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

Centre for Rehabilitation and Human Performance Research, University of Salford, Salford, s.tyson{at}salford.ac.uk

Louise Connell

Division of Physiotherapy Education, University of Nottingham

Monica Busse

Department of Physiotherapy, Cardiff University

Sheila Lennon

Center for Rehabilitation Research, University of Ulster, UK

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.

This version was published on November 1, 2009

Clinical Rehabilitation, Vol. 23, No. 11, 1051-1055 (2009)
DOI: 10.1177/0269215509334837


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