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Tijdschrift voor Gerontologie en Geriatrie

Gepubliceerd in:

01-06-2014

CVA-revalidatie in het verpleeghuis: therapie-intensiteit van en motivatie voor fysiotherapie

Auteurs: K. S. Wissink, M. Spruit-van Eijk, B. I. Buijck, R. T. C. M. Koopmans, S. U. Zuidema

Gepubliceerd in: Tijdschrift voor Gerontologie en Geriatrie | Uitgave 3/2014

Stroke rehabilitation in nursing homes: intensity of and motivation for physiotherapy

Introduction

Stroke is a frequent and potential invalidating disease, of which recovery can be improved by rehabilitation. In The Netherlands old and frail stroke patients are rehabilitated in nursing homes. Probably, the intensity of and motivation for physiotherapy are important for successful discharge. The aim was to determine (1) therapy intensity of and motivation for physical therapy of geriatric stroke patients (2) its correlates and (3) the effect on discharge destination.

Methods

Data were obtained from the ‘GRAMPS’-study, a longitudinal observational study of stroke rehabilitation in 15 Dutch nursing homes. Direct time spent on physiotherapy was registered during admission. Motivation was measured by the Pittsburgh Rehabilitation Participation Scale (PRPS). Data of 84 patients were analysed using uni- and multivariate regression analysis.

Results

Patients received an average 109 min of physiotherapy per week. 69 patients (82%) were good motivated for physiotherapy (had all PRPS scores 4 or higher). Therapy intensity was positively associated with the presence of a partner and good motivation. No significant independent variables of motivation were found. Therapy-intensity was positively related to discharge to prior living situation.

Conclusion

Intensity of physiotherapy of stroke rehabilitation is an independent variable of successful discharge and is higher when the patient has a partner or is better motivated. These findings stress the importance of high motivation and therapy intensity in geriatric stroke rehabilitation.

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Titel: CVA-revalidatie in het verpleeghuis: therapie-intensiteit van en motivatie voor fysiotherapie
Auteurs: K. S. Wissink
M. Spruit-van Eijk
B. I. Buijck
R. T. C. M. Koopmans
S. U. Zuidema
Publicatiedatum: 01-06-2014
Uitgeverij: Bohn Stafleu van Loghum
Gepubliceerd in: Tijdschrift voor Gerontologie en Geriatrie / Uitgave 3/2014
Print ISSN: 0167-9228
Elektronisch ISSN: 1875-6832
DOI: https://doi.org/10.1007/s12439-014-0072-6

Bohn Stafleu van Loghum

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Stroke rehabilitation in nursing homes: intensity of and motivation for physiotherapy

Introduction

Methods

Results

Conclusion

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