Abstract
Tele-physiotherapy has been shown to be valuable to improve clinical outcomes after stroke. Yet, home-based interventions for stroke survivors (SSVs) who speak indigenous African languages are sparse. This study developed a video-based home exercise programme (VHEP) for SSV speakers of Yoruba. A qualitative descriptive pilot study was conducted in two phases: development and feasibility testing. VHEP development followed the American Stroke Association's recommendations to include demonstrations of task-specific mobility-task and postural training; trunk exercises, and overground walking. The exercise instructions were presented in the Yoruba language. Each exercise was demonstrated for five minutes on video for a total of 30 minutes. The feasibility testing involved ten consenting chronic SSVs. Each imitated the VHEP twice per week for two weeks and thereafter completed a feasibility questionnaire. Criteria for feasibility were: cost of using VHEP, recruitment rate, retention of participants, adherence to the exercises, and intervention delivery. The ten SSVs were recruited within one week, had prior home access to a video player at no-cost, adhered to the exercises as recorded, completed the 30 minute-duration for two weeks, and confirmed intervention delivery of VHEP. Most participants liked the novel use of Yoruba as the language of instruction on VHEP. The VHEP was feasible and acceptable among the studied sample of SSVs. Video based home telerehabilitation for SSVs therefore has the potential to meet the growing need for tele-physiotherapy in resource limited settings.
Highlights
Stroke presents with debilitating initial symptoms leading to motor, sensory, perceptual, or cognitive deficits, in addition to environmental and personal factors, all of which can culminate in long-term disability (Chen & Rimmer, 2011)
This study developed a video-based home exercise programme (VHEP) for stroke survivors (SSVs) speakers of Yoruba
Descriptive statistics of mean, standard deviation, frequency and percentages was used to summarize demographic and clinical characteristics as well as present participants’ responses using SPSS version 22.0 (Chicago IL SPSS Inc.). Participants in this feasibility study consisted of 10 SSVs (5 males and 5 females)
Summary
Stroke presents with debilitating initial symptoms leading to motor, sensory, perceptual, or cognitive deficits, in addition to environmental and personal factors, all of which can culminate in long-term disability (Chen & Rimmer, 2011). One of the emerging ways in which physiotherapists are striving to preserve outcomes is to prescribe home exercise programs to SSVs. The high burden and inadequate rehabilitation services of stroke has brought about the need to develop and evaluate new strategies such as the use of telerehabilitation. Telerehabilitation can include assessment, monitoring, prevention, intervention, supervision, education, consultation, and counseling (Richmond et al, 2017) This method of rehabilitation service delivery is suitable for patients who live at a distance and find it difficult to attend clinic regularly due to the time and cost of travel Adhikari et al, 2020; Odole et al, 2015). Yoruba is the indigenous language of the people of southwestern Nigeria spoken by about 17 million people in Nigeria (National Population Commission [NPC], 2006) and up to 13 million people in the neighboring countries of the Republic of Benin and Togo
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