Regaining Extremity Control Opportunely Via Early Redress: RECOVER is a stroke rehabilitation program emphasizing early intensive use of affected limbs (including modified constraint induced movement therapy or CIMT) and involvement in daily activities in the home. This program was utilized by members of the Community Based Rehabilitation Team (CBRT) at Middlemore Hospital in Auckland, New Zealand consisting of the following: co-ordinator, social worker, physiotherapist, speech language therapist, dietitian, occupational therapist, specialist doctor and nurse. All patients were seen in their homes following discharge from the hospital and the service provided by the CBRT was client centred, increasing patient involvement and responsibility for progress. A retrospective audit of outcomes including community participation of patients rehabilitated using RECOVER was completed in June 2011. Thirteen patients with moderate to severe impairment were evaluated after an average eleven and median eight weeks program participation. Eleven patients made clinically observable progress. Nine made improvement that was functionally useful for specific activities of daily living. Five patients returned to some degree of community involvement. This limited study suggests that RECOVER warrants further investigation to determine efficacy for stroke rehabilitation. However, more frequent team involvement over a longer period may be required to capitalize on early gains and ensure a greater number of people affected by stroke return to full community participation.
|Keywords:||Stroke, Patient Empowerment, Early Rehabilitation, Intensive Treatment, Modified Constraint Induced Therapy, Multidisciplinary Approach|
Conjoint Lecturer, School of Biomedical Sciences and Pharmacology, University of Newcastle, Sydney, New South Wales, Australia
Clinical Head, Adult Treatment and Rehabilitation Unit, Middlemore Hospital, Auckland, New Zealand