Effectiveness of a newly developed comprehensive rehabilitation service model for subacute stroke patients: A quasi-experimental study at a tertiary care hospital in Northern Thailand

Effectiveness of a Holistic Rehabilitation Service Model for Subacute Stroke Patients: A Quasi-Experimental Study at a Tertiary Care Hospital in Northern Thailand

Status

Active, not recruiting

Phases

Phase 2Phase 3

Study type

Interventional

Source

TCTR

Registry ID

TCTR20250402003

Enrollment

Registered

2025-04-02

Start date

2020-01-01

Completion date

Unknown

Last updated

2026-08-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Subacute stroke as the health condition under study Post-stroke rehabilitation needs in subacute patients Functional limitations and rehabilitation challenges in subacute stroke Subacute stroke Comprehensive rehabilitation Rehabilitation service model Quasi-experimental study Clinical outcomes

Interventions

1. Initial rehabilitation assessment by a physiatrist within 48 hours of hospital admission 2. Physical therapy sessions: - Duration: 30-45 minutes per session - Frequency: 2-3 times per week

No Intervention Other,Experimental Other

The standard care ,The intervention

Eligibility

Sex/Gender

All

Age

18 Years to 80 Years

Inclusion criteria

Inclusion criteria: Patients were recruited from both the inpatient and outpatient departments. Neurologists confirmed stroke diagnoses based on clinical presentation and neuroimaging (CT/MRI). The National Institutes of Health Stroke Scale (NIHSS) was used to assess stroke severity at baseline as part of the standard stroke protocol. The inclusion criteria were: 1. Age 18-80 years 2. First-ever stroke diagnosis 3. Modified Rankin Scale (mRS) score of 2-4 4. Basic communication ability in the Thai language (ability to follow simple commands and express basic needs, allowing for mild-moderate dysarthria or aphasia)

Exclusion criteria

Exclusion criteria: Exclusion criteria were expanded to include: 1. Severe cognitive impairment (Montreal Cognitive Assessment Thai version score <10) 2. Severe communication disorders preventing meaningful participation 3. Unstable medical conditions (e.g., uncontrolled hypertension, unstable cardiac conditions) 4. Severe psychiatric disorders 5. Active participation in other rehabilitation research studies

Design outcomes

Primary

Measure	Time frame
Barthel Index Scores 12 weeks and 6 months. Barthel Index (BI) for functional independence	—

Secondary

Measure	Time frame
Modified Rankin Scale (mRS) 12 weeks 6 months Mean/Median difference	—

Countries

Thailand

Contacts

Public ContactSeubtrakul Tantalanukul

Boromarajonani College of Nursing Uttaradit

seubtrakul@unc.ac.th0814749058

Outcome results

None listed

Source: TCTR (via WHO ICTRP) · Data processed: Aug 10, 2026