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We made a population-based study in subjects with chronic stroke, undergoing home rehabilitation, to assess the overall psychological and physical outcome, increase in residual abilities, nutritional intake and social reintegration. 41 patients undergoing home rehabilitation at a frequency of 2 sessions per week for 40 days a year were assessed by FIM, Mini Mental State Examination, Stroke Impact Scale, Tinetti Balance Scale, Hamilton Depression Scale, Ashworth Scale, Motricity Index, 10-Meter Walking Test, 6-Minutes Walking Test, 5 Repetitions Sit-To-Stand Test. The home rehabilitation treatment consisted of: passive mobilization of the limbs, postural changes, exercise relearning of motor tasks by executing specific tasks congruent with the residual abilities, assisted gait in gravitary environment, education for self-repeating of the re-learned motor task, training of the caregiver. Patients were evaluated at T0 (beginning of the rehabilitation program), T1 (4 months after twice a week therapy), T2 (one year follow-up). The results showed a statistically significant improvement only in the treatment period and a decrease of results after 16 months from the initial assessment. This applies to all parameters taken into account, except for the emotional factor, assessed with the Hamilton Depression Scale, the only parameter statistically significantly improved one year after the first assessment; In fact, it was found an improvement in mood during the whole measurement period; that, in line with what is stated in literature may be indicative of the importance and necessity of adequate family and social relationships in the management of patients with stroke in chronic phase. The pilot study described is still under further enrollment in order to collect a larger series. INTRODUCTION: Stroke is the major cause of acquired disability in adulthood. The progressive aging of the population and the consideration that the incidence of stroke is strongly age-related, suggest that the incidence of ictal events will increase in the next years. This requires a change in the policies of health planning and the arrangement of specific interventions to prevent serious effects in terms of social costs and to provide technical assistance services (homecare or residential) to a growing number of individuals unable to perform their normal daily activities in adequate autonomy. As a result of the epidemiological, social and economic impact, stroke is one of the most important health problems in industrialized countries, leading cause of permanent disability and the second leading cause of dementia; the health and social policies should ensure an adequate management of the patient even in the chronic phase; most of patients go home after discharge. The promptness and specificity of rehabilitation in acute and post-acute phases, psychosocial aspects, nutritional status and characteristics of the the discharge destination are currently subject of study in international literature; all studies agree in the evidence that the rehabilitation approaches in the chronic phase are not yet adequately standardized. Hillier in his 2010 systematic review highlights the importance of creating a network to support home rehabilitation through the integration of services with hospital and local structures, enhancing the access to Day Hospital and ambulatory rehabilitation centers and invest on staff training, to create a High Quality home rehabilitation service, by programming specific and adequate clinical pathways in mode, timing and intensity. Some studies have therefore analyzed separately the outcome in specific motor tasks and psycho-emotional skills in institutionalized and home patients. There are no studies evaluating these factors together, or comparing these factors in relation to hematochemical and nutritional parameters. This population-based study was conducted in subjects with chronic stroke, undergoing home rehabilitation, to assess the overall psychological and physical outcome, increase in residual abilities, nutritional intake and social reintegration. METHODS: 41 patients (18F 23M, mean age 72 years) undergoing home rehabilitation at a frequency of 2 sessions per week for 40 days a year, that met the following inclusion criteria, were evaluated: Ischemic or hemorrhagic stroke with residual hemiplegic gait; stroke from at least 6 months; min age 40 max 80; Mini-Mental State Examination score ≥ 24; no concomitant severe comorbidities with fatal prognosis at 6 months. The assessment was done by: FIM,

<b>HOME REHABILITATION MANAGEMENT IN CHRONIC STROKE: </b><b>PILOT STUDY</b>