Comparative Study of Home-Based and Hospital-Based Physiotherapy Interventions on Depression and Functional Recovery in Chronic Stroke Patients
Keywords:
Chronic Stroke, Home-Based Physiotherapy, Hospital-Based Physiotherapy, Depression, Neurorehabilitation, Functional Independence, Mobility, Rehabilitation, Functional RecoveryAbstract
Stroke is a major neurological disorder that can result in long-term physical disability, emotional difficulties and reduced functional independence. Although advances in medical treatment have improved the survival of stroke patients, many individuals continue to experience difficulties in walking, maintaining balance, performing daily activities and participating in social life. Depression is another important consequence of stroke that may negatively influence motivation, rehabilitation participation and overall recovery. Physiotherapy plays an essential role in improving physical functioning among chronic stroke patients. However, the location and delivery of rehabilitation may influence patients' accessibility, participation and recovery experiences. Hospital-based physiotherapy provides professional supervision, specialized equipment and structured rehabilitation facilities, whereas home-based physiotherapy offers treatment in a familiar environment and allows functional activities to be practised within everyday surroundings. The present study aims to compare the effects of home-based and hospital-based physiotherapy interventions on depression and functional recovery among chronic stroke patients. A comparative experimental research design is proposed, involving two groups of patients receiving different rehabilitation approaches over an eight-week intervention period. Depression will be assessed through a standardized psychological assessment instrument, while functional recovery will be evaluated using established measures of independence, mobility and motor performance.
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