Efeitos do programa "Personal Stroke" sobre a independência funcional em indivíduos pós-AVC

Abstract

Objective: To evaluate the short-term effects of the “Personal Stroke” program, in face-to-face and remote modalities, on the level of functional independence of post-stroke individuals. Methods: Non-randomized, uncontrolled, two-arm clinical trial with a non-probabilistic sample, for convenience. Post-stroke individuals, over 18 years old and with internet access were selected. Two groups were held: Remote Group (GR), for participants residing outside Santa Cruz-RN and Presencial Group (GP), for residents of Santa Cruz-RN and neighboring cities. The individuals were evaluated before starting the program (A1) and after 3 months (A2) using the modified Rankin Scale (ERm) and the Functional Independence Measure (FIM). The program, based on self-management concepts, lasted 6 months and included weekly follow-up sessions (1x/week). In this study, data from 3 months of follow-up will be presented. Data were analyzed using Bioestat software, version 5.3. Results: Eighteen volunteers completed the intervention. In the intragroup evaluation carried out through the comparison between A1 and A2, significant results were obtained for the total FIM (GR: p=0.0357 and GP: p=0.0059) and the motor FIM (GR: p=0.0357 and GP: p=0.0180), whereas for cognitive FIM (GP: p=0.2249 and GR: p=0.0592) and ERm (GP: p=0 and GR: p=0.1797) no statistically significant findings were observed. There was no difference in the intergroup evaluation for the analyzed variable. Conclusion: The Personal Stroke program was able to promote increased functional independence of post-stroke individuals. Regarding the modalities of care, no differences were observed between the groups.