Back to Search
Start Over
Current therapy for the upper limb after stroke: a cross-sectional survey of UK therapists
- Source :
- BMJ Open
- Publication Year :
- 2019
-
Abstract
- ObjectivesTo survey the reported content, frequency and duration of upper limb treatment provided by occupational and physiotherapists for people after stroke in the UK.DesignA cross-sectional online survey was used. Description and analysis of the data were based on items from the Template for Intervention Description and Replication (Who, Where, What and How much).SettingThe online survey was distributed via professional and social networks to UK-based therapists.ParticipantsRespondents were occupational or physiotherapists currently working clinically in the UK with people after stroke. Over the 6 week data collection period, 156 respondents opened the survey, and 154 completed it. Respondents comprised 85 physiotherapists and 69 occupational therapists.ResultsRespondents reported treating the upper limb a median of three times a week (range: 1 to 7) for a mean of 29 min (SD: 18). Most (n=110) stated this was supplemented by rehabilitation assistants, family and/or carers providing additional therapy a median of three times a week (range 1 to 7). Functional training was the most commonly reported treatment for people with mild and moderate upper limb deficits (>40%). There was much less consistency in treatments reported for people with severe upper limb deficits with less than 20% (n=28) reporting the same treatments.ConclusionsThis study provides a contemporaneous description of reported therapy in the UK for people with upper limb deficits after stroke and a detailed template to inform standard therapy interventions in future research. Several evidence-based therapies were reported to be used by respondents (eg, constraint induced movement therapy), but others were not (eg, mental imagery). The findings also highlight that the current reported provision of upper limb therapy is markedly less than what is likely to be effective. This underlines an urgent need to configure and fund services to empower therapists to deliver greater amounts of evidence-based treatment for people with upper limb deficits after stroke.
- Subjects :
- 030506 rehabilitation
medicine.medical_specialty
Functional training
B160
Cross-sectional study
medicine.medical_treatment
Psychological intervention
B700
Rehabilitation Medicine
rehabilitation
03 medical and health sciences
0302 clinical medicine
Occupational Therapy
Intervention (counseling)
Surveys and Questionnaires
medicine
Humans
survey
Upper limb
Stroke
Physical Therapy Modalities
Original Research
therapy
Rehabilitation
business.industry
B990
Stroke Rehabilitation
General Medicine
medicine.disease
B930
stroke
United Kingdom
Constraint-induced movement therapy
medicine.anatomical_structure
Cross-Sectional Studies
Physical therapy
Arm
0305 other medical science
business
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 20446055
- Volume :
- 9
- Issue :
- 9
- Database :
- OpenAIRE
- Journal :
- BMJ open
- Accession number :
- edsair.doi.dedup.....293b79f4412b16d42408a47bdf4d7d25