Clinical Practice Research Unit, University of Central Lancashire, PR1 2HE Preston, United Kingdom.
J Rehabil Med. 2014 Mar;46(3):212-8. doi: 10.2340/16501977-1268.
To investigate the current practice of physiotherapists and occupational therapists in prescribing upper limb exercises to people after stroke and to explore differences between professions and work settings.
A cross-sectional survey design.
Occupational therapists and physiotherapists working in UK stroke rehabilitation.
The survey's response rate was 21.0% (n = 322); with 295 valid responses. Almost two thirds of therapists (64.7%, n = 191) agreed that they always prescribe upper limb exercises to a person with stroke if they can actively elevate their scapula and have grade 1 finger/wrist extension. Most therapists (98.6%, n = 278) prescribed exercises to be completed outside of therapy time, with exercises verbally communicated to family. Standardised upper limb specific outcome measures were used to evaluate the prescribed exercises by 21.9% (n = 62) OF THERAPISTS. DIFFERENCES WERE FOUND BETWEEN PROFESSIONS AND ACROSS WORK SETTINGS.
The majority of prescribed upper limb exercises were of low intensity (range of motion or stretching exercises) rather than repetitive practice or strengthening exercises. The use of standardised outcome measures was low. Progression of exercises and the provision of written instructions on discharge occur less frequently in inpatient settings than outpatient and community settings.
调查物理治疗师和职业治疗师在为脑卒中后患者开具上肢运动处方方面的实践情况，并探讨不同专业和工作环境之间的差异。
横断面调查设计。
在英国脑卒中康复机构工作的职业治疗师和物理治疗师。
该调查的回复率为 21.0%（n=322），其中有效回复为 295 份。近三分之二的治疗师（64.7%，n=191）认为，如果患者能够主动抬高肩胛骨且手指/腕关节伸展达到 1 级，他们会始终为其开具上肢运动处方。大多数治疗师（98.6%，n=278）会为患者开具在治疗时间之外完成的运动处方，并通过口头向家属传达。21.9%（n=62）的治疗师使用标准化的上肢特定结局测量工具来评估所开具的运动处方。治疗师之间和不同工作环境之间存在差异。
所开具的上肢运动处方大多强度较低（活动度或伸展运动），而非重复练习或强化运动。使用标准化结局测量工具的情况较少。在住院环境中，运动处方的进展和出院时书面指导的提供比门诊和社区环境更不常见。
