STROKE-THERAPY INTENSITY
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)
- ↑ 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.
- ↑ 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].
