De Wit Liesbet, Putman Koen, Lincoln Nadina, Baert Ilse, Berman Peter, Beyens Hilde, Bogaerts Kris, Brinkmann Nadine, Connell Louise, Dejaeger Eddy, De Weerdt Willy, Jenni Walter, Lesaffre Emmanuel, Leys Mark, Louckx Fred, Schuback Birgit, Schupp Wilfried, Smith Bozena, Feys Hilde
Department of Rehabilitation Sciences, Faculty of Kinesiology and Rehabilitation Sciences, Katholieke Universiteit Leuven, Belgium.
Stroke. 2006 Jun;37(6):1483-9. doi: 10.1161/01.STR.0000221709.23293.c2. Epub 2006 Apr 27.
Physiotherapy (PT) and occupational therapy (OT) are key components of stroke rehabilitation. Little is known about their content. This study aimed to define and compare the content of PT and OT for stroke patients between 4 European rehabilitation centers.
In each center, 15 individual PT and 15 OT sessions of patients fitting predetermined criteria were videotaped. The content was recorded using a list comprising 12 therapeutic categories. A generalized estimating equation model was fitted to the relative frequency of each category resulting in odds ratios.
Comparison of PT and OT between centers revealed significant differences for only 2 of the 12 categories: ambulatory exercises and selective movements. Comparison of the 2 therapeutic disciplines on the pooled data of the 4 centers revealed that ambulatory exercises, transfers, exercises, and balance in standing and lying occurred significantly more often in PT sessions. Activities of daily living, domestic activities, leisure activities, and sensory, perceptual training, and cognition occurred significantly more often in OT sessions.
This study revealed that the content of each therapeutic discipline was consistent between the 4 centers. PT and OT proved to be distinct professions with clear demarcation of roles.
物理治疗（PT）和职业治疗（OT）是中风康复的关键组成部分。人们对其内容知之甚少。本研究旨在界定并比较4家欧洲康复中心中风患者的物理治疗和职业治疗内容。
在每个中心，对符合预定标准的患者的15次个体物理治疗和15次职业治疗课程进行录像。使用包含12个治疗类别的列表记录内容。对每个类别的相对频率拟合广义估计方程模型，得出优势比。
中心间物理治疗和职业治疗的比较显示，12个类别中只有2个类别存在显著差异：步行训练和选择性运动。对4个中心的汇总数据进行的两种治疗学科的比较显示，步行训练、转移训练、运动训练以及站立和卧位平衡训练在物理治疗课程中出现的频率显著更高。日常生活活动、家务活动、休闲活动以及感觉、知觉训练和认知训练在职业治疗课程中出现的频率显著更高。
本研究表明，4个中心的每个治疗学科的内容是一致的。事实证明，物理治疗和职业治疗是不同的专业，角色划分明确。
