Knowledge and application of upper limb prediction models and attitude toward prognosis among physiotherapists and occupational therapists in the clinical stroke setting
Knowledge and application of upper limb prediction models and attitude toward prognosis among physiotherapists and occupational therapists in the clinical stroke setting
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DOI：
10.1080/10749357.2020.1783915
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发表时间：
2020-06-26
影响因子：
2.2
通讯作者：
Brunner, Iris
中科院分区：
文献类型：
--
作者：
Kiaer, Camilla;Lundquist, Camilla Biering;Brunner, Iris
背景近年来，脑卒中后上肢功能预测模型的研究已经相当多。尽管有相当多的证据支持使用预测模型，但尚未对其在临床实践中的应用进行研究。目的调查评估和康复脑卒中患者的物理治疗师（PT）和职业治疗师（OT）是否了解和应用UL功能恢复的预测模型。并探讨其对临床上UL功能预后的态度。方法作者使用REDCap（R）开发了一个在线调查，专门针对调查本研究的目的。来自丹麦医院的物理治疗师和职业治疗师与急性中风或康复病房被邀请参加。使用STATA 15.1分析数据。结果在380名被邀请的治疗师中，58%的人回答了调查。其中，35%的人报告说，他们知道中风后UL功能的预测模型。更多的物理治疗师比职业治疗师熟悉预测模型（p= .03）。在所有受访者中，9%的人确认在临床实践中使用UL功能预测模型。大多数治疗师（89%）表示，了解中风后UL功能如何发展很重要。结论本研究结果表明，中风后UL功能的预测模型还没有成为丹麦中风康复的日常实践的一部分。与此同时，预后的知识似乎是相关的大多数治疗师在他们的临床工作。
Background A substantial body of research on prediction models for upper limb (UL) function after stroke has emerged during recent years. Despite considerable evidence supporting the use of prediction models, their implementation into clinical practice has not been examined. Objectives To investigate whether physiotherapists (PTs) and occupational therapists (OTs) who evaluate and rehabilitate stroke patients know about and apply prediction models for the recovery of UL function. Furthermore, to examine their attitudes toward prognosis for UL function in clinical practice. Methods The authors developed an online survey using REDCap (R), specifically aimed to investigate this study's objectives. Physiotherapists and occupational therapists from Danish hospitals with acute stroke or rehabilitation wards were invited to participate. Data were analyzed using STATA 15.1. Results Of the 380 therapists invited, 58% responded to the survey. Among those, 35% reported that they knew of prediction models for UL function after stroke. More physiotherapists than occupational therapists were familiar with prediction models (p= .03). Of all respondents, 9% confirmed the use of prediction models for UL function in clinical practice. Most therapists (89%) stated that it was important to know how UL function will develop after stroke. Conclusions Results from this study indicate that prediction models for UL function after stroke are not yet a part of daily practice in Danish stroke rehabilitation. At the same time, knowledge of prognosis seems to be relevant for most therapists in their clinical work.