Tuesday, June 17, 2025

Attitudes and practices of physiotherapists towards goal-setting for stroke rehabilitation: A wide online survey

 You're THAT STUPID that you don't know the only goal in stroke is 100% recovery!  Get the hell out of stroke and do something easier like basket weaving. All you're trying to do with your goal setting is dumb down the goals of your patients because you know you're a failure as a therapist for stroke patients! STOP THAT AND DELIVER RECOVERY!

Send me hate mail on this: oc1dean@gmail.com. I'll print your complete statement with your name and my response in my blog. Or are you afraid to engage with my stroke-addled mind? Your patients need an explanation of why you don't have 100% recovery protocols.

Why isn't your 'professional' solving stroke?

Laziness? Incompetence? Or just don't care? NO leadership? NO strategy? Not my job? Not my Problem!

Attitudes and practices of physiotherapists towards goal-setting for stroke rehabilitation: A wide online survey


https://doi.org/10.1016/j.gerinurse.2025.103390Get rights and content
Under a Creative Commons license
Open access

Highlights

  • 17 % of physiotherapists reported not setting goals with stroke survivors.
  • Physiotherapists reported heterogeneous practices regarding goal-setting in stroke.
  • Organizational and professional characteristics were associated with goal-setting.
  • Future research should explore the factors found to optimize goal-setting.

Abstract

Goal-setting in stroke rehabilitation is poorly understood(NO it's not! You just don't like to do the work to accomplish your survivor goal of 100% recovery!). This study examined attitudes, practices, and factors related to goal-setting in stroke rehabilitation among Portuguese physiotherapists. An online cross-sectional exploratory survey was conducted, collecting data on sociodemographic and service profiles, patient-centeredness, attitudes and practices of goal-setting, using the Patient-Practitioner Orientation Scale, and Attitudes toward Goal-Setting and Practices toward Goal-Setting Scales. Logistic regression identified factors associated with goal-setting. From 347 physiotherapists, mostly high scores were obtained for attitudes toward goal-setting. Heterogeneous practices were verified and 17 % reported no involvement in goal-setting. Working from the stroke survivor's home (OR10.218 [1.267–82.389], p=0.029) or from an inpatient rehabilitation unit (OR6.443 [1.918–21.636], p=0.003) were the strongest predictors of goal-setting, followed by positive attitudes toward goal-setting (OR1.111 [1.028–1.201], p=0.008). The identified organizational and professional characteristics should be considered to improve suboptimal goal-setting, namely by advocating the core contribution of goal-setting, disseminating best practices, and providing training.

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