Dose-response relationship between physiotherapy resource provision with function and balance improvements in patients following stroke: a multi-centre observational study

Haines, Terry P., Kuys, Suzanne, Clarke, Jane, Morrison, Greg and Bew, Paul (2011) Dose-response relationship between physiotherapy resource provision with function and balance improvements in patients following stroke: a multi-centre observational study. Journal of Evaluation In Clinical Practice, 17 1: 136-142. doi:10.1111/j.1365-2753.2010.01380.x


Author Haines, Terry P.
Kuys, Suzanne
Clarke, Jane
Morrison, Greg
Bew, Paul
Title Dose-response relationship between physiotherapy resource provision with function and balance improvements in patients following stroke: a multi-centre observational study
Journal name Journal of Evaluation In Clinical Practice   Check publisher's open access policy
ISSN 1356-1294
Publication date 2011-02
Year available 2010
Sub-type Article (original research)
DOI 10.1111/j.1365-2753.2010.01380.x
Volume 17
Issue 1
Start page 136
End page 142
Total pages 7
Place of publication United Kingdom
Publisher Wiley-Blackwell Publishing Ltd.
Collection year 2011
Language eng
Formatted abstract
Rationale, aims and objectives
Inpatient rehabilitation of patients following stroke can be resource intensive, with optimal models of service delivery unclear. This study investigates the dose-response curves between physiotherapy service delivery variables and balance and function clinical outcomes.

Method
This was a multi-centre (15 sites), prospective, cohort study involving patients (n = 288) admitted for rehabilitation following stroke conducted across two states in Australia. Physiotherapy department resource provision variables were collected and examined for association with change in patient function and balance outcomes (Functional Independence Measure, step test, functional reach test) measured at admission and discharge from inpatient care.

Results
A greater amount of log-transformed physiotherapy department resource provision was associated with greater improvement in the functional independence measure [Regression coefficient (95% CI): 4.05 (1.15, 6.95)] and functional reach test [46.43 (17.03, 75.84)], while physiotherapist time provided to patients was associated with greater improvement for the step test [0.15 (0.03, 0.28)], and functional reach [0.35 (0.19, 0.52)].

Conclusion
Receiving a higher rate of physiotherapist input is an important factor in attaining a greater amount of recovery in function and balance outcomes; however, the improvement by patients who received the greatest amount of input was highly variable. © 2010 Blackwell Publishing Ltd.
Keyword Hospitals
Rehabilitation
Stroke
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2011 Collection
School of Medicine Publications
 
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Created: Sun, 20 Feb 2011, 00:03:43 EST