Positioning for stroke patients: a survey of physiotherapists' aims and practices

Chatterton, Hilary; Pomeroy, Valerie M.; Gratton, J

doi:10.1080/09638280010008825

Cited by 23 publications

(6 citation statements)

References 21 publications

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“…Los videos educativos presentaron actividades relacionadas al posicionamiento, movilizaciones y transferencias para un buen manejo de pacientes en fase subaguda del ACV. Los guiones de los videos se desarrollaron en base a literatura especializada (8,9,21,22) y al asesoramiento de siete expertos: cuatro tecnólogos médicos en terapia física y rehabilitación, un geriatra, un neurólogo y un comunicador. Se grabaron los guiones y posteriormente los videos, cuyo elenco consistió en dos personajes: el investigador del estudio que actuaba como cuidador y un actor profesional como paciente.…”

Section: Videos Educativosunclassified

“…El posicionamiento, las movilizaciones y transferencias correctas protegen las articulaciones, proporcionan comodidad y previenen complicaciones como problemas respiratorios, úlceras de decúbito, dolor, contracturas, acortamientos e inflamación. Asimismo, promueven la recuperación y maximizan la función del paciente a través de la modulación del tono, información sensorial adecuada, mayor percepción espacial, estabilización de segmentos corporales y activación neuromuscular (8,9) . En América Latina, la mayoría de los pacientes tienen varias limitaciones para acceder a los servicios de salud (10) .…”

Section: Mensajes Clave Introducciónunclassified

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Videos para mejorar las habilidades prácticas y conocimientos de cuidadores de pacientes con accidente cerebrovascular

Sánchez-Huamash

Cárcamo-Cavagnaro

2021

Rev Peru Med Exp Salud Publica

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Objetivo: Evaluar el efecto de videos educativos para mejorar las habilidades prácticas y conocimientos de los cuidadores informales de pacientes con accidente cerebrovascular. Materiales y métodos: Estudio pretest/postest. Los participantes fueron diez cuidadores de 18 a 65 años y de ambos sexos de pacientes en fase subaguda del accidente cerebrovascular. Se desarrollaron ocho videos educativos relacionados aposicionamientos, movilizaciones y transferencias, que se implementaron en la casa de los cuidadores y/o pacientes a lo largo de tres días (en el primer día, tres videos; segundo día, tres videos; y tercer día, dos videos). Cada video fue visualizado en una tableta por 30 minutos. Las habilidades prácticas y conocimientos se evaluaron antes y después de cada video, y finalmente, la satisfacción de los cuidadores. Se usaron tres instrumentos, una lista de chequeo para evaluar las habilidades prácticas, un cuestionario para evaluar los conocimientos y otro para la satisfacción. Resultados: El puntaje de las habilidades prácticas incrementó de 21,6 a 56,1 puntos (p0,001) y los conocimientos de 11,6 a 21,6 puntos (p0,001). Además, 7/10 de los cuidadores estaban muy satisfechos con los videos, 7/10 consideró fácil las palabras, 7/10 consideró fácil poner en práctica las indicaciones, 9/10 definitivamente recomendaría los videos y todos los consideraban útiles. Conclusión: Los videos educativos mejoran las habilidades prácticas y conocimientos de los cuidadores informales de pacientes con accidente cerebrovascular. Los videos educativos desarrollados podrían usarse para capacitar a los cuidadores sobre el manejo de estos pacientes.

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Section: Videos Educativosunclassified

Section: Mensajes Clave Introducciónunclassified

Videos para mejorar las habilidades prácticas y conocimientos de cuidadores de pacientes con accidente cerebrovascular

Sánchez-Huamash

Cárcamo-Cavagnaro

2021

Rev Peru Med Exp Salud Publica

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“…Stroke patients, particularly those with hemiparesis, are at increased risk of developing complications such as pressure injuries and contractures. Correct positioning after a stroke is an essential component of rehabilitation therapy, as it can help to prevent these complications [22]. Correct positioning can also promote optimal recovery by modulating the muscle tone, ensure stability and enhance comfort [22].…”

Section: Discussionmentioning

confidence: 99%

“…Correct positioning after a stroke is an essential component of rehabilitation therapy, as it can help to prevent these complications [22]. Correct positioning can also promote optimal recovery by modulating the muscle tone, ensure stability and enhance comfort [22]. Unfortunately, with the large amount of information related to the stroke itself, caregivers might not have been educated regarding the importance of proper positioning methods.…”

