An investigation into the factors physiotherapists consider when deciding to stand stroke patients for the first time

Kilby, Lousie and Hitchcock, Rosie (2001) An investigation into the factors physiotherapists consider when deciding to stand stroke patients for the first time. Synapse. Journal and newsletter of the association of chartered physiotherapists interested in neurology, (Spring 2001), 3-6.

Abstract

There is a lack of research on the decision-making process involved in standing stroke patients and CSP/ACPIN guidelines remain unspecific. The clinical reasoning of 49 ACPIN members for this process was examined via a postal survey. All participants considered the patient’s current medical status before standing. 92% took the patient’s wishes into account, although only 12% thought it inappropriate to stand without consent. Factors commonly considered when deciding the number of people needed were: patient ability, patient size and tone/associated reactions. Space was the main environmental consideration, however 18% did not take manual handling regulations into account. 39% considered CSP guidelines and only approximately half had encountered relevant policies/protocols. The amount of experience with stroke patients made no significant difference as to whether other health care professionals or CSP guidelines were consulted. This study has shown that there are a substantial number of factors to consider before attempting to stand stroke patients, suggesting that clarification may be needed to ensure that physiotherapists consistently consider factors essential to safe and effective standing.

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