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 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 Young, J. B Articles by Forster, A. Search for Related Content PubMed Articles by Young, J. B Articles by Forster, A. Social Bookmarking                         What's this?

The Bradford community stroke trial: eight week results

Department of Health Care for the Elderly, St Luke's Hospital, Bradford

Anne Forster

Department of Health Care for the Elderly, St Luke's Hospital, Bradford

To evaluate two commonly practised methods of stroke aftercare we have conducted a randomized comparison trial of day hospital (DH) and home physiotherapy (HPT). Patients over 60 years discharged from hospital following a new stroke event were eligible. One hundred and twenty-four patients were recruited, stratified by disability measured on the Barthel Index and by length of time since stroke onset, then randomized to attend a DH twice weekly or to receive HPT. Outcome measurements included the Barthel Index, Motor Club Assessment, Frenchay Activities Index, Nottingham Health Profile and the General Health Questionnaire.

One hundred and seven patients completed an eight week course of treatment. Both the DH and the HPT treated patients showed a significant but small further improvement in functional abilities with the HPT patients being significantly more able on stairs. Social function of both groups was poor but the HPT treated patients were significantly less so. More than a third of patients in each treatment group were depressed and more than a quarter of the carers were 'stressed'. The HPT patients received significantly less physiotherapy and virtually no occupational therapy compared to the DH group.

The findings suggest that HPT is slightly more effective for stroke aftercare than DH attendance and is considerably more resource efficient.

Clinical Rehabilitation, Vol. 5, No. 4, 283-292 (1991)
DOI: 10.1177/026921559100500404


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

This article has been cited by other articles:

				S. M. A. A. Evers, A. J. H. A. Ament, and G. Blaauw Economic Evaluation in Stroke Research : A Systematic Review Stroke, May 1, 2000; 31(5): 1046 - 1053. [Abstract] [Full Text] [PDF]

				S. O'Rourke, S. MacHale, D. Signorini, and M. Dennis Detecting Psychiatric Morbidity After Stroke : Comparison of the GHQ and the HAD Scale Stroke, May 1, 1998; 29(5): 980 - 985. [Abstract] [Full Text] [PDF]

				P. Clarke, H. Collins, and J. Gladman Occupational therapy for stroke patients at home Clinical Rehabilitation, May 1, 1995; 9(2): 91 - 96. [Abstract] [PDF]

				A. Ashburn, C. Partridge, and L. De Souza Review article : Physiotherapy in the rehabilitation of stroke: a review Clinical Rehabilitation, November 1, 1993; 7(4): 337 - 345. [PDF]

				Designated sessions (22-107) Clinical Rehabilitation, January 1, 1992; 6(1_suppl): 17 - 59. [PDF]