TY - JOUR
T1 - Patterns of therapy activities across length of stay and impairment levels
T2 - Peering inside the "black box" of inpatient stroke rehabilitation
AU - Bode, Rita K.
AU - Heinemann, Allen W.
AU - Semik, Patrick
AU - Mallinson, Trudy
N1 - Funding Information:
Supported by the National Institute on Disability and Rehabilitation Research, US Department of Education (grant no. H133G60135), the Rehabilitation Research and Training Center on Functional Assessment and Evaluation of Rehabilitation Outcomes, State University of New York at Buffalo (grant no. H133B300041), and the American Occupational Therapy Foundation.
PY - 2004/12
Y1 - 2004/12
N2 - Bode RK, Heinemann AW, Semik P, Mallinson T. Patterns of therapy activities across length of stay and impairment levels: peering inside the "black box" of inpatient stroke rehabilitation. To classify therapy activities and to describe the type and pattern of activities provided during inpatient rehabilitation to persons with stroke. Descriptive study. Eight acute and 5 subacute rehabilitation facilities across the United States. Persons with stroke (N=177) who received rehabilitation services and had lengths of stay (LOSs) between 2 and 5 weeks. Not applicable. Weekly and total therapy units aggregated by discipline and activity type for each of 4 (2-wk, 3-wk, 4-wk, 5-wk) LOS groups. Across LOS groups, significant differences in total therapy units were found by week of rehabilitation, discipline, and therapy activity type. Patterns in and significant interactions of time and activity type by discipline were also found. The amount of therapy provided by occupational and physical therapists was significantly more than that provided by speech-language pathologists. Patterns of time spent in therapy are similar for all LOS groups, but type of therapy received reflects a complex interaction of patient severity, rehabilitation discipline, and LOS.
AB - Bode RK, Heinemann AW, Semik P, Mallinson T. Patterns of therapy activities across length of stay and impairment levels: peering inside the "black box" of inpatient stroke rehabilitation. To classify therapy activities and to describe the type and pattern of activities provided during inpatient rehabilitation to persons with stroke. Descriptive study. Eight acute and 5 subacute rehabilitation facilities across the United States. Persons with stroke (N=177) who received rehabilitation services and had lengths of stay (LOSs) between 2 and 5 weeks. Not applicable. Weekly and total therapy units aggregated by discipline and activity type for each of 4 (2-wk, 3-wk, 4-wk, 5-wk) LOS groups. Across LOS groups, significant differences in total therapy units were found by week of rehabilitation, discipline, and therapy activity type. Patterns in and significant interactions of time and activity type by discipline were also found. The amount of therapy provided by occupational and physical therapists was significantly more than that provided by speech-language pathologists. Patterns of time spent in therapy are similar for all LOS groups, but type of therapy received reflects a complex interaction of patient severity, rehabilitation discipline, and LOS.
KW - Inpatients
KW - Language therapy
KW - Length of stay
KW - Occupational therapy
KW - Physical therapy techniques
KW - Rehabilitation
KW - Speech therapy
KW - Stroke
UR - http://www.scopus.com/inward/record.url?scp=9944254165&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=9944254165&partnerID=8YFLogxK
U2 - 10.1016/j.apmr.2004.02.023
DO - 10.1016/j.apmr.2004.02.023
M3 - Article
C2 - 15605324
AN - SCOPUS:9944254165
VL - 85
SP - 1901
EP - 1908
JO - Archives of Physical Medicine and Rehabilitation
JF - Archives of Physical Medicine and Rehabilitation
SN - 0003-9993
IS - 12
ER -