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

    Author(s)
    P. Haines, Terry
    Kuys, Suzanne
    Clarke, Jane
    Morrison, Greg
    Bew, Paul
    Griffith University Author(s)
    Kuys, Suzanne S.
    Year published
    2011
    Metadata
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    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 ...
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    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.
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    Journal Title
    Journal of Evaluation in Clinical Practice
    Volume
    17
    Issue
    1
    DOI
    https://doi.org/10.1111/j.1365-2753.2010.01380.x
    Subject
    Medical and Health Sciences not elsewhere classified
    Public Health and Health Services
    Publication URI
    http://hdl.handle.net/10072/41679
    Collection
    • Journal articles

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