Outcomes of Multidisciplinary Team Approach in Rehabilitation of Patients with Stroke

I find all this research on multi-discilplinary teams useless, because with NO EXACT REHAB PROTOCOLS, all you get are guidelines and members of the team stating what has occurred rather than what will occur when the protocols are followed. 

Outcomes of Multidisciplinary Team Approach in Rehabilitation of Patients with Stroke

sciplinary Team Approach in Rehabilitation of Patients with Stroke SHAZIA KANWAL1 , RIAZ HASHMI2 , WAJIDA PERVEEN3 , MISBAH AMANAT ALI3 , M. AKHTAR4 , AROOJ MUNAWAR5 1Department of Physiotherapy, Royal Medical College (UOS Sargodha), Gujranwala-Pakistan 2Department of Physiotherapy, Syed Medical Complex, Sialkot -Pakistan 3Department of Physiotherapy, Sialkot College of Physical Therapy, Sialkot-Pakistan 4Department of Physiotherapy, PSRD College of Rehabilitation Sciences (UHS), Lahore-Pakistan 5Department of Physiotherapy, UOL, Lahore-Pakistan Correspondence to Dr. Riaz Hashmi, Email: riazhashmiphysio@gmail.com Tel:+92-321-7121412 

ABSTRACT 

Aim: 

To find the benefits of the multidisciplinary team approach for the rehabilitation of patients with stroke. Methodology: This cohort case series was conducted at physiotherapy department, Syed Medical Complex Sialkot in 2017-18 after ethical approval. Open epi calculator was used for sample size estimation and found 70 patients. Non-probability, consecutive sampling technique was used to enroll the patients after screening for eligibility criteria and taking their consent. FIMFAM scale was used to measure the outcomes at 1st visit, after 4 weeks, and on follow up. 

Results: 

Mean ± standard deviation of the age of participants was 62.57±8.02 years. Out of them, 74.28% (52) had left sided while 25.71% (18) had right sided stroke. Mean of total FIMFAM score at 1st visit, after 4 weeks, and on follow up was 42.50±20.58, 77.70±25.56 and 126.83±21.30 respectively (P=0.000). Mean difference of 1st visit and after 4 weeks was 35.20 (p value=0.000), Mean difference after 4 weeks and follow up was 49.13 (p value=0.000). 

Conclusion: 

We concluded that multidisciplinary team approach in patients with stroke can produce significant improvement(NOT 100% RECOVERY, SO YOU'RE ACCEPTING FAILURE AS YOUR ENDPOINT!) in their functional outcomes, therefore can limit the risk of death and delayed recovery. Keywords: Multidisciplinary Team Approach, Stroke, Rehabilitation and FIMFAM Scale.