Journal Mobile Options
Table of Contents
Vol. 68, No. 4, 2012
Issue release date: October 2012

The Effect of Voluntary Training with Family Participation on Early Home Discharge in Patients with Severe Stroke at a Convalescent Rehabilitation Ward

Hirano Y. · Maeshima S. · Osawa A. · Nishio D. · Takeda K. · Baba M. · Kigawa H.
To view the fulltext, log in and/or choose pay-per-view option

Individual Users: Register with Karger Login Information

Please create your User ID & Password

Contact Information

I have read the Karger Terms and Conditions and agree.

To view the fulltext, please log in

To view the pdf, please log in


Background: The purpose of this study was to clarify the effects of voluntary training with family participation in addition to conventional rehabilitation for stroke patients. Methods/Design: The subjects were 49 first-time stroke patients with severe hemiplegia. They were divided into two groups: a family participation group, in which voluntary training was performed with family members (21 patients), and a nonfamily participation group, in which voluntary training was performed with a physical therapist (28 patients). The groups were compared by background, cognitive and physical function, postadmission course, and outcome. Results: There were shortened lengths of stay and higher rates of home discharge in family participation group, but no differences in functional recovery. Conclusions: Voluntary training with family participation was effective in shortening the length of hospital stay and in improving the rate of home discharge in a convalescent rehabilitation ward.

Copyright / Drug Dosage

Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher or, in the case of photocopying, direct payment of a specified fee to the Copyright Clearance Center.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in goverment regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.


  1. Watanabe S: Current state and future challenges facing Kaifukuki rehabilitation wards. Jpn J Rehabili Med 2009;46:799–807.

    External Resources

  2. Lincoln NB, Francis VM, Lilley SA, Sharma JC, Summerfield M: Evaluation of a stroke, family support organizer: a randomized controlled trial. Stroke 2003;34:116–121.
  3. Mant J, Carter J, Wade DT, Winner S: Family support for stroke: a randomized controlled trial. Lancet 2000;356:808–813.
  4. Shinohara Y, Ogawa A, Suzuki N, Kimura A (eds): Japanese Guideline for the Management of Stroke 2009. Tokyo, Kyowa-kikaku, 2009, pp 294–295. Shinohara Y, Yanagihara T, Abe K, Yoshimine T, Fujinaka T, Chuma T, Ochi F, Nagayama M, Ogawa A, Suzuki N, Katayama Y, Kimura A, Liu M, Eto F: VII. Rehabilitation. J Stroke Cerebrovasc Dis 2011;20:S145–S180.

    External Resources

  5. Maeshima S, Ueyoshi A, Osawa A, Ishida K, Kunimoto K, Shimamoto Y, Matsumoto T, Yoshida M: Mobility and muscle strength contralateral to hemiplegia from stroke: benefit of self-training with family support. Am J Phys Med Rehabil 2003;82:456–462.
  6. Brunnstrom S: Movement Therapy in Hemiplegia: A Neurophysiological Approach. New York, Harper & Row, 1970.
  7. Maeshima S, Okita R, Yamaga H, Ozaki F, Moriwaki H, Hashio M, Kusuyama H, Tabata Y, Kobayakawa S, Matsumoto T, Ueyoshi A: Effectiveness of early stroke rehabilitation program performed by family members. Sogo Rehabil 2000;2:1161–1166.
  8. Hirschberg GG: The use of stand-up and step-up exercise in rehabilitation. Clin Orthop 1958;12:30–46.
  9. Folstein MF, Folstein SE, McHugh PR: Mini-Mental State: a practical method for grading the cognitive state of patients for clinician. J Psychiatr Res 1975;12:189–198.
  10. The Japan Stroke Society: Japan Stroke Scale (JSS). Jpn J Stroke 1997;19:2–5.
  11. Data Management Service of the Uniform Data System for Medical Rehabilitation and the Center for Functional Assessment Research: Guide for use of the uniform data set for medical rehabilitation. Version 3.0. Buffalo, State University of New York at Buffalo, 1990.
  12. Teraoka J, Burgard R: Family support and stroke rehabilitation. West J Med 1992;157:665–666.
  13. Visser-Meily A, van Heugten C, Post M, Schepers V, Lindeman E: Intervation studies for caregivers of stroke survivors: a critical review. Patient Educ Couns 2005;56:257–267.
  14. Gelvin R, Cusack T, O’Grady E, Murphy TB, Stokes E: Family mediated exercise (FAME): evaluation of a novel form of exercise delivery after stroke. Stroke 2011;42:681–686.

    External Resources

  15. Ottenbacher KJ, Jannell S: The result of clinical trials in stroke rehabilitation research. Arch Neurol 1993;50:37–44.
  16. Kwakkel G, van Peppen R, Wagenaar RC, Wood Dauphinee S, Richards C, Ashburm A, Miller K, Lincoln N, Partridge C, Wellwood I, Langhome P: Effect of augmented exercise therapy time after stroke: a meta-analysis. Stroke 2004;35:2529–2539.
  17. Hornby TG, Straube DS, Kinnaird CR, Holleran CL, Echauz AJ, Rodriguez KS, Wagner EJ, Narducci EA: Importance of specificity, amount, and intensity of locomotor training to improve ambulatory function in patients poststroke. Top Stroke Rehabil 2011;18:293–307.

    External Resources

  18. Kaifukuki Rehabilitation Ward Association Department of Facility Sciences: 2010 Annual Report from the Annual Survey Committee of Kaifukuki Rehabilitaion Ward Association. Tokyo, 2011, pp 52–53.
  19. Kaifukuki Rehabilitation Ward Associations: 2001–2008 Multi-Year Report from the Annual Survey Committee of Kaifukuki Rehabilitation Ward Association. Tokyo, 2009, pp 48–49.
  20. Mant J, Winner S, Roche J, Wade DT: Family support for stroke: one year follow up of a randomized controlled trial. J Neurosurg Psychiatry 2005;76:1006–1008.
  21. Forster A, Young J, Nixon J, Kalra L, Smithard D, Patel A, Knapp M, Monaghan J,Breen R, Anwar S, Farrin A: A cluster randomized controlled trial of a structured training programme for caregivers of inpatients after stroke (TRACS). Int J Stroke 2012;7:94–99.

    External Resources

  22. Lutz BJ, Young ME: Rethinking intervention strategies in stroke family caregiving. Rehabil Nurs 2010;35:152–160.

    External Resources

  23. Koyama T, Sako Y, Konta M, Domen K: Poststroke discharge destination: functional independence and sociodemographic factors in urban Japan. J Stroke Cerebrovasc Dis 2010;20:202–207.

    External Resources

  24. Indredavik B, Fjaertoft H, Ekeberg G, Løge AD, Mørch B: Benefit of an extended stroke unit service with early supported discharge: a randomized, controlled trial. Stroke 2000;12:2989–2994.

    External Resources

  25. Langhome P, Holmqvist LW: Early supported discharge after stroke. J Rehabil Med 2007;39:103–108.

    External Resources

Pay-per-View Options
Direct payment This item at the regular price: USD 38.00
Payment from account With a Karger Pay-per-View account (down payment USD 150) you profit from a special rate for this and other single items.
This item at the discounted price: USD 26.50