Department of Neurology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala, India.
Top Stroke Rehabil. 2012 Sep-Oct;19(5):405-10. doi: 10.1310/tsr1905-405.
Physiotherapy, a major component of rehabilitation for stroke patients, has been shown to have a positive effect on outcome. However, there is debate over efficacy of different interventions related to stroke rehabilitation.
The purpose of this study was to compare knowledge and attitudes of physiotherapists working with stroke patients in Kerala, India, with emphasis on demographics, approach to treatment, and beliefs about stroke rehabilitation.
Two hundred one physiotherapists in Kerala were surveyed using questionnaires, which were sent by post. Questionnaires consisted of items related to stroke rehabilitation such as approaches to physiotherapy, use of walking aids, and discharge issues. Data analysis was done using percentage-wise comparisons.
Examination of results showed variation in the beliefs held by physiotherapists about treatment of stroke patients. Of the 201 respondents, 153 (76.1%) used a conventional treatment approach. There was a strong disparity among physiotherapists regarding use of walking aids by stroke patients: 119 (59.2%) agreed that tripods or quadripods should be given to patients, but 55 (27.4%) disagreed and 27 (13.4%) were unsure. In response to questions about discharge issues, 30 (14.9%) of the 118 respondents agreed that they were actively involved in discharge planning for stroke patients, and 158 (78.6%) agreed that skill of the physiotherapist influences outcomes.
A great deal of variation among physiotherapists in treatment approaches and beliefs was revealed in this study, which indicates the need for development and implementation of a standardized protocol for stroke rehabilitation in Kerala.
物理疗法是中风患者康复的主要组成部分，已被证明对结果有积极影响。然而，关于与中风康复相关的不同干预措施的疗效存在争议。
本研究的目的是比较印度喀拉拉邦中风患者的物理治疗师的知识和态度，重点是人口统计学、治疗方法和对中风康复的信念。
通过邮寄问卷对喀拉拉邦的 201 名物理治疗师进行了调查。问卷包括与中风康复相关的项目，如物理治疗方法、助行器的使用和出院问题。使用百分比比较进行数据分析。
检查结果显示，物理治疗师对中风患者治疗的信念存在差异。在 201 名受访者中，有 153 名（76.1%）采用了传统的治疗方法。物理治疗师在使用助行器方面存在很大差异：119 名（59.2%）同意为患者提供三脚架或四脚架，但 55 名（27.4%）不同意，27 名（13.4%）不确定。在回答关于出院问题的问题时，118 名受访者中的 30 名（14.9%）表示他们积极参与中风患者的出院计划，158 名（78.6%）表示物理治疗师的技能会影响结果。
本研究揭示了治疗方法和信念方面物理治疗师之间存在很大差异，这表明需要在喀拉拉邦制定和实施中风康复的标准化方案。
