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A content analysis of physiotherapy for postural control in people with stroke: An observational study

Tyson, S and Selley, A 2006, 'A content analysis of physiotherapy for postural control in people with stroke: An observational study' , Disability and Rehabilitation, 28 (13-14) , pp. 865-872.

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Abstract

Purpose. The lack of information about the content of therapy packages is a frequent criticism in stroke rehabilitation research. This study aimed to describe, in detail, the content of one aspect of physiotherapy; the rehabilitation of postural control. Methods. The design was a cross-sectional survey and the setting was in 11 NHS Trusts. The participants were 35 stroke physiotherapists working in acute and rehabilitation settings who recorded the treatment of 132 patients in 644 treatment sessions using the Stroke Physiotherapy Intervention Recording Tool. Analysis was carried out by descriptive statistics, one-way ANOVAS and chi-squares which were used to describe content of interventions and effects of the aim of treatment. Results and conclusions. Physiotherapists’ clinical practice focused on therapist-led interventions, which aimed to normalize muscle tone and promote normal movement patterns. The most frequent interventions were ‘preparation for treatment’ (n¼1969, 43%), ‘practising balance and walking activities’ (n¼1583, 34%) and ‘practising functional tasks’ (n¼703, 15%). Interventions to encourage independence or activity outside the treatment session were rarely used. This pattern was seen regardless of the aim of treatment (the restoration of sitting balance, standing balance or stepping/walking).

Item Type: Article
Uncontrolled Keywords: Stroke rehabilitation, physiotherapy, postural control, mobility, balance, Bobath
Themes: Subjects / Themes > R Medicine > R Medicine (General)
Subjects / Themes > R Medicine > RC Internal medicine > RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry
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 14:28
Last Modified: 20 Aug 2013 17:13
URI: http://usir.salford.ac.uk/id/eprint/4893

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