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Treatment components for upper limb rehabilitation after stroke : a survey of UK national practice

MCHUGH G; SWAIN ID; JENKINSON D
DISABIL REHABIL , 2014, vol. 36, n° 11-13, p. 925-931
Doc n°: 172706
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.3109/09638288.2013.824034
Descripteurs : AF21 - ACCIDENTS VASCULAIRES CEREBRAUX, DD162 - TRAITEMENT DE REEDUCATION - MEMBRE SUPERIEUR

The aim of this study was to delineate the type of treatment currently
provided to rehabilitate the upper limb following stroke in order to inform the
treatment protocol for a control arm of a future pragmatic clinical trial of
assistive technologies. METHOD: A national survey of stroke teams was conducted.
Using open-ended, free script questions, the survey was designed to capture the
important components of treatment that are most commonly used to treat patients
described as mild, moderate or severely impaired following stroke. Stroke teams
were targeted within the 28 geographical areas covered by the Stroke Improvement
Networks. RESULT: Treatment descriptions were returned by 53 stroke teams from 20
of the 28 geographical areas. In total, 998 treatment components were provided -
289 for mildly, 403 for moderately and 306 for severely impairment patients
following stroke). These captured five substantive treatment categories in terms
of most active, moderately active and non-active patient participation in
treatment as well as assistive technologies and other. CONCLUSION: From the
treatment components described, the highest number of treatment components was
listed for the moderately impaired patient. The treatment components used by the
units surveyed are quite consistent with the 2012 Clinical Guidelines for Stroke.

Langue : ANGLAIS

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