MULTIDISCIPLINARY TEAM (MDT) APPROACH IN STROKE REHABILITATION

What ferocity of training is your doctor implementing because of this?
http://www.ijrs.org/wp-content/uploads/2016/08/6-Editorial.pdf

Editorial

MULTIDISCIPLINARY TEAM (MDT) APPROACH IN STROKE

REHABILITATION

Muhammad Naveed Babur

1

A multidisciplinary team (MDT) is composed of members from different healthcare professions with specialized skills and expertise. The members collaborate together to make treatment recommendations that facilitate quality patient care.

Multidisciplinary teams form one aspect of the provision of a streamlined patient

journey by developing individual treatment plans that are based on 'best practice.(1)

A recent systematic review examined a wide range of evidence for stroke rehabilitation,

determining interventions that were or were likely to be serviceable, those of uncertain benefit and those where the effect was presently unknown.(2)

The review drew attention to three areas where strong evidence existed.(3,4)

Firstly, that rehabilitation should begin as early as possible after stroke. Secondly, that repetitive task-oriented training targeted at goals or activities admissible to the needs of

patients can contribute to functional recovery, especially where training takes place in the patient’s own environment. Lastly, there was widespread consensus that increased ferocity of training is beneficial.(5)

Reported benefits of effective multidisciplinary team working include more patient centered decision making, a reduction in the disintegration of care and increased staff

gratification, as well as more efficient and effective use of resources.(6)

However, policies, guidelines and research evidence do not themselves bring about change in health professionals’ behavior; there has to be a commonly understood purpose and perceived or actual benefit at the individual and organization

al level.(7)

There is undeniable evidence of improved outcomes when patients are treated in a stroke unit by multi-disciplinary teams. When compared with traditional care, organized inpatient stroke care resulted in long-term reductions in death, outpost and the need for institutional care.(8)

Reference

1.  Association of Academic Physiatrists(http://www.physiatry.org/). Accessed

on 12 May 2016)

2. Moylan CA, Lindhorst T, Tajima EA. Contested discourses in multidisciplinary sexual assault response teams (SARTs).

Journal of interpersonal violence. 2015.

3. Körner M, Wirtz MA, Bengel J, Göritz AS.

Relationship of organizational culture, teamwork and job satisfaction in interprofessional teams. BMC health services research. 2015;15(1):1.

4. Fluet G, Patel J, Merians A, Qiu Q, Yarossi M,Adamovich S, et al., editors.
Clinical and neurophysiologic responses to recovery-oriented virtual rehabilitation of hand function in a person with subacute stroke: A case study.

Virtual Rehabilitation Proceedings (ICVR),

2015 International Conference on; 2015: IEEE.

5. Andrews J, Guyatt G, Oxman AD, Alderson P, Dahm P, Falck-Ytter Y, et al. GRADE

guidelines: 14. Going from evidence to recommendations: the significance and

presentation of recommendations. Journal ofclinical epidemiology. 2013;66(7):719-25.

6. Clarke DJ, Holt J. Understanding nursing practice in stroke units: a Q-methodological

study.

Disability and rehabilitation.

2015;37(20):1870-80.

7. Lord J, Willis S, Eatock J, Tappenden P, Trapero-Bertran M, Miners A, et al. Economic modelling of diagnostic and treatment pathways in National Institute for Health and Care

Excellence clinical guidelines: the Modelling Algorithm Pathways in Guidelines (MAPGuide) project. 2013.

8. Clarke DJ. The role of multidisciplinary team care in stroke rehabilitation. Progress in

Neurology and Psychiatry. 2013;17(4):5-8.

1.

Associate Professor, IIRS Isra University Islamabad

Correspondence:

Muhammad Naveed Babur, Associate Professor IIRS Isra

University. Farash

Town Islamabad

E

-

mail:

naveedphysio@gmail.com