Impact of a Self-rehabilitation and Tele-rehabilitation Program on the Post-stroke Care Pathway

Functional independence measure - MIF

Independence :

7: Complete independence (appropriate to circumstances and safe) 6: Modified independence (device, adaptation)

Modified dependence :

5: Supervision 4: Minimal assistance (autonomy = 75% +) 3 : Average assistance (autonomy = 50% +)

Complete dependence 2 : Maximum assistance (autonomy = 25% +)

If an item cannot be checked, tick level 1.

At the end of the test, we obtain a score ranging from 18 to 126. The lower the score, the greater the disability.

Berg balance scale :

The Berg balance assessment scale was developed to measure static and dynamic balance in adults.

This scale comprises 14 tasks rated from 0 to 4, assessing both static and dynamic balance. The total score ranges from 0 to 56 points. The higher the score, the better the assessment of balance.

6min walk test (6MWT) : The six-minute walk test (6MWT) is an objective assessment of functional physical ability. It measures the distance covered by the patient when walking briskly for 6 minutes.

The 6MWT provides a global assessment of various organ functions, in particular the cardiopulmonary, vascular and neuromuscular systems.

Distance covered: The distance covered during the test is the main parameter measured. In general, a longer distance indicates better functional capacity. Here are some approximate reference values:

Normal: Approximately 400 to 700 metres. Poor: Less than 300 metres. Very good: Over 800 metres.

10-metre walk test (10MWT) : The 10-metre walk test is an assessment tool that measures a patient's walking speed.

It aims to calculate the speed at which a patient can walk a distance of 10 metres.

The walking speed obtained can be used to classify the patient into different categories:

Less than 0.4 m/s: Walking at home. Between 0.4 and 0.8 m/s: Limited walking in the community. More than 0.8 m/s: Unlimited walking in the community.

GAS (Goal Attainment Scaling) :

The GAS is a tool for defining specific, individualised objectives for each patient. These objectives are then evaluated in a standardised way, allowing statistical analysis of the results.

At least 3 objectives are set and scored between -3 (regression), -2 (much less), -1 (a little less), 0 (expected result), +1 (a little more), +2 (much more).

IPA Scale (Impact on Participation and Autonomy Questionnaire) :

• Level of participation perceived by the participant through 32 items spread over 5 domains related to autonomy in activities inside the home (7 items), family roles (7 items), activities outside (5 items), social life and relationships (7 items), work and education (6 items). The last 6 are excluded. Score from 0 (very low level of participation) to 4 (very high level).
• Level of perception of participation restriction: Score of 0 (major problem), 1 (minor problem), 2 (no problem).

Number of falls

Number of moderate or serious adverse events during the session

Visual Analog Pain Scale: Intensity and sites of pain before or during and after the session

Borg scale :

The Borg scale is generally rated from 6 to 20. The higher the number, the more intense the perceived effort.

Perceived experience of the rehabilitation session in response to the following 4 questions with a scoring that comes in 5 different levels depending on the question :

What is the patient's perception of the rehabilitation session offered? Very poor - Poor - No effect - Positive - Very positive

What is the patient's perception of the quality of the exercises proposed? Very poor - Poor - No effect - Positive - Very positive

What is the patient's perception of the intensity of the exercises proposed? Very poor - Poor - No effect - Positive - Very positive

What is the patient's perception of the motivating nature of the exercises proposed? Very poor - Poor - No effect - Positive - Very positive

SIMS MOTIVATION Scale ("Situation Motivation Scale") :

The aim is to determine which type of motivation regulates an individual's behaviour during an activity.

16 items are evaluated: Items 1, 5, 9 and 13 relate to intrinsic motivation (best type of regulation, strong feeling of autonomy).

Items 2, 6, 10 and 14 relate to identified regulation (good type of regulation, high sense of autonomy).

Items 3, 7, 11 and 15 refer to external regulation (poor type of regulation, low sense of autonomy).

Items 4, 8, 12 and 16 relate to motivation (no regulation).

Compliance (present at the session) : Yes/No

Duration of each session (in minutes)

Duration of stay in complete hospitalisation (in days)

Duration of stay in partiel hospitalisation (in days)

Duration of use at home (in days)

SUS (System Usability Scale) : only for the experimental groups. The SUS consists of 10 questions in the form of statements. Each question uses a Likert scale, where the user chooses between 5 possible answers, ranging from 'Strongly disagree' to 'Strongly agree'. The answers to the 10 questions are used to construct a satisfaction score, ranging from 1 to 100. In general, a score of 75 or more is considered 'good', while between 50 and 75 it is considered 'fair' or 'correct'. A score of less than 50 indicates major problems in terms of customer satisfaction.

Study of direct and indirect costs