Development and Feasibility Testing of Video Home Based Telerehabilitation for Stroke Survivors in Resource Limited Settings

Authors

  • Marufat O. Odetunde OBAFEMI AWOLOWO UNIVERSITY ILE IFE, OSUN STATE https://orcid.org/0000-0001-8130-7255
  • Overcomer T. Binuyo OBAFEMI AWOLOWO UNIVERSITY ILE IFE, OSUN STATE
  • Fatai A. Maruf Nnamdi Azikiwe University, Nnewi Campus, Anambra State
  • Sunday O. Ayenowowon Obafemi Awolowo University Teaching Hospital, Ile-Ife, Osun state
  • Adaobi M. Okonji OBAFEMI AWOLOWO UNIVERSITY ILE IFE, OSUN STATE
  • Nurain A. Odetunde General Hospital, Gusau, Zamfara State
  • Chidozie E. Mbada OBAFEMI AWOLOWO UNIVERSITY ILE IFE, OSUN STATE

DOI:

https://doi.org/10.5195/ijt.2020.6321

Keywords:

Stroke, Telerehabilitation, Video-based exercise, Yoruba language

Abstract

Tele-physiotherapy has been shown to be valuable to improve clinical outcomes after stroke. Yet, home-based interventions for stroke survivors (SSVs) who speak indigenous African languages are sparse. This study developed a video-based home exercise programme (VHEP) for SSV speakers of Yoruba.  A qualitative descriptive pilot study was conducted in two phases: development and feasibility testing. VHEP development followed the American Stroke Association’s recommendations to include demonstrations of task-specific mobility-task and postural training; trunk exercises, and overground walking. The exercise instructions were presented in the Yoruba language. Each exercise was demonstrated for five minutes on video for a total of 30 minutes. The feasibility testing involved ten consenting chronic SSVs.  Each imitated the VHEP twice per week for two weeks and thereafter completed a feasibility questionnaire. Criteria for feasibility were: cost of using VHEP, recruitment rate, retention of participants, adherence to the exercises, and intervention delivery. The ten SSVs were recruited within one week, had prior home access to a video player at no-cost, adhered to the exercises as recorded, completed the 30 minute-duration for two weeks, and confirmed intervention delivery of VHEP. Most participants liked the novel use of Yoruba as the language of instruction on VHEP. The VHEP was feasible and acceptable among the studied sample of SSVs. Video based home telerehabilitation for SSVs therefore has the potential to meet the growing need for tele-physiotherapy in resource limited settings.

 

 

  

Author Biographies

Marufat O. Odetunde, OBAFEMI AWOLOWO UNIVERSITY ILE IFE, OSUN STATE

Lecturer I

Department of Medical Rehabilitation

Overcomer T. Binuyo, OBAFEMI AWOLOWO UNIVERSITY ILE IFE, OSUN STATE

Department of Medical Rehabilitation

Graduate physiotherapist

 

Fatai A. Maruf, Nnamdi Azikiwe University, Nnewi Campus, Anambra State

Department of Medical Rehabilitation

Associate Professor

Sunday O. Ayenowowon, Obafemi Awolowo University Teaching Hospital, Ile-Ife, Osun state

Department of Physiotherapy

Chief Physiotherapist

Adaobi M. Okonji, OBAFEMI AWOLOWO UNIVERSITY ILE IFE, OSUN STATE

Department of Medical Rehabilitation

Lecturer II

Nurain A. Odetunde, General Hospital, Gusau, Zamfara State

General Out-patient Department

Consultant Family Physician

Chidozie E. Mbada, OBAFEMI AWOLOWO UNIVERSITY ILE IFE, OSUN STATE

Department of Medical Rehabilitation

Senior Lecturer

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Published

2020-12-08

How to Cite

Odetunde, M. O., Binuyo, O. T., Maruf, F. A., Ayenowowon, S. O., Okonji, A. M., Odetunde, N. A., & Mbada, C. E. (2020). Development and Feasibility Testing of Video Home Based Telerehabilitation for Stroke Survivors in Resource Limited Settings. International Journal of Telerehabilitation, 12(2), 125–136. https://doi.org/10.5195/ijt.2020.6321

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Section

Country Reports

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