Intensive rehabilitation programme for patients with subacute stroke in an inpatient rehabilitation facility : describing a protocol of a prospective cohort study
Messaggi Sartor, Monique (Universitat Autònoma de Barcelona)
Grau-Sánchez, Jennifer (Escola Universitària d'Infermeria i Teràpia Ocupacional de Terrassa)
Guillén-Solà, Anna (Institut Hospital del Mar d'Investigacions Mèdiques)
Boza, Roser (Institut Hospital del Mar d'Investigacions Mèdiques)
Puig, Josep (Hospital Universitari de Girona Doctor Josep Trueta)
Stinear, Cathy (The University of Auckland)
Morgado-Perez, Andrea (Universitat Autònoma de Barcelona)
Duarte Oller, Esther (Hospitals del Mar i l'Esperança, Parc de Salut Mar)

Data:	2021
Resum:	Rehabilitation is recognised as a cornerstone of multidisciplinary stroke care. Intensity of therapy is related to functional recovery although there is high variability on the amount of time and techniques applied in therapy sessions. There is a need to better describe stroke rehabilitation protocols to develop a better understanding of current practice increasing the internal validity and generalisation of clinical trial results. The aim of this study is to describe an intensive rehabilitation programme for patients with stroke in an inpatient rehabilitation facility, measuring the amount and type of therapies (physical, occupational and speech therapy) provided and reporting functional outcomes. This will be a prospective observational cohort study of patients with subacute stroke admitted to our inpatient rehabilitation facility during 2 years. A therapy recording tool was developed in order to describe the rehabilitation interventions performed in our unit. This tool was designed using the Delphi method, literature search and collaboration with senior clinicians. Therapists will record the time spent on different activities available in our unit during specific therapy sessions. Afterwards, the total time spent in each activity, and the total rehabilitation time for all activities, will be averaged for all patients. Outcome variables were divided into three different domains: body structure and function outcomes, activity outcomes and participation outcomes and will be assessed at baseline (admission at the rehabilitation unit), at discharge from the rehabilitation unit and at 3 and 6 months after stroke. This study was approved by the Medical Research Committee at Hospital del Mar Research Institute (Project ID: 34/C/2017). The results of this study will be presented at national and international congress and submitted for publication in peer-reviewed journals.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Stroke ; Rehabilitation medicine ; Stroke medicine
Publicat a:	BMJ open, Vol. 11 (october 2021) , ISSN 2044-6055

DOI: 10.1136/bmjopen-2020-046346
PMID: 34663650

8 p, 292.0 KB

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