Intensive rehabilitation programme for patients with subacute stroke in an inpatient rehabilitation facility

Rehabilitation is recognised as a cornerstone of multidisciplinary stroke care. Intensity of therapy is related to functional recovery although there is high variability on the amount of time and techniques applied in therapy sessions. There is a need to better describe stroke rehabilitation protoco...

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Detalles Bibliográficos
Autores: Messaggi Sartor, Monique|||0000-0002-2807-3266, Grau-Sánchez, Jennifer|||0000-0002-8123-1745, Guillén-Solà, Anna|||0000-0001-8442-8968, Boza, Roser, Puig, Josep|||0000-0003-2791-6599, Stinear, Cathy, Morgado-Perez, Andrea, Duarte Oller, Esther|||0000-0002-4058-1802
Tipo de recurso: artículo
Fecha de publicación:2021
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:304682
Acceso en línea:https://ddd.uab.cat/record/304682
https://dx.doi.org/urn:doi:10.1136/bmjopen-2020-046346
Access Level:acceso abierto
Palabra clave:Stroke
Rehabilitation medicine
Stroke medicine
Descripción
Sumario:Rehabilitation is recognised as a cornerstone of multidisciplinary stroke care. Intensity of therapy is related to functional recovery although there is high variability on the amount of time and techniques applied in therapy sessions. There is a need to better describe stroke rehabilitation protocols to develop a better understanding of current practice increasing the internal validity and generalisation of clinical trial results. The aim of this study is to describe an intensive rehabilitation programme for patients with stroke in an inpatient rehabilitation facility, measuring the amount and type of therapies (physical, occupational and speech therapy) provided and reporting functional outcomes. This will be a prospective observational cohort study of patients with subacute stroke admitted to our inpatient rehabilitation facility during 2 years. A therapy recording tool was developed in order to describe the rehabilitation interventions performed in our unit. This tool was designed using the Delphi method, literature search and collaboration with senior clinicians. Therapists will record the time spent on different activities available in our unit during specific therapy sessions. Afterwards, the total time spent in each activity, and the total rehabilitation time for all activities, will be averaged for all patients. Outcome variables were divided into three different domains: body structure and function outcomes, activity outcomes and participation outcomes and will be assessed at baseline (admission at the rehabilitation unit), at discharge from the rehabilitation unit and at 3 and 6 months after stroke. This study was approved by the Medical Research Committee at Hospital del Mar Research Institute (Project ID: 34/C/2017). The results of this study will be presented at national and international congress and submitted for publication in peer-reviewed journals.