Anirudh Rao Deshmukh
Sanjay Gandhi Postgraduate Institute of Medical Sciences, India
Title: Role of home based targeted-CASP therapy in post stroke rehabilitation
Biography
Biography: Anirudh Rao Deshmukh
Abstract
Introduction: There is a need for a low cost, easy to apply, non-institutional regimen for significant functional recovery in post- stroke patients.
Aim: To study the effectiveness of modified version of Corrected Assisted Synchronised Periodic therapy termed here as Targeted-CASP (T-CASP) therapy (Fig 1) in improving motor, cognitive, behavioural and functional disability in post stroke patients.
Methods: This is a prospective quasi-randomised double blinded control study. The study was conducted in super-speciality tertiary care centre. Follow up patients of stroke were recruited from outpatient department of neurology. Patients recruited on OPD-1 (Monday) and OPD-2 (Friday) was grouped under cases and controls respectively. All patients were assessed for power, spasticity, cognition and depression, functional level at baseline (0), 3 months and 6 months using standard tools of assessment. Relatives/Caregivers were trained in T-CASP therapy and asked to carry it out at their homes as per protocol.
Results: Baseline patient characteristics and outcome parameters were comparable between two groups. Significant difference was seen at 3 and 6 months between the two groups in Ashworth scale score for spasticity (p value- .012 & .001), MRC score for power (p- .021 and .001), Adden-Brookes score for cognition (p-.025 & .010), BDI score for depression (p-.001&.001). Barthel scores were higher in T-CASP group but the difference was not significant (p- 0.219 & 0.080). However, on subcomponent analysis percentage of people who were able to walk (93.3 vs 76.7 %), transfer to/from bed/chair (80 % vs 70%) and climb stairs (63.3% vs 50%) independently at 6 months was significantly higher in T-CASP group.
Conclusion: Targeted-CASP therapy is a low cost, home based post stroke physiotherapy regimen which benefits all the aspects of post stroke rehabilitation including motor, cognitive, behavioural and functional disability.
References:
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