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A clinical model for the assessment of posture and balance in people with stroke

Tyson, S and Desouza, LH 2003, 'A clinical model for the assessment of posture and balance in people with stroke' , Disability and Rehabilitation, 25 (3) , pp. 120-126.

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Abstract

Purpose: The lack of models to define and describe rehabilita- tion processes have often been identified as limiting research and the development of clinical practice. This study describes the development of a clinical model to address a key aspect of stroke physiotherapyÐthe assessment of posture and balance. Method: Twenty seven experienced neurological physiothera- pists (PT) in six focus groups were used. Participants were shown photographs of a typical stroke patient in sitting and standing positions and were asked `What would you note if you were assessing the posture and balance of this patient?' Answers were displayed on flip charts to allow immediate feedback about the accuracy and completeness of data. Thematic content analysis was then used. Results: A complex reasoning process emerged to answer three main questions: What can the patient do? How does s/he do it? Why does s/he do it that way? To answer these questions physiotherapists established balance disability (by observing the patient's ability to perform a series of increasingly demanding balance tasks), identified postural and movement impairments (by observing alignment and movement of body segments relative to each other and to the expected norm for that patient) and assessed muscle activity (by observation and palpation). Conclusions: Focus groups have been used to elicit a clinical model for the assessment of posture and balance, the content of which will be used to inform a new outcome measure.

Item Type: Article
Themes: Subjects / Themes > R Medicine > R Medicine (General)
Health and Wellbeing
Schools: Colleges and Schools > College of Health & Social Care > School of Health Sciences > Centre for Health Sciences Research
Colleges and Schools > College of Health & Social Care
Colleges and Schools > College of Health & Social Care > School of Health Sciences
Journal or Publication Title: Disability and Rehabilitation
Publisher: Taylor & Francis
Refereed: Yes
ISSN: 0963-8288
Depositing User: Users 29196 not found.
Date Deposited: 23 Mar 2010 11:20
Last Modified: 20 Aug 2013 17:13
URI: http://usir.salford.ac.uk/id/eprint/4884

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