What do acute stroke physiotherapists do to treat postural control and mobility? An exploration of the content of therapy in the UK

Clin Rehabil. 2009 Nov;23(11):1051-5. doi: 10.1177/0269215509334837. Epub 2009 Sep 28.

Abstract

Objective: To investigate the content of acute stroke physiotherapy to treat postural control and mobility problems.

Design: Stroke physiotherapists recorded the interventions used to treat postural control and mobility during treatment sessions. They recorded five sessions for at least five patients each. Descriptive statistics assessed the frequency with which the interventions were used.

Setting: Hospital-based acute stroke care.

Subjects: Thirty-six acute stroke physiotherapists recorded 2374 interventions in 364 treatment sessions for 76 patients.

Main measures: The Stroke Physiotherapy Intervention Recording Tool.

Results: Facilitation techniques were the most frequently used interventions (n = 1258, 53%) with exercise (n = 115, 5%), teaching others how to help the patient (n = 99, 4%) and provision of equipment (n = 63, 3%) the least frequently used.

Conclusions: Acute stroke physiotherapists primarily use therapist-led 'hands-on' interventions to treat postural control and mobility problems. Interventions to promote activity or practice outside the treatment session are infrequently used.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Data Collection
  • Early Ambulation / methods*
  • Guideline Adherence
  • Humans
  • Inpatients
  • Middle Aged
  • Mobility Limitation
  • Physical Therapy Modalities*
  • Postural Balance
  • Stroke / complications
  • Stroke Rehabilitation*
  • United Kingdom