Rehabilitation content and clinical stroke subtype: a small observational study

Lemon, Jennifer; Ashburn, Ann; Hyndman, D.

doi:10.1080/09638280802639632

Cited by 5 publications

(7 citation statements)

References 18 publications

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“…Seventeen of these studies were excluded, eight of which did not provide sufficient information about the type of activity [14–21], five reported data already reported in another included publication [1, 22–25], two reported the frequency of different types of activities but not the total amount of time [26, 27], one study was a retrospective study [28], and one study included both stroke and other neurological diagnoses in the same data set [29]. …”

Section: Resultsmentioning

confidence: 99%

Physical Activity in Hospitalised Stroke Patients

West

Bernhardt

2012

Stroke Research and Treatment

153

138

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The aim of this paper was to examine the amount and type of physical activity engaged in by people hospitalised after stroke. Method. We systematically reviewed the literature for observational studies describing the physical activity of stroke patients. Results. Behavioural mapping, video recording and therapist report are used to monitor activity levels in hospitalised stroke patients in the 24 included studies. Most of the patient day is spent inactive (median 48.1%, IQR 39.6%–69.3%), alone (median 53.7%, IQR 44.2%–60.6%) and in their bedroom (median 56.5%, IQR 45.2%–72.5%). Approximately one hour per day is spent in physiotherapy (median 63.2 minutes, IQR 36.0–79.5) and occupational therapy (median 57.0 minutes, IQR 25.1–58.5). Even in formal therapy sessions limited time is spent in moderate to high level physical activity. Low levels of physical activity appear more common in patients within 14 days post-stroke and those admitted to conventional care. Conclusions. Physical activity levels are low in hospitalised stroke patients. Improving the description and classification of post stroke physical activity would enhance our ability to pool data across observational studies. The importance of increasing activity levels and the effectiveness of interventions to increase physical activity after stroke need to be tested further.

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Section: Resultsmentioning

confidence: 99%

Physical Activity in Hospitalised Stroke Patients

West

Bernhardt

2012

Stroke Research and Treatment

153

138

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“…Only outpatients were included in this study, so the results might have been influenced by the fact that subjects had suffered a lower degree of stroke/MI; most patients with more serious ischemic events are treated in hospitals and/or need to be admitted subsequently to a nursing home. Moreover, the severity of the ischemic event is known to affect rehabilitation interventions (Lemon et al, 2009).…”

Section: Limitationsmentioning

confidence: 99%

“…Consequently, their prognosis is considerably worse in terms of hospitalization duration, recovery, independence, and mortality when compared to other ischemic subtypes (Lemon, Ashburn, & Hyndman, 2009;Pittock et al, 2003).…”

Section: Introductionmentioning

confidence: 99%

“…Several studies have confirmed the benefits of occupational therapy as part of the interdisciplinary management of stroke and MI survivors (Lemon et al, 2009;Ngo, Latham, Jette, Soukup, & Iezzoni, 2009;Pasquali, Alexander, & Peterson, 2001;Pasquali, Alexander, Coombs, Lytle, & Peterson, 2003;Steib & Schupp, 2012;Wolf, Baum, & Conner, 2009). it also may include career education (Lemon et al, 2009). Despite these proven positive effects of occupational therapy, little is known regarding referral practice patterns in patients with impairments after stroke or MI.…”

Section: Introductionmentioning

confidence: 99%

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Occupational Therapy After Myocardial or Cerebrovascular Infarction: Which Factors Influence Referrals?

Drosselmeyer¹,

Jockwig²,

Kostev³

et al. 2014

The Open Journal of Occupational Therapy

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Background: Cardiovascular diseases remain the number one cause of death worldwide, and many survivors suffer lasting disabilities. Occupational therapy can help such patients regain as much function as possible. However, little is known about the factors influencing referrals to occupational therapy after stroke or myocardial infarction (MI). Method: Data from the IMS Disease Analyzer ® database were observed for a three-year period. The study population included 7,440 patients who were examined by a cardiologist due to stroke or MI. In addition to baseline characteristics, the presence of certain cardiovascular risk factors or comorbidities was recorded. Cox regression analyses were performed and the Charlson Comorbidity Index (CCI) was utilized. Results: Occupational therapy was received by 1,779 patients; 88.5% had suffered an MI and 11.5% a stroke. In the group without referral (n = 5,661), 60.7% had experienced an MI and 39.3% a stroke. No significant gender-related differences were observed. Younger age, an MI diagnosis, and the presence of hypertension positively influenced referral rate and time, while risk factors, such as adiposity, delayed therapy. The CCI was higher in the group with occupational therapy. Conclusion: The chance of being offered occupational therapy increased with younger age, history of MI, and the presence of hypertension. Future studies should also consider severity of ischemic lesion to account for the degree of remaining impairment.

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“…During poststroke rehabilitation, PTs have shown to primarily focus on mobility activities such as transfers (Askim et al, 2012) and gait (Wit et al, 2006;Lemon, Ashburn, & Hyndman, 2009;DeJong et al, 2011), while OTs primarily focus on activities of daily living, domestic training (Wit et al, 2006), and social or leisure activities (Ballinger et al, 1999). These results suggest that there is a clear difference in roles between PTs and OTs (Wit et al, 2006).…”

Section: Introductionmentioning

confidence: 99%