintensiveinpatientrehabilitationonmotorfunctionactivitiesofdailylivingandcaregiverburden |