Effects of community-based rehabilitation program on activities of daily living and cognition in elderly chronic stroke survivors.
Young-Ju Park, Chun-Yeop Lee
PMID 27942164WHAT IT FOUND
Older adults with chronic stroke who took part in a monthly community rehabilitation program combining exercise and crafts improved in daily activities and cognition.
Only eleven finished, and there was no control group.
Key findings
01Eleven of fifteen participants completed the community-based rehabilitation program.
02Modified Barthel Index scores improved from 42.8 ± 25.6 to 63.2 ± 22.2.
03Korean Mini-Mental State Examination scores improved from 19.3 ± 5.1 to 21.5 ± 4.7.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTs
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What it does not show
There was no control group, so the observed changes could be due to time, maturation, or other community activity. Only eleven of fifteen participants finished, so the analysed sample was very small. All participants came from one health center and had to be aged 65 years or older, at least 5 years after stroke, and able to understand instructions. The program combined exercise and craft activities, so the effect of either component cannot be separated. The authors note that once-monthly sessions could allow other factors to influence outcomes.
The easy way to misread this
Do not conclude that the exercise or craft component alone caused the improvement. The participants received a combined community program, and the study had no control group, so it cannot show that either component works.