Article

OBJECTIVES: To describe ambulatory rehabilitation programmes (physical and
occupational therapy activities and interventions) following botulinum toxin
injections for post-stroke spasticity using a stroke rehabilitation taxonomy. To
explore the relationship between therapy provided and injected limb/s and
treatment goals. DESIGN: Prospective, observational cohort study. PARTICIPANTS:
Stroke survivors (n = 47) participating in ambulatory rehabilitation programmes
following botulinum toxin injections for upper limb, lower limb or upper and
lower limb spasticity. METHODS: Standardized therapy documentation forms were
completed prospectively for each occupational and physical therapy session. Main
outcomes were the proportion of total therapy time spent in various therapeutic
activities; total sessions during which each intervention was used to facilitate
the activities most time was spent in; and goals related to each activity
category. Sub-analysis was carried out for participants, based on limb/s
injected. RESULTS: Most time was spent in "upper extremity control" activities as
the upper limb was more often injected. A large proportion of therapy time was
spent in activities remediating "performance skills or body structure and
function impairments". In the upper and lower limb, and upper limb groups 38.7%
and 46.2% of goals, respectively, related to this activity category, but less
than 10% in the lower limb group. Little time was spent in community
participation and leisure activities, whilst over one-third of lower limb group
goals related to this category. CONCLUSION: Ambulatory rehabilitation programmes
following botulinum toxin injections for post-stroke spasticity varied depending
on limb/s injected and reflected treatment goals to some extent.

Langue : ANGLAIS