Carol L Richards1,2,3, Francine Malouin1,2,3, Sylvie Nadeau4,5,6, Joyce Fung5,7,8, Line D'Amours1, Claire Perez8,7, Anne Durand1. 1. Centre intégré universitaire de santé et de services sociaux (CIUSSS) de la Capitale-Nationale. 2. Centre interdisciplinaire de recherche en réadaptation et intégration sociale (CIRRIS). 3. Département de réadaptation, Université Laval, Québec. 4. Institut de réadaptation Gingras-Lindsay-de-Montréal, CIUSSS Centre-Sud-de-l'Île-de-Montréal. 5. Centre recherche interdisciplinaire en réadaptation. 6. École de réadaptation, Université de Montréal. 7. Jewish Rehabilitation Hospital, Centre intégré de santé et de services sociaux de Laval, Laval, Que. 8. School of Physical and Occupational Therapy, McGill University, Montreal.
Abstract
Purpose: 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.
Purpose: 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.
Entities:
Keywords:
rehabilitation; sensorimotor area therapy; stroke
Authors: Mark T Bayley; Amanda Hurdowar; Carol L Richards; Nicol Korner-Bitensky; Sharon Wood-Dauphinee; Janice J Eng; Marilyn McKay-Lyons; Edward Harrison; Robert Teasell; Margaret Harrison; Ian D Graham Journal: Disabil Rehabil Date: 2012-05-28 Impact factor: 3.033
Authors: Carol L Richards; Anne Durand; Francine Malouin; Sylvie Nadeau; Joyce Fung; Line D'Amours; Claire Perez Journal: Physiother Can Date: 2020 Impact factor: 1.037
Authors: Carol L Richards; Francine Malouin; Sylvie Nadeau; Joyce Fung; Line D'Amours; Claire Perez; Anne Durand Journal: Physiother Can Date: 2019 Impact factor: 1.037