Rehabilitation for Community-Dwelling People With Stroke: Home or Centre Based? A Systematic Review
International Journal of Stroke
Hillier, S., & Inglis-Jassiem, G. (2010).
International Journal of Stroke, 5(3), 178-186.
This systematic review compares the benefits and barriers of home-based versus community-based rehabilitation on functional outcomes and caregiver satisfaction in individuals with stroke. While the majority of included studies focused on physical rehabilitation, few included speech-language pathology services as part of multidisciplinary care.
Not stated
Inception to 2008
Randomized controlled trials
11
<div>Across studies, individuals with stroke and carers indicated a greater satisfaction with rehabilitation provided in the home.</div>
<div>The findings suggest that individuals with stroke had better outcomes when provided rehabilitation in the home compared to center-based rehabilitation post hospital discharge. A significant effect was reported at six weeks (p=.03) and at three to six months (p=.01) in favor of treatment provided in the home. However setting results were unequivocal at six months post inpatient discharge.</div>
