Investigating the effects of home-based rehabilitation after intensive inpatient rehabilitation on motor function, activities of daily living, and caregiver burden
2024

Effects of Home-Based Rehabilitation After Intensive Inpatient Rehabilitation

Sample size: 150 publication Evidence: high

Author Information

Author(s): Sato Kenji, Otaka Eri, Ozaki Kenichi, Shiramoto Kenta, Narukawa Rie, Kamiya Takeshi, Kamiya Masaki, Shimotori Daiki, Kamizato Chiaki, Itoh Naoki, Kagaya Hitoshi, Kondo Izumi

Primary Institution: National Center for Geriatrics and Gerontology, Obu, Aichi, Japan

Hypothesis

Does continuous home-based rehabilitation immediately after discharge improve motor function, activities of daily living, and reduce caregiver burden in patients who received intensive rehabilitation during hospitalization?

Conclusion

Home-based rehabilitation improves motor function, activities of daily living, and reduces caregiver burden in the long term.

Supporting Evidence

  • Significant improvements in grip strength and functional independence were observed at 3 and 6 months.
  • Caregiver burden decreased significantly after 6 months of home-based rehabilitation.
  • Participants had a mean time of 4 days from discharge to the start of rehabilitation.

Takeaway

This study shows that helping patients recover at home after they leave the hospital can make them stronger and help them do everyday things better, while also making it easier for their caregivers.

Methodology

Retrospective review of 150 patients who received tailored home-based rehabilitation for 6 months after discharge from intensive inpatient rehabilitation.

Potential Biases

Potential bias due to the hospital's environment and characteristics.

Limitations

No control group for comparison, and potential bias due to single hospital setting.

Participant Demographics

Mean age 81 years, 49.3% male, with various diseases including orthopedic and cerebrovascular conditions.

Statistical Information

P-Value

p < 0.001

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1371/journal.pone.0316163

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