Article

Objective: To describe how physical therapy (PT) activities during poststroke inpatient rehabilitation vary by admission walking ability and over time. Design: Observational cohort study. Setting: Six inpatient rehabilitation hospitals in the United States. Participants: People receiving poststroke PT (N=715) who were classified as walking at admission. Interventions: Not applicable. Main Outcome Measures: Percentage of time spent in I I activities, percentage of patients who participated in each activity, and the FIM instrument scores. Results: The majority of PT time was spent in gait activities. Even people with the most limited mobility spent 25% to 38% of PT time in gait activities during the first 6-hour treatment block. Treatment progression was evident, and a shift to more advanced activities occurred over time (eg, less bed mobility and more advanced gait). However, even in the final 6-hour block, a small proportion of time was spent on community mobility activities (1.2%-5.2%), and most people received no community mobility training. Conclusions: PT activities focused on specific functional tasks at the ability level of each individual patient and provided higher-level activities as patients improved their function. However, although there is increasing recognition that the environment influences task performance, little time was spent in community mobility activities before discharge.

Langue : ANGLAIS