Content of conventional therapy for the severely affected arm during subacute rehabilitation after stroke: an analysis of physiotherapy and occupational therapy practice

Lex D. de Jong*, Frederike van Wijck, Roy E. Stewart, Alexander C.H. Geurts, Pieter U. Dijkstra

*Corresponding author for this work

Research output: Contribution to journalArticle

Abstract

Background and Purpose
Physiotherapy (PT) and occupational therapy (OT) are key professions providing treatment for the arm after stroke; however, knowledge about the content of these treatments is scant. Detailed data are needed to replicate interventions, evaluate their effective components, and evaluate PT and OT practice. This paper describes PT and OT treatment for the severely affected arm in terms of duration, content according to components and categories of the International Classification of Human Functioning, Disability and Health, and to analyze differences between professions.

Methods
Design: This is a retrospective analysis of randomized trial data. Participants: 46 patients after stroke with poor arm motor control recruited from inpatient neurological units from three rehabilitation centers in the Netherlands. Procedure: PTs and OTs recorded duration and content of arm treatment interventions for 8 weeks using a bespoke treatment schedule with 15 International Classification of Human Functioning, Disability and Health categories.

Results
PTs and OTs spent on average 4–7 min per treatment session (30 min) on arm treatment. OTs spent significantly more time providing arm treatment and treatment at the activities level than PTs. PTs spent 79% of their arm treatment time on body functions, OTs 41%. OTs spent significantly more time on “moving around using transportation,” “self care,” and “household tasks” categories.

Conclusions
Patients after stroke with a severely affected arm and an unfavorable prognosis for arm motor recovery receive little arm‐oriented PT and OT. Therapists spent most arm treatment time on body functions. There was a considerable overlap in the content of PT and OT in 12 of the 15 categories. Results can be generalized only to patients with poor arm motor control and may not represent practice in other countries.
Original languageEnglish
Article numbere1683
Number of pages8
JournalPhysiotherapy Research International
Volume23
Issue number1
Early online date17 Jan 2017
DOIs
Publication statusPublished - 12 Jan 2018

Keywords

  • adult
  • aged
  • arm/physiopathology
  • female
  • humans
  • male
  • middle aged
  • Netherlands
  • occupational therapy/methods
  • physical therapy modalities
  • retrospective studies
  • stroke rehabilitation/methods
  • International Classification of Functioning
  • disability and health
  • stroke
  • upper extremity

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