How are balance and mobility problems after stroke treated in England? An observational study of the content, dose and context of physiotherapy

Clinical Rehabilitation
S F TysonSarah Plant

Abstract

To describe the dose, intensity and context of physiotherapy for balance and mobility problems after stroke. Process mapping to describe the context and non-participant observation of therapy sessions to describe the dose and content of therapy. Four inpatient stroke units in North-West England. Therapy staff and previously mobile stroke survivors who were treating, or receiving treatment for balance and mobility problems in the participating units. Two units were stand-alone rehabilitation units; two offered a service at the weekends. One had no access to community-based rehabilitation. All had dedicated treatment facilities but often did not use them because of lack of space and difficulty transporting patients. Twenty-two patients participated and 100 treatment sessions were observed. Practicing walking, sit-to-stand and transfers were the most frequent objectives and interventions usually with the therapist(s) physically facilitating the patient's movements. The dose of practise was low; mean repetitions of sit-to-stand per session was 5 (SD 6.4); mean time spent upright per session was 11.24 (SD = 7) minutes, and mean number of steps per session was 202 (SD 118). The mean number of staff per patient was 2.1 (SD = 0.6, mode...Continue Reading

References

Jan 1, 1990·International Disability Studies·F M CollenC M Bradshaw
Dec 22, 2004·Clinical Rehabilitation·R P S Van PeppenJ Dekker
Jun 17, 2006·Disability and Rehabilitation·Sarah Tyson, Andrea Selley
Apr 11, 2007·Journal of Neurologic Physical Therapy : JNPT·Catherine E LangChristopher Gnip
Jun 2, 2007·Stroke; a Journal of Cerebral Circulation·Liesbet De WitWilly De Weerdt
Aug 17, 2010·BMJ : British Medical Journal·Timothy M TrebbleMarc Baker
May 18, 2011·Journal of Rehabilitation Medicine·Coralie English, Susan Hillier
Mar 23, 2012·Topics in Stroke Rehabilitation·Norine FoleyRobert Teasell
May 29, 2012·Disability and Rehabilitation·Mark T BayleyIan D Graham
May 29, 2014·Stroke; a Journal of Cerebral Circulation·Keith R LohseLara A Boyd
Jul 18, 2017·Clinical Rehabilitation·Sarah Plant, Sarah F Tyson

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Citations

Apr 3, 2021·Disability and Rehabilitation·Jimmy James, Mark P McGlinchey
Apr 16, 2021·BMC Health Services Research·Grazia AntonacciJulie Reed
May 28, 2021·Journal of Neurologic Physical Therapy : JNPT·Jean-Michel GraciesUNKNOWN ENGAGE Study Group
Aug 11, 2021·Disability and Rehabilitation·Ulrike HammerbeckSarah Tyson

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