Patient-led therapy during in-patient stroke rehabilitation

sarah-tyson

Patient-led therapy during in-patient stroke rehabilitation

It is well-established that the amount of therapy patients’ undertake is key to the effectiveness of stroke rehabilitation; the more the better.  Despite this, it is equally well-established that stroke patients spend only a small proportion of their day in therapy and, even during inpatient rehabilitation, most of their day is spent inactive and alone. As exercise and the intensive practice of functional tasks are the most effective interventions to promote motor recovery after stroke, there is an imperative to find ways to maximise patients’ opportunities to be active and exercise during rehabilitation.

In this presentation I will introduce the results of recent work to evaluate the feasibility and acceptability of interventions to increase the amount of therapy received and patients’ activity during in-patient rehabilitation, consider some of the barriers and enablers to their adoption in practice and ways these can be addressed.