Knowledge and application of upper limb prediction models and attitude toward prognosis among physiotherapists and occupational therapists in the clinical stroke setting

ABSTRACT

Background

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.

Objectives

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.

Methods

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.

Results

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 (p = .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.

Conclusions

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.

KEYWORDS:

• Stroke
• rehabilitation
• upper limb
• prediction
• physiotherapy
• occupational therapy
• knowledge transfer

Acknowledgments

The authors would like to thank the therapists who piloted or took part in the survey.