I wish these people would think before they set up research. You need to go to the reason therapy works first and that would be the amount of dead brain damage vs. penumbra damage. If its mostly penumbra damage then of course therapy will work. Dead brain damage will likely not be recovered during inpatient therapy. It takes a long time to move functionality to another location.
http://informahealthcare.com/doi/abs/10.3109/09638288.2012.676145
Purpose: Canada’s Best Practice
Recommendations for Stroke Care state that a minimum of one hour per day
of each of the relevant core therapies be provided to patients admitted
for inpatient rehabilitation. We examined whether this standard was met
on a single, specialized stroke rehabilitation unit and if amount of
therapy was an independent contributor to functional improvement. Methods:
One-hundred and twenty-three, consecutive patients admitted to a 30-bed
stroke rehabilitation program over a 6-month period with the confirmed
diagnosis of stroke, were included. Workload measurement data were used
to estimate the amount of therapy that patients received from core
therapists during their inpatient stay. A multivariable model to predict
Functional Independence Measure (FIM) gains achieved was also developed
using variables that were significantly correlated with functional gain
on univariate analysis. Results: On average, patients received
37 min of active therapy from both physiotherapists (PT) and
occupational therapists (OT) and 13 min from speech-language
pathologists per day. Admission FIM, length of stay, total OT and PT
therapy time (hrs) were significantly correlated with FIM gain. In the
final model, which explained 35% of the variance, admission FIM score
and total amount of occupational therapy (OT) emerged as significant
predictors of FIM gain. Conclusions: Patients admitted to a
specialized rehabilitation unit received an average of 37 min a day
engaged in therapeutic activities with both occupational and physical
therapists. Although this value did not reach the standard of one hour,
total amount of OT time contributed significantly to gains in FIM points
during hospital stay.
Implications for Rehabilitation
- Patients on an inpatient stroke rehabilitation unit received less than the standard of one hour of physiotherapy and occupational therapy per day.
- Total amount of occupational therapy contributed significantly to gains in Functional Independence Measure points during hospital stay.
No comments:
Post a Comment