Difference between revisions of "STROKE-THERAPY INTENSITY"

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Latest revision as of 11:07, 20 March 2023

SUMMARY

1. Total amount of occupational therapy (OT) time is a significant predictor of gains in functional independence measure (FIM) scores.

2. Intensive practice of function-focused physiotherapy predicts greater than expected gains in mobility, with a treatment time of 3 hours or longer being associated with greatest functional improvements (however the duration of 3 hours come into question in recent times)[1].

3. Kalra et al demonstrated "front loading" (early intensive therapy) improved outcomes[2].


Reference(s)

  1. Bode, R. K., Heinemann, A. W., Semik, P., & Mallinson, T. (2004). Patterns of therapy activities across length of stay and impairment levels: peering inside the “black box” of inpatient stroke rehabilitation. Archives of Physical Medicine and Rehabilitation, 85(12), 1901-1908.
  2. Kalra L. The influence of stroke unit rehabilitation on functional recovery from stroke. Stroke 1994b;25:821-5.


Wilkinson, I., Furmedge, D. and Sinharay, R. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press. Get it on Amazon.
Feather, A., Randall, D. and Waterhouse, M. (2020). Kumar And Clark’s Clinical Medicine. 10th ed. S.L.: Elsevier Health Sciences. Get it on Amazon.
Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021].