Abstract
Background
A significant number of people with physical disabilities in the world, especially
in most developing countries face a lot of impediments. There is a dearth of literature
describing the consensus of effectiveness of home-based rehabilitation programs designed
specifically for people living with different types of physical disabilities resulting
from stroke, Parkinson's and other musculoskeletal conditions.
Objective
To determine if home-based rehabilitation is effective in improving physical function
of people with physical disabilities.
Method
A systematic review of randomized controlled trials was done. An electronic search
of the literature was done by PubMed, Cochrane Library, the Physiotherapy Evidence
Database and Cumulative Index to Nursing and Allied Health Literature from 1990 to
March 2018 to identify full text, peer-reviewed randomized controlled trials, Published
in English. Selected randomized controlled trials were critically appraised with 11
items Physiotherapy Evidence Database scale scores extracted from the Physiotherapy
Evidence Database and studies were included if the cutoff of 5 points was reached
on Physiotherapy Evidence Database scale score.
Results
Nine randomized controlled trials met the preset eligibility criteria. This systematic
review found that there is the consistency of findings among the included studies
which showed that home-based rehabilitation is an effective option for people with
physical disabilities.
Conclusion
Home-based rehabilitation is not superior to hospital-based rehabilitation in improving
nearly all patient outcomes assessed. However, home-based exercise programs require
patient enthusiasm and regular follow-up to yield positive outcomes.
Key Words
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Article info
Publication history
Published online: April 08, 2020
Accepted:
March 2,
2020
Received in revised form:
February 21,
2020
Received:
December 11,
2019
Identification
DOI: https://doi.org/10.1016/j.jstrokecerebrovasdis.2020.104800
Copyright
© 2020 Elsevier Inc. All rights reserved.
