This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Newall, J. T Articles by Tinson, D. J Search for Related Content PubMed PubMed Citation Articles by Newall, J. T Articles by Tinson, D. J Social Bookmarking                         What's this?

Development of a neurological rehabilitation environment: an observational study

Stroke Research Unit, Frenchay Hospital, Bristol

Victorine A Wood

Stroke Research Unit, Frenchay Hospital, Bristol

Richard Langton Hewer

Stroke Research Unit, Frenchay Hospital, Bristol

Deborah J Tinson

Department of Health Psychology, Astley Ainslie Hospital, Edinburgh

Background: Engagement in therapeutic activity among stroke inpatients is advocated by many rehabilitation professionals. However, there is a lack of published evidence to indicate whether this is currently being achieved.

Objective: To investigate the extent and types of 'rehabilitation' activities on a new neurological rehabilitation ward, and examine change in patients' behaviour related to the new environment and new initiatives.

Design: Five one-week observation periods were conducted over two years, with a total of 67 patients being observed. A comparison was made with results of an earlier study of stroke patients' activities conducted at the same hospital.

Results: Patients spent an average 43 min per day with therapists (9% of the working day) and this was only marginally supplemented by self-exercise (2% of the working day - approximately 10 min). However, the provision of a new rehabilitation environment was associated with a marked decrease in the time patients spent at their bedsides, and a decrease in time spent passively gazing or watching others.

Conclusions: Overall there was some positive change in patients' behaviour. We suggest that structured guidance is required from the whole multidisciplinary team to stimulate more self-directed therapy practice and recreation.

Clinical Rehabilitation, Vol. 11, No. 2, 146-155 (1997)
DOI: 10.1177/026921559701100208


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?

This article has been cited by other articles:

				L. De Wit, K. Putman, E. Dejaeger, I. Baert, P. Berman, K. Bogaerts, N. Brinkmann, L. Connell, H. Feys, W. Jenni, et al. Use of Time by Stroke Patients: A Comparison of Four European Rehabilitation Centers Stroke, September 1, 2005; 36(9): 1977 - 1983. [Abstract] [Full Text] [PDF]

				A. J Turton and E. Britton A pilot randomized controlled trial of a daily muscle stretch regime to prevent contractures in the arm after stroke Clinical Rehabilitation, June 1, 2005; 19(6): 600 - 612. [Abstract] [PDF]

				L. W. Holmqvist and L. von Koch Environmental factors in stroke rehabilitation BMJ, June 23, 2001; 322(7301): 1501 - 1502. [Full Text] [PDF]

				L. von Koch, L. W. Holmqvist, A. W. Wottrich, K. Tham, and J. de Pedro-Cuesta Rehabilitation at home after stroke: a descriptive study of an individualized intervention Clinical Rehabilitation, June 1, 2000; 14(6): 574 - 583. [Abstract] [PDF]

				C Ballinger, A Ashburn, J Low, and P Roderick Unpacking the black box of therapy - a pilot study to describe occupational therapy and physiotherapy interventions for people with stroke Clinical Rehabilitation, April 1, 1999; 13(4): 301 - 309. [Abstract] [PDF]

				R H Parry, N B Lincoln, and C D Vass Effect of severity of arm impairment on response to additional physiotherapy early after stroke Clinical Rehabilitation, March 1, 1999; 13(3): 187 - 198. [Abstract] [PDF]