Document Detail


Stroke rehabilitation in Europe: what do physiotherapists and occupational therapists actually do?
MedLine Citation:
PMID:  16645135     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND AND PURPOSE: Physiotherapy (PT) and occupational therapy (OT) are key components of stroke rehabilitation. Little is known about their content. This study aimed to define and compare the content of PT and OT for stroke patients between 4 European rehabilitation centers. METHODS: In each center, 15 individual PT and 15 OT sessions of patients fitting predetermined criteria were videotaped. The content was recorded using a list comprising 12 therapeutic categories. A generalized estimating equation model was fitted to the relative frequency of each category resulting in odds ratios. RESULTS: Comparison of PT and OT between centers revealed significant differences for only 2 of the 12 categories: ambulatory exercises and selective movements. Comparison of the 2 therapeutic disciplines on the pooled data of the 4 centers revealed that ambulatory exercises, transfers, exercises, and balance in standing and lying occurred significantly more often in PT sessions. Activities of daily living, domestic activities, leisure activities, and sensory, perceptual training, and cognition occurred significantly more often in OT sessions. CONCLUSIONS: This study revealed that the content of each therapeutic discipline was consistent between the 4 centers. PT and OT proved to be distinct professions with clear demarcation of roles.
Authors:
Liesbet De Wit; Koen Putman; Nadina Lincoln; Ilse Baert; Peter Berman; Hilde Beyens; Kris Bogaerts; Nadine Brinkmann; Louise Connell; Eddy Dejaeger; Willy De Weerdt; Walter Jenni; Emmanuel Lesaffre; Mark Leys; Fred Louckx; Birgit Schuback; Wilfried Schupp; Bozena Smith; Hilde Feys
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Publication Detail:
Type:  Comparative Study; Journal Article; Meta-Analysis; Research Support, Non-U.S. Gov't     Date:  2006-04-27
Journal Detail:
Title:  Stroke; a journal of cerebral circulation     Volume:  37     ISSN:  1524-4628     ISO Abbreviation:  Stroke     Publication Date:  2006 Jun 
Date Detail:
Created Date:  2006-05-29     Completed Date:  2006-06-21     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0235266     Medline TA:  Stroke     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1483-9     Citation Subset:  IM    
Affiliation:
Department of Rehabilitation Sciences, Faculty of Kinesiology and Rehabilitation Sciences, Katholieke Universiteit Leuven, Belgium. Liesbet.Dewit@faber.kuleuven.be
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MeSH Terms
Descriptor/Qualifier:
Aged
Europe
Female
Humans
Inpatients
Male
Middle Aged
Movement Disorders / etiology,  physiopathology
Occupational Therapy / methods*
Physical Therapy Modalities*
Severity of Illness Index
Stroke / complications,  psychology,  rehabilitation*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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