A private home-based training program – The effect on improvement of the activities of patients with stroke

Abstract

A private home-based training program was developed by the specialized team of rehabilitation in Elderly Welfare Department of the Shinagawa Ward in Tokyo. We used this program to increase the physical activity of the daily living in patients with stroke. To evaluate the program, we measured the amount of physical activity in daily living for one year in these patients using a Lifecorder EX (Suzuken Co. Ltd, Nagoya, Japan) and compared the changes in patients in whom the private home-based training program was used with the changes in a control group. Subjects of this study included 16 patients with stroke that lived at home (average age 61.6 years old, men: 8, women: 8). We randomized the patients to two groups of the training group: 8 (average age 62.5 years old) and the non-training group: 8 (average age 60.8 years old). We measured the activity level (a value that is average activity level divided with activity time) by Lifecorder EX. We compared the change of the activity level between both groups. In the training group, mean activity level gradually increased with 11% in the fall season, 14% in the winter season, 30% in the spring season, 38% in the summer season comparison with three months before initiation. On the other hand, in the non-training group, there was hardly the change with −4% in the fall season, −1% in the winter season, 0% in the spring season, 0% in the summer season comparison with three months before initiation. We suggested that the activities of daily living of patients with stroke at home were increased by the private home-based training program “Mizikaderihabili (Japanese)”.