What Do Physiotherapists Do in Stroke Rehabilitation? A Focus Group Discussion
DOI:
https://doi.org/10.34058/njmr.v18i2.125Keywords:
Physiotherapy, rehabilitation, stroke, focus group discussion, and evidence based practiceAbstract
Background: There are many techniques used for rehabilitation after stroke, and physiotherapists use them eclectically. However, some of the techniques are more effective than others.
Objectives: The objective of the study was to determine what techniques physiotherapists in Kano mostly use for stroke rehabilitation.
Method: Focused group discussions were carried out with 2 separate groups using a prepared interview guide consisting of 7 items.
Results: The result of the study showed that physiotherapists used a combination of techniques for stroke rehabilitation consisting mostly of the Bobath and Bruunstrom techniques.
Conclusion: The techniques physiotherapists use for stroke rehabilitation in Kano vary. However, the choice of a particular technique may not be evidence based, but rather from personal preference, experience of the therapists and relevant presentations of the patients.
References
Abdullahi, A., Shehu, S., 2014. Standardizing the Protocols of Constraint Induced Movement Therapy in Patients within 4 months post-stroke: A Pilot Randomized Controlled Trial. International Journal of Physical Medicine and Rehabilitation, 2:4. Doi:10.4172/2329-9096.100025.
Abdullahi, A., Mohammed, A.A., 2014. A Novel Approach to Upper Limb Task Specific Training in Children with Hemiparesis . International Journal of Physical Medicine and Rehabilitation, 2: 235. doi:10.4172/2329-9096.1000235.
Akinbo, S., Odebiyi, D., Okunola, T., Aderoba, O., 2008. Evidence-Based Practice: Knowledge, Attitudes and Beliefs of Physiotherapists in Nigeria. The Internet Journal of Medical Informatics, 4 (2), https://ispub.com/IJMI/4/2/3229.
French, B., Leathley, M., Sutton, C., McAdam, J., Thomas, L., Forster, A., Langhorne, P., Price, C., Walker, A., Watkins, C., 2008. A systematic review of repetitive functional task practice with modelling of resource use, costs and effectiveness. Health Technology Assessment, 12, 1–117.
Jette, D.U., Latham, N.K., Smout, R.J., Gassaway, J., Slavin, M.D., Horn, S.D., 2005. Physical Therapy Interventions for Patients With Stroke in Inpatient Rehabilitation Facilities. Physical Therapy, 85, 238-248.
Khan, F.R., Vijesh, P.V., Rahool, S., Radha, A.A., Sukumaran, S., Kurupath, R., 2012. Physiotherapy practice in stroke rehabilitation: a cross-sectional survey of physiotherapists in the state of Kerala, India. Topics Stroke Rehabilitation, 19 (5), 405–410.
Kitzinger, J., 1995. Introducing focus groups. British Medical Journal, 311, 299-308.
Lennon, S., Ashburn, A., 2000. The Bobath Concept in stroke rehabilitation: a focus group study of the experienced physiotherapists’ perspective. Disability and Rehabilitation, 22 (15), 665-667.
Lennon, S., Ashburn, A., Baxter, D., 2006. Gait outcome following outpatient physiotherapy based on the Bobath concept in people post stroke. Disability and Rehabilitation, 28 (13–14), 873–881.
Luke, C., Dodd, K.J., Brock, K., 2004. Outcomes of the Bobath concept on upper limb recovery following stroke. Clinical Rehabilitation, 18 (8), 888–898.
Natarajan, P., Oelschlager, A., Agah, A., Pohl, P.S., Ahmad, S.O., Liu, W., 2008. Current clinical practices in stroke rehabilitation: Regional pilot survey. Journal of Rehabilitation Research & Development 45, (6), 841–850.
Oxman, A.D., Feightner, J.W., 1994. The Evidence Based Resource Group, Evidence Based Care. Setting Guidelines: How should we manage this Problem? Canadian Medical Association, 150, 1417-1423.
Paci, M., 2003. Physiotherapy based on the Bobath concept for adults with post-stroke hemiplegia: A review of effectiveness studies. Journal of Rehabilitation Medicine, 35:2–7.
Pollock, A., Baer, G., Langhorne, P., 2007. Physiotherapy treatment approaches for the recovery of postural control and lower limb function following stroke: a systematic review. The Cochrane Library.
Pomeroy, V.M., Tallis, R.C., 2000a. Need to focus research in stroke Rehabilitation. Lancet, 355, 836–837.
Pomeroy, V.M., Tallis, R.C., 2000b. Physical therapy to improve movement performance and functional ability post stroke: Part 1: Existing evidence. Rev Clinical Gerontology, 10, 261–290.
Tyson, S.F., Selley, A.B., 2007. The effect of perceived adherence to the Bobath concept on physiotherapists’ choice of intervention used to treat postural control after stroke. Disability and Rehabilitation 29 (5), 395–401.
Wolf, S.L., Winstein, C.J., Miller, J.P., Taub, E., Uswatte. G., Morris, D., Giuliani, C., Light, K.E., Nichols-Larsen, D., EXCITE Investigators, 2006. Effect of constraint-induced movement therapy on upper extremity function 3 to 9 months after stroke: The EXCITE randomized clinical trial. Journal of the American Medical Association, 296 (17), 2095-2104.