Article

Stroke rehabilitation is a multidimensional process that is designed to
facilitate restoration of and/or adaptation to loss of functioning. The use of
research-based evidence in informed decision-making is insufficient. Occupational
therapy and physiotherapy constitute important contributions to rehabilitation.
The study aim was to investigate characteristics of the implementation of
research-based evidence in stroke rehabilitation by occupational therapists and
physiotherapists, using the International Classification of Functioning,
Disability and Health as a conceptual framework. METHOD: A prospective cohort
study, including all service levels within stroke rehabilitation. Consecutive
patients with stroke admitted to a university hospital between May and December
2012 were enrolled by 13 therapists. Documentation of daily practice was
collected from medical records. Analysis compared the therapists' documentation
with the national clinical guidelines for physiotherapy and occupational therapy
in the rehabilitation of adults with brain injury. RESULTS: The study included
131 patients. The therapists' praxis was seen to be in agreement with the
majority of the national clinical guidelines. However, joint goal-setting and
evaluation using standardized measures were seldom documented. CONCLUSIONS:
Although the therapists recognize evidence-based practice as a framework for
achieving quality in rehabilitation, findings suggest that they do not employ
research-based evidence to the fullest extent. Implications for Rehabilitation In
order to individualize the rehabilitation offered, more attention and focus on
involving and giving words to patients' expectations, perceptions, experiences,
and perspectives is needed. With the intention of enabling meaningful
participation the health professionals need to pay more attention to the
importance of environmental factors. Both guidelines and clinical practice should
consider all components of the International Classification of Functioning,
Disability and Health when formulating, and implementing, recommendations in
rehabilitation praxis in order to aim for rehabilitation that is based both on
evidence and a holistic approach.

Langue : ANGLAIS