Oral Communication

Feasibility of self-rehabilitation program for upper limb after stroke in Benin.

Dr Ditouah Didier NIAMA NATTAa, Dr Etienne ALAGNIDEb, Prof Toussaint KPADONOUb, Prof Christine DETREMBLEURa, Prof Thierry LEJEUNEc, Prof Gaetan STOQUARTc

a Université Catholique de Louvain, Institut de Neuroscience, b Service de Rééducation et de Réadaptation Fonctionnelle du Centre National Hospitalier et Universitaire Hubert Koutoukou MAGA (CNHU-HKM) de Cotonou, c Université catholique de Louvain, Cliniques universitaires saint-Luc, Service de Médecine Physique et Réhabilitation de Bruxelles

Introduction. Stroke is major cause of disability and is responsible of a high cost especially in developing countries. The self-rehabilitation program constitutes a new and original treatment for stroke patients, likely to reduce the upper limb impairment and to improve activity and participation of the disabled people. The goal of this study is to evaluate the feasibility and effectiveness of a self-rehabilitation protocol in Benin.

Methods. Twelve stroke chronic patients have carried out self-rehabilitation program of upper limb (3 hours / day, 5 days / week for 2 weeks). The performance of these patients were evaluated before and after the self-rehabilitation program, by measuring the exercise number that patients were able to achieve during a three-hour session, and by measuring manual dexterity.

Results. 12 patients were effectively able to complete the entire program. The number of unimanuals exercises and self-mobilization realized during a three-hour session and the score of the Box and Block Test was improved in the self-rehabilitation program (p <0.05).

Discussion/Conclusion. Self-rehabilitation program are feasible and are inexpensive as they do not involve a therapist. It is then a promising approach in stroke rehabilitation, particularly in developing countries, where the rehabilitation cost is usually supporting by patients.