Article

PURPOSE: To explore stroke survivors' perspectives of two novel models of
inpatient physiotherapy, which provide an increased amount of therapy: five days
a week circuit class therapy and seven days a week individual therapy.
This is a qualitative descriptive study using semi-structured interviews and
thematic analysis. The participants were 10 purposively sampled stroke survivors
in the post-acute phase of recovery, who had experienced seven days a week
individual therapy or five days a week circuit group therapy during inpatient
rehabilitation. RESULTS: Three main themes emerged from the data: Too much, too
little or just right; My experience - alone and together; and Meeting my needs.
Findings revealed considerable variety in participants' beliefs, priorities and
preferences regarding how intensely they could work; their experience of success
and challenge individually and collectively; and their need to have their own
unique individual needs met. Lack of choice seemed to be a linking concept
between the themes. CONCLUSION: In order to provide patient-centred services,
novel methods of increased therapy must take into consideration the individual
needs and preferences of the people accessing them. One model may not meet all
these needs, hence a "menu" of options for therapy sessions (different timing,
frequency, duration, content, rest and supervision) may be required to
accommodate the diversity of patient needs, preferences and capacities.
Implications for Rehabilitation People with stroke have diverse needs and
preferences regarding the modes of delivering more therapy during rehabilitation.
These diverse needs may not be met by one rigid service model. Therapists and
service providers could engage their clients in a dialogue about the need for
more therapy and how it can be delivered. This dialogue could include options of
the various ways to increase their therapy. Therapists need to provide clear
reasons and education around therapy components, including rest time and practice
schedules.

Langue : ANGLAIS