Section: Discussionmentioning

confidence: 99%

Caregiving Self-efficacy and Knowledge Regarding Patient Positioning Among Malaysian Caregivers of Stroke Patients

Tan¹,

Hi²,

Azmi³

et al. 2020

Cureus

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Background Most family caregivers of stroke patients in Malaysia do not receive adequate prior preparation or training. This study aimed to determine levels of patient positioning knowledge and caregiving self-efficacy among caregivers of stroke patients. Methods This cross-sectional study was conducted at an urban teaching hospital involving 128 caregivers of stroke patients. The caregivers were conveniently sampled and completed the data collection forms, which comprised their socio-demographic data, patients' functional status, the Caregiving Knowledge For Stroke Questionnaire: Patient Positioning (CKQ-My© Patient Positioning) to measure caregiver's knowledge on patient positioning, and the Family Caregiver Activation Tool (FCAT©) to measure caregivers' self-efficacy in managing the patient. Descriptive and multivariate inferential statistics were used for data analysis. Results Among the caregivers sampled, 87.3% had poor knowledge of positioning (mean score 14.9 ± 4.32). The mean score for FCAT was 49.7 ± 6.0 from a scale of 10 to 60. There was no significant association between knowledge on positioning and self-efficacy. Multiple linear regression showed that caregivers' age (B = 0.146, p = 0.003) and caregiver training (B = 3.302, p = 0.007) were independently associated with caregivers' self-efficacy. Conclusion Caregivers' knowledge on the positioning of stroke patients was poor, despite a fairly good level of self-efficacy. Older caregivers and receiving caregiver training were independently associated with better caregiver self-efficacy. This supports the provision of caregiver training to improve caregiver self-efficacy.

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“…A systematic review into rehabilitation interventions following severe stroke did not identify any trials that considered positioning interventions (McGlinchey et al, 2020). The clinical aims of positioning have been more widely documented and include the modulation of muscle tone, supporting body segments, improving sensory feedback, optimising respiratory and swallow function, providing comfort, optimising physical recovery and preventing secondary complications (Chatterton et al, 2001;Intercollegiate Stroke Working Party, 2016;McGlinchey et al, 2021).…”

Section: Introductionmentioning

confidence: 99%

Evaluating the current practice of therapeutic positioning in neurological rehabilitation: a qualitative interview study

Gooch,

Jones,

Stockley

2023

International Journal of Therapy and Rehabilitation

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Background/Aims Therapeutic positioning is believed to enable the achievement of a good postural alignment, optimise rehabilitation and prevent the complications of immobility. It is considered important in the management of people with physical neurological impairments, but achieving a favourable position in a bed can be challenging. There is little evidence to inform present practice. Therefore, this study explored staff views and experiences of bed positioning practice on a regional neurological rehabilitation unit. Methods Face-to-face, semi-structured interviews were completed with a purposive sample of nurses, physiotherapists and occupational therapists working on a neurological rehabilitation unit. The interviews were audio recorded, transcribed and analysed using inductive thematic analysis. Results A total of 12 participants completed an interview and six themes were identified relating to positioning practice. An interaction of four of these themes (patient needs, staff role, communication and knowledge) influenced a fifth theme of staff experiences. The sixth theme of practical positioning resources identified a pattern of resource use within current practice. Conclusions Positioning was recognised as integral to rehabilitation, and staff experiences were influenced by the interaction of a range of factors. The participants’ views and experiences around practical positioning resources provide a valuable new insight into positioning practice. Further research is needed to evaluate these resources.

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Positioning for stroke patients: a survey of physiotherapists' aims and practices

Cited by 23 publications

References 21 publications

Videos para mejorar las habilidades prácticas y conocimientos de cuidadores de pacientes con accidente cerebrovascular

Videos para mejorar las habilidades prácticas y conocimientos de cuidadores de pacientes con accidente cerebrovascular

Caregiving Self-efficacy and Knowledge Regarding Patient Positioning Among Malaysian Caregivers of Stroke Patients

Evaluating the current practice of therapeutic positioning in neurological rehabilitation: a qualitative interview study

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