De grootste kennisbank van het HBO

Inspiratie op jouw vakgebied

Vrij toegankelijk

Terug naar zoekresultatenDeel deze publicatie

Early prediction of functional outcome by physiotherapists in post stroke patients : A prospective cohort study

Rechten:

Early prediction of functional outcome by physiotherapists in post stroke patients : A prospective cohort study

Rechten:

Samenvatting

Problem description/research question How accurate can physiotherpists predict within 72 hours and at hospital discharge the functional outcome in terms of dexterity, walking ability, ADL function at six months and place of living at three and six months post stroke. Summary The degree to which physical therapists can make an early accurate prediction of outcome of dexterity, gait and activities of daily living at six months in stroke patients was investigated. Within 72 hours after stroke onset, physiotherapists assessed 221 patients and made predictions. Measurements were repeated every three days and a second prediction was made at hospital discharge. The second prediction also included a prediction about place of living at three and six months. Final outcome was defined, using the action research arm test (ARAT) for dexterity, the functional ambulation categories (FAC) for walking ability and the Barthel index (BI) for ADL function. The level of accuracy predicted by the physiotherapists within 72 hours ranged from 51% to 65%, with prediction of gait as the most accurate and that of dexterity as the least. Predictions made at hospital discharge were more accurate (63% to 71%), with prediction of gait as the most accurate and that of ADL function as the least. These results suggest that the early predictions made by physiotherapists could prove useful in informing patients and relatives, screening patients for rehabilitation and in planning treatment strategies. Due to the facilitated discharge planning, length of stay in stroke units can be shortened. Conclusion(s) Accurate prediction about functional outcome at six months in terms of dexterity, ADL function and gait, can be made by physiotherapist within 72 hours post stroke as well as place of discharge at three and six months. Recommendations/suggestion for further research/projects We recommend that further research should focus on improving the accuracy of early predictions of functional outcomes of stroke.

Toon meer
Trefwoorden
OrganisatieHogeschool van Amsterdam
InstituutGezondheid
Gepubliceerd in
Jaar2010
TypeBachelorscriptie
TaalEngels

Op de HBO Kennisbank vind je publicaties van 25 hogescholen

De grootste kennisbank van het HBO

Inspiratie op jouw vakgebied

Vrij toegankelijk