Affiliation:
1. From the International Centre for Allied Health Evidence, University of South Australia, Adelaide, Australia (C.E., S.H.); and Stroke Division, Florey Institute of Neuroscience and Mental Health, Melbourne, Australia (C.E., J.B.).
Abstract
Background and Purpose—
The optimum model of physiotherapy service delivery for maximizing active task practice during rehabilitation after stroke is unknown. The purpose of the study was to examine the relative effectiveness of 2 alternative models of physiotherapy service delivery against a usual care control with regard to increasing patient activity.
Methods—
Substudy within a large 3-armed randomized controlled trial, which compared 3 different models of physiotherapy service delivery, was provided for 4 weeks during subacute, inpatient rehabilitation (n=283). The duration of all physiotherapy sessions was recorded. In addition, 32 participants were observed at 10-minute intervals for 1 weekday and 1 weekend day between 8:00
am
and 4:30
pm
. At each observation, we recorded physical activity, location, and people present.
Results—
Participants receiving 7-day-week and circuit class therapy received an additional 3 hours and 22 hours of physiotherapy time, respectively, when compared with usual care. Participants were standing or walking for a median of 8.2% of observations. On weekdays, circuit class therapy participants spent more time in therapy-related activity (10.2% of observations) when compared with usual care participants (6.1% of observations). On weekends, 7-day therapy participants spent more time in therapy-related activity (4.2% of observations) when compared with both usual care and circuit class therapy participants (0% of observations for both groups). Activity levels outside of therapy sessions did not differ between groups.
Conclusions—
A greater dosage of physiotherapy time did not translate into meaningful increases in physical activity across the day.
Clinical Trial Registration—
URL:
http://www.anzctr.org.au/
. Unique identifier: ACTRN12610000096055.
Publisher
Ovid Technologies (Wolters Kluwer Health)
Subject
Advanced and Specialised Nursing,Cardiology and Cardiovascular Medicine,Clinical Neurology
Reference21 articles.
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3. How physically active are people with stroke in physiotherapy sessions aimed at improving motor function? A systematic review.;Kaur G;Stroke Res Treat,2012
4. Physical activity in hospitalised stroke patients.;West T;Stroke Res Treat,2012
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