Rehabilitation content and clinical stroke subtype: a small observational study
Rehabilitation content and clinical stroke subtype: a small observational study
Purpose. The Oxford classification categorises stroke according to clinical features. Differences in terms of mortality, institutionalisation, recurrence and achievement of mobility milestones have been demonstrated across clinical subtypes. This study aimed to describe differences in content of occupational therapy and physiotherapy activities, according to clinical stroke subtype.
Method. This retrospective study forms part of a larger research project (n = 419). Ten patients from each of five clinical subtypes were randomly selected and therapy content was recoded from the medical notes using a coding tool.
Results. The content of therapy sessions varied across subtypes, for both occupational therapy and physiotherapy sessions. Kruskal-Wallis analysis showed significant difference between subtypes for passive movements and transfers (p < 0.05) and standing balance, walking and stairs (p < 0.01). Similarly, significant differences between subtypes were seen in personal activities of daily living and the assessment or treatment of mood/cognitive problems (p < 0.05).
Conclusions. The results show differences in the content of occupational and physiotherapy sessions across clinical stroke subtypes. Findings from this study could be used to help workforce planning and inform future studies with a larger sample.
stroke subtype, rehabilitation, physiotherapy, occupational therapy
1507-1513
Lemon, Jennifer
5c1a14ef-29ba-4dce-bb17-64ec3ff7d2a8
Ashburn, Ann
818b9ce8-f025-429e-9532-43ee4fd5f991
Hyndman, Dorit
6b6c65d5-1d03-4a13-9db8-1342cd43f352
September 2009
Lemon, Jennifer
5c1a14ef-29ba-4dce-bb17-64ec3ff7d2a8
Ashburn, Ann
818b9ce8-f025-429e-9532-43ee4fd5f991
Hyndman, Dorit
6b6c65d5-1d03-4a13-9db8-1342cd43f352
Lemon, Jennifer, Ashburn, Ann and Hyndman, Dorit
(2009)
Rehabilitation content and clinical stroke subtype: a small observational study.
Disability and Rehabilitation, 31 (18), .
(doi:10.1080/09638280802639632).
(PMID:19479566)
Abstract
Purpose. The Oxford classification categorises stroke according to clinical features. Differences in terms of mortality, institutionalisation, recurrence and achievement of mobility milestones have been demonstrated across clinical subtypes. This study aimed to describe differences in content of occupational therapy and physiotherapy activities, according to clinical stroke subtype.
Method. This retrospective study forms part of a larger research project (n = 419). Ten patients from each of five clinical subtypes were randomly selected and therapy content was recoded from the medical notes using a coding tool.
Results. The content of therapy sessions varied across subtypes, for both occupational therapy and physiotherapy sessions. Kruskal-Wallis analysis showed significant difference between subtypes for passive movements and transfers (p < 0.05) and standing balance, walking and stairs (p < 0.01). Similarly, significant differences between subtypes were seen in personal activities of daily living and the assessment or treatment of mood/cognitive problems (p < 0.05).
Conclusions. The results show differences in the content of occupational and physiotherapy sessions across clinical stroke subtypes. Findings from this study could be used to help workforce planning and inform future studies with a larger sample.
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Published date: September 2009
Keywords:
stroke subtype, rehabilitation, physiotherapy, occupational therapy
Identifiers
Local EPrints ID: 66918
URI: http://eprints.soton.ac.uk/id/eprint/66918
ISSN: 0963-8288
PURE UUID: a20d14bc-3041-4ec5-9ad6-1daacc1bc0b3
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Date deposited: 26 Aug 2009
Last modified: 14 Mar 2024 02:47
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Author:
Jennifer Lemon
Author:
Ann Ashburn
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