Department of Neurology, Physio- and Occupational Therapy, Regional Hospital West , Holstebro, Denmark.
Hammel Neurorehabilitation Centre and University Clinic, Aarhus University , Aarhus, Denmark.
Top Stroke Rehabil. 2021 Mar;28(2):135-141. doi: 10.1080/10749357.2020.1783915. Epub 2020 Jun 25.
A substantial body of research on prediction models for upper limb (UL) function after stroke has emerged during recent years. Despite considerable evidence supporting the use of prediction models, their implementation into clinical practice has not been examined.
To investigate whether physiotherapists (PTs) and occupational therapists (OTs) who evaluate and rehabilitate stroke patients know about and apply prediction models for the recovery of UL function. Furthermore, to examine their attitudes toward prognosis for UL function in clinical practice.
The authors developed an online survey using REDCap®, specifically aimed to investigate this study's objectives. Physiotherapists and occupational therapists from Danish hospitals with acute stroke or rehabilitation wards were invited to participate. Data were analyzed using STATA 15.1.
Of the 380 therapists invited, 58% responded to the survey. Among those, 35% reported that they knew of prediction models for UL function after stroke. More physiotherapists than occupational therapists were familiar with prediction models ( = .03). Of all respondents, 9% confirmed the use of prediction models for UL function in clinical practice. Most therapists (89%) stated that it was important to know how UL function will develop after stroke.
Results from this study indicate that prediction models for UL function after stroke are not yet a part of daily practice in Danish stroke rehabilitation. At the same time, knowledge of prognosis seems to be relevant for most therapists in their clinical work.
近年来，出现了大量关于脑卒中后上肢（UL）功能预测模型的研究。尽管有大量证据支持使用预测模型，但尚未对其在临床实践中的应用进行评估。
调查评估和康复脑卒中患者的物理治疗师（PTs）和作业治疗师（OTs）是否了解并应用 UL 功能恢复的预测模型。此外，还调查他们在临床实践中对 UL 功能预后的态度。
作者使用 REDCap®开发了一项在线调查，旨在专门调查本研究的目的。邀请丹麦急性脑卒中或康复病房的医院物理治疗师和作业治疗师参加。使用 STATA 15.1 对数据进行分析。
在 380 名受邀治疗师中，有 58%的人回复了调查。其中，35%的人表示他们了解脑卒中后 UL 功能的预测模型。物理治疗师比作业治疗师更熟悉预测模型（ = 0.03）。所有受访者中，9%的人在临床实践中确认使用了 UL 功能的预测模型。大多数治疗师（89%）表示，了解脑卒中后 UL 功能的发展情况非常重要。
本研究结果表明，脑卒中后 UL 功能的预测模型尚未成为丹麦脑卒中康复日常实践的一部分。同时，预测预后对于大多数治疗师的临床工作似乎很重要。
