||Feasibility of a self-rehabilitation program for the upper limb for stroke patients in Benin
NIAMA NATTA DIDIER ,
ALAGNIDE HOUNTONDJI ETIENNE ,
KPADONOU GODONOU TOUSSAINT ,
STOQUART GAETAN ,
DETREMBLEUR CHRISTINE ,
LEJEUNE THIERRY ,
||Annals of Physical and Rehabilitation Medicine
||Introduction: Stroke is a major cause of disability and represents a very high cost in developing countries.
Self-rehabilitation programs represent a new and original treatment for stroke patients, likely to reduce
upper limb impairments and improve activity and participation. The goal of this study is to evaluate the
feasibility of a self-rehabilitation protocol in Benin.
Methods: Twelve chronic stroke patients carried out the upper limb self-rehabilitation program (3 hours/
day, 5 days/week for 2 weeks). The performance of these patients was evaluated before and after the selfrehabilitation
program, by measuring the number of exercises that patients were able to achieve during a
three-hour session, and by assessing their gross manual dexterity.
Results: Twelve patients were effectively able to complete the entire program. The number of unimanual
exercises and self-mobilizations performed during a three-hour session as well as the score of the Box
and Block test were improved by the self-rehabilitation program (P < 0.05).
Discussion and conclusion: Self-rehabilitation programs are feasible and inexpensive as they do not
involve a therapist. It is then a promising approach in stroke rehabilitation, particularly in developing
countries, where rehabilitation costs are usually supported by patients.
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