The only way your patients could consider their rehab effective is if you bamboozled them into thinking that the tyranny of low expectations was all you can expect!
Did they get 100% recovered? NO? THEN YOUR REHAB WAS NOT EFFECTIVE!
Perceptions of stroke patients attending King Faisal Hospital-Rwanda regarding the effectiveness of the rehabilitation services
Felix Niyonkuru1,*, Joseph Nshimiyimana1, Divine Girizina1, Jean Pierre Niyitegeka1, Gerard Urimubenshi1
1 College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda
Rw. Public Health Bul. Vol. 5 (4); December 2024.36
Open Access
ABSTRACT
INTRODUCTION: Stroke rehabilitation involves a multidisciplinary
approach to restore functional abilities and improve quality of life. This
study aimed to explore stroke patients' perceptions of the effectiveness of
rehabilitation interventions provided at King Faisal Hospital, Rwanda.
METHODS: A qualitative study using in-depth face-to-face interviews
was conducted with ten stroke survivors aged 30 to 80 years. Participants
shared their experiences of physiotherapy, occupational therapy, and
speech and language therapy interventions. The data was analyzed using a
qualitative inductive thematic approach with Atlas ti software.
RESULTS: Participants reported significant improvements in physical
function and mobility due to physiotherapy services, including increased
balance, enhanced muscle strength, and the ability to perform activities
such as walking on uneven surfaces and climbing stairs. However, two
participants noted limited progress in their affected limbs. Occupational
Therapy was reported to lead to improvements in functional performance,
self-care activities, and job-related skills. Participants regained abilities
such as transferring independently, holding objects, bathing, and dressing.(All these are signs of the therapists and doctors pushing the tyranny of low expectations on the patients!)
Occupational therapy also enabled some participants to return to work.
A minority expressed the need for increased therapy frequency for
better outcomes. Speech and Language Therapy improved participants’
communication and interaction skills. Some regained their ability to talk,
express themselves, and engage in conversations, although challenges with
pronunciation and fluency persisted for a few.
CONCLUSION: Rehabilitation interventions at King Faisal Hospital-
Rwanda, are perceived as effective in enhancing physical function,
independence in daily activities, and communication skills among stroke
survivors. The findings underscore(Your complete failure!) the importance of a multidisciplinary
approach and suggest potential benefits of increasing therapy frequency for
improved outcomes.
Potential Conflicts of Interest: No potential conflicts of interest disclosed by all authors. Academic Integrity: All authors confirm their substantial academic
contributions to development of this manuscript as defined by the International Committee of Medical Journal Editors. Originality: All authors confirm this manuscript
as an original piece of work, and confirm that has not been published elsewhere. Review: All authors allow this manuscript to be peer-reviewed by independent reviewers
in a double-blind review process. © Copyright: The Author(s). This is an Open Access article distributed under the terms of the Creative Commons Attribution License
(CC BY-NC-ND), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Publisher: Rwanda Health
Communication Centre, KG 302st., Kigali-Rwanda. Print ISSN: 2663 - 4651; Online ISSN: 2663 - 4653. Website: https://rbc.gov.rw/publichealthbulletin/
Original Article
*Corresponding author:
Felix Niyonkuru
Department of Occupational
Therapy, School of Health
Sciences, College of Medicine
and Health Sciences, University
of Rwanda, Kigali, Rwanda.
Email: niyonkuru.felix2020@
gmail.com
Received: November 3, 2024
Accepted: December 15, 2024
Published: December 31, 2024
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