Intensive rehabilitation programme for patients with subacute stroke in an inpatient rehabilitation facility: describing a protocol of a prospective cohort study

Other authors

Institut Català de la Salut

[Messaggi Sartor M] Rehabilitation Research Group, Institut Hospital del Mar d'Investigacions Mediques, Barcelona, Spain. Physiotherapy Degree, Universitat Autonoma de Barcelona, Barcelona, Spain. [Grau-Sánchez J] Cognition and Brain Plasticity Unit, Department of Cognition, Development and Educational Psychology, University of Barcelona and Bellvitge Biomedical Research Institute (IDIBELL), Barcelona, Spain. Escola Universitària d'Infermeria i Teràpia Ocupacional de Terrassa (EUIT), Autonomous University of Barcelona, Terrassa, Spain. [Guillén-Solà A] Rehabilitation Research Group, Institut Hospital del Mar d'Investigacions Mediques, Barcelona, Spain. Physiotherapy Degree, Universitat Autonoma de Barcelona, Barcelona, Spain. Department of Physical Medicine and Rehabilitation, Hospitals del Mar i l'Esperança, Parc de Salut Mar, Barcelona, Spain. [Boza R] Rehabilitation Research Group, Institut Hospital del Mar d'Investigacions Mediques, Barcelona, Spain. [Puig J] Department of Radiology, Biomedical Research Institute Imaging Research Unit, Diagnostic Imaging Institute, Hospital Universitari de Girona Dr. Josep Trueta, Institut Català de la Salut (ICS), Girona, Spain. [Stinear C] Centre for Brain Research, The University of Auckland, Auckland, New Zealand. [Morgado-Perez A] Rehabilitation Research Group, Institut Hospital del Mar d'Investigacions Mediques, Barcelona, Spain. Physiotherapy Degree, Universitat Autonoma de Barcelona, Barcelona, Spain. [Duarte E] Rehabilitation Research Group, Institut Hospital del Mar d'Investigacions Mediques, Barcelona, Spain. Physiotherapy Degree, Universitat Autonoma de Barcelona, Barcelona, Spain. Department of Physical Medicine and Rehabilitation, Hospitals del Mar i l'Esperança, Parc de Salut Mar, Barcelona, Spain

Hospital Universitari de Girona Dr Josep Trueta

Publication date

2024-03-15T10:02:51Z

2024-03-15T10:02:51Z

2021

2021-10-18



Abstract

Accident cerebrovascular; Rehabilitació; Estudi prospectiu


Accidente cerebrovascular; Rehabilitación; Estudio prospectivo


Rehabilitation; Stroke; Prospective Studies


Rehabilitation is recognised as a cornerstone of multidisciplinary stroke care. Intensity of therapy is related to functional recovery although there is high variability on the amount of time and techniques applied in therapy sessions. There is a need to better describe stroke rehabilitation protocols to develop a better understanding of current practice increasing the internal validity and generalisation of clinical trial results. The aim of this study is to describe an intensive rehabilitation programme for patients with stroke in an inpatient rehabilitation facility, measuring the amount and type of therapies (physical, occupational and speech therapy) provided and reporting functional outcomes. Methods and analysis: This will be a prospective observational cohort study of patients with subacute stroke admitted to our inpatient rehabilitation facility during 2 years. A therapy recording tool was developed in order to describe the rehabilitation interventions performed in our unit. This tool was designed using the Delphi method, literature search and collaboration with senior clinicians. Therapists will record the time spent on different activities available in our unit during specific therapy sessions. Afterwards, the total time spent in each activity, and the total rehabilitation time for all activities, will be averaged for all patients. Outcome variables were divided into three different domains: body structure and function outcomes, activity outcomes and participation outcomes and will be assessed at baseline (admission at the rehabilitation unit), at discharge from the rehabilitation unit and at 3 and 6 months after stroke. Ethics and dissemination: This study was approved by the Medical Research Committee at Hospital del Mar Research Institute (Project ID: 34/C/2017). The results of this study will be presented at national and international congress and submitted for publication in peer-reviewed journals.


This Project is funded by Fundació La Marató TV3

Document Type

Article


Published version

Language

English

Publisher

BMJ Publishing Group

Related items

BMJ Open;11(10)

https://doi.org/10.1136/bmjopen-2020-046346

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Attribution-NonCommercial 4.0 International

https://creativecommons.org/licenses/by-nc/4.0/

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