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Amount and Content of Sensorimotor Therapy Delivered in Three Stroke Rehabilitation Units in Quebec, Canada

RICHARDS CL; MALOUIN F; NADEAU S; FUNG J; D'AMOURS L; PEREZ C; DURAND A
PHYSIOTHER CAN , 2018, vol. 70, n° 2, p. 120-132
Doc n°: 187570
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.3138/ptc.2016-66
Descripteurs : AF21 - ACCIDENTS VASCULAIRES CEREBRAUX, KA1 - ETUDES

This study creates a baseline clinical portrait of sensorimotor
rehabilitation in three stroke rehabilitation units (SRUs) as a first step in
implementing a multi-centre clinical research platform. Method: Participants in
this cross-sectional, descriptive study were the patients and rehabilitation
teams in these SRUs. Prospective (recording of therapy time and content and a
Web-based questionnaire) and retrospective (chart audit) methods were combined to
characterize the practice of the rehabilitation professionals. Results: The 24-
to 39-bed SRUs admitted 100-240 inpatients in the year audited. The mean combined
duration of individual occupational and physical therapy was 6.3-7.5
hours/week/patient. When evening hours and the contributions of other
professionals as well as group therapy and self-practice were included, the total
amount of therapy was 13.0 (SD 3) hours/patient/week. Chart audit and
questionnaire data revealed the Berg Balance Scale was the most often used
outcome measure (98%-100%), and other outcome measure use varied. Clinicians
favoured task-oriented therapy (35%-100%), and constraint-induced movement
therapy (0%-15%), electrical stimulation of the tibialis anterior (0%-15%), and
body weight-supported treadmill training (0%-1%) were less often used.
Conclusions: This study is the first to provide objective data on therapy time
and content of stroke rehabilitation in Quebec SRUs.

Langue : ANGLAIS

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