Characterizing clinical patterns of physical therapy activities for post-stroke spasticity in stroke rehabilitation: looking into the “Black Box”

Physical therapy is considered to be an adjunctive therapy for the management of post-stroke spasticity. The insight of this study is to observe the current clinical practices of rehabilitation for post-stroke spasticity. For this purpose, an observational cross-sectional study was conducted. Data...

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Main Authors: Binash Afzal, Rabiya Noor
Format: Article
Language:English
Published: Pakistan Medical Association 2024-03-01
Series:Journal of the Pakistan Medical Association
Subjects:
Online Access:https://www.ojs.jpma.org.pk/index.php/public_html/article/view/9040
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author Binash Afzal
Rabiya Noor
author_facet Binash Afzal
Rabiya Noor
author_sort Binash Afzal
collection DOAJ
description Physical therapy is considered to be an adjunctive therapy for the management of post-stroke spasticity. The insight of this study is to observe the current clinical practices of rehabilitation for post-stroke spasticity. For this purpose, an observational cross-sectional study was conducted. Data was collected by a standardized therapy documentation form for spasticity management. Fifty physiotherapists filled out that form. Almost all of them used subjective measures (modified Ashworth scale) for spasticity assessment and functional independence measure for level of independence. Readings were taken in the first, second, and third blocks of six-hour duration. Results showed that 42 (83.5%) physiotherapists measured spasticity at the initial session, while 47(94.6%) reported various multiple rehabilitation treatment preferences for spasticity management. Disparities exist in therapeutic management for post-stroke spasticity throughout rehabilitation which are mainly based on physiotherapists’ clinical expertise. ---Continue
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spelling doaj.art-6e087553aedb4f7ebcedda6c6490f7072024-03-26T05:37:03ZengPakistan Medical AssociationJournal of the Pakistan Medical Association0030-99822024-03-0174410.47391/JPMA.9040Characterizing clinical patterns of physical therapy activities for post-stroke spasticity in stroke rehabilitation: looking into the “Black Box”Binash Afzal0Rabiya Noor1Riphah International University, Lahore, PakistanRiphah International University, Lahore, Pakistan Physical therapy is considered to be an adjunctive therapy for the management of post-stroke spasticity. The insight of this study is to observe the current clinical practices of rehabilitation for post-stroke spasticity. For this purpose, an observational cross-sectional study was conducted. Data was collected by a standardized therapy documentation form for spasticity management. Fifty physiotherapists filled out that form. Almost all of them used subjective measures (modified Ashworth scale) for spasticity assessment and functional independence measure for level of independence. Readings were taken in the first, second, and third blocks of six-hour duration. Results showed that 42 (83.5%) physiotherapists measured spasticity at the initial session, while 47(94.6%) reported various multiple rehabilitation treatment preferences for spasticity management. Disparities exist in therapeutic management for post-stroke spasticity throughout rehabilitation which are mainly based on physiotherapists’ clinical expertise. ---Continue https://www.ojs.jpma.org.pk/index.php/public_html/article/view/9040Clinical practice patternsPhysical therapyRehabilitationStrokeSpasticity
spellingShingle Binash Afzal
Rabiya Noor
Characterizing clinical patterns of physical therapy activities for post-stroke spasticity in stroke rehabilitation: looking into the “Black Box”
Journal of the Pakistan Medical Association
Clinical practice patterns
Physical therapy
Rehabilitation
Stroke
Spasticity
title Characterizing clinical patterns of physical therapy activities for post-stroke spasticity in stroke rehabilitation: looking into the “Black Box”
title_full Characterizing clinical patterns of physical therapy activities for post-stroke spasticity in stroke rehabilitation: looking into the “Black Box”
title_fullStr Characterizing clinical patterns of physical therapy activities for post-stroke spasticity in stroke rehabilitation: looking into the “Black Box”
title_full_unstemmed Characterizing clinical patterns of physical therapy activities for post-stroke spasticity in stroke rehabilitation: looking into the “Black Box”
title_short Characterizing clinical patterns of physical therapy activities for post-stroke spasticity in stroke rehabilitation: looking into the “Black Box”
title_sort characterizing clinical patterns of physical therapy activities for post stroke spasticity in stroke rehabilitation looking into the black box
topic Clinical practice patterns
Physical therapy
Rehabilitation
Stroke
Spasticity
url https://www.ojs.jpma.org.pk/index.php/public_html/article/view/9040
work_keys_str_mv AT binashafzal characterizingclinicalpatternsofphysicaltherapyactivitiesforpoststrokespasticityinstrokerehabilitationlookingintotheblackbox
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