Role overlap between occupational therapy and physiotherapy during in-patient stroke rehabilitation: an exploratory study

Booth, Julie L.; Hewison, Alistair

doi:10.1080/13561820220104140

Cited by 77 publications

(62 citation statements)

References 27 publications

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“…The rationale underlying this grouped approach is that, first, essential competencies for both professions include an expectation that therapists practice in an evidence-informed manner, including incorporating relevant and current knowledge into their practice 22,23 ; and, second, although differences exist between professions related to specific areas of practice, the assessment and treatment of UE dysfunction post-stroke is a shared area of practice. [24][25][26] The grouped approach is appropriate because it is reasonable to think that both occupational and physical therapist respondents have the potential to know about CIMT and the ability to use it in their practice.…”

Section: Resultsmentioning

confidence: 99%

Examining the Use of Constraint-Induced Movement Therapy in Canadian Neurological Occupational and Physical Therapy

Fleet¹,

Che

MacKay-Lyons

et al. 2014

Physiotherapy Canada

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Purpose: To investigate the use of constraint-induced movement therapy (CIMT) in Canadian neurological occupational and physical therapy. Method: An online survey was completed by occupational and physical therapists practising in Canadian adult neurological rehabilitation. We measured participants' practices, perceptions, and opinions in relation to their use of CIMT in clinical practice. Results: A total of 338 surveys were returned for a 13% response rate; 92% of respondents knew of CIMT, and 43% reported using it. The majority (88%) of respondents using CIMT employed a non-traditional protocol. Self-rating of level of CIMT knowledge was found to be a significant predictor of CIMT use (p a 0.001). Commonly identified barriers to use included ''patients having cognitive challenges that prohibit use of this treatment'' and ''lack of knowledge regarding treatment.'' Conclusions: Although the majority of respondents knew about CIMT, less than half reported using it. Barriers to CIMT use include lack of knowledge about the treatment and institutional resources to support its use. Identifying and addressing barriers to CIMT use-for example, by using continuing professional education to remediate knowledge gaps or developing new protocols that require fewer institutional resources-can help improve the feasibility of CIMT, and thus promote its clinical application.Key Words: constraint-induced movement therapy; rehabilitation; stroke; surveys; upper extremity. RÉ SUMÉObjectif : É tudier l'utilisation de la thé rapie par le mouvement par contrainte induite (TMCI) en ergothé rapie et en physiothé rapie neurologiques au Canada. Mé thode : Des ergothé rapeutes et des physiothé rapeutes pratiquant dans le secteur de la ré adaptation neurologique des adultes au Canada ont ré pondu à un questionnaire en ligne. Nous avons mesuré les pratiques des participants, leurs perceptions et leurs opinions au sujet de leur utilisation de la TMCI en pratique clinique. Ré sultats : Au total, 338 questionnaires ont é té renvoyé s, ce qui donne un taux de ré ponse de 13 %; 92 % des ré pondants connaissaient la TMCI et 43 % ont dé claré l'utiliser. Les ré pondants utilisant la TMCI suivaient en majorité (88 %) un protocole non traditionnel. On a constaté que l'autoé valuation du niveau de connaissance de la TMCI constituait un pré dicteur important de l'utilisation de la thé rapie (p a 0,001). Les obstacles à l'utilisation mentionné s couramment incluaient « le fait que des patients ont des problè mes de cognition qui empê chent d'utiliser le traitement » et « le manque de connaissance du traitement ». Conclusions : Mê me si la majorité des ré pondants connaissait la TMCI, moins de la moitié a dé claré l'utiliser. Les obstacles à l'utilisation de la TMCI comprennent le manque de connaissance du traitement et de ressources institutionnelles pour en appuyer l'utilisation. La dé termination et l'é limination des obstacles à l'utilisation de la TMCI-par exemple, en recourant à l'enseignement supé rieur professionnel continu pour corrige...

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Section: Resultsmentioning

confidence: 99%

Examining the Use of Constraint-Induced Movement Therapy in Canadian Neurological Occupational and Physical Therapy

Fleet¹,

Che

MacKay-Lyons

et al. 2014

Physiotherapy Canada

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“…"unnecessary" has, for example, been identified in the collaboration between OTs and PTs working with stroke rehabilitation (Booth & Hewison, 2002).…”

Section: Implications For Interprofessional Practicementioning

confidence: 99%

A Shared Viewpoint but Diverse Focus: A Case Study About Teamwork Within Geriatric Home Rehabilitation

Fernando¹,

Hellman²,

Josephsson³

2014

Health and Interprofessional Practice

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“…These findings also indicate the existence of role overlap between PT and OT, as reported by Booth and Hewison. 12 Ballinger et al 11 stated that PT and OT for stroke patients are not homogeneous activities. In our study, differences in patient characteristics were controlled for, and only 1 scoring list was used to define the content of both professions.…”

Section: Ot Sessions (Figure 2c; Table 2)mentioning

confidence: 99%

Stroke Rehabilitation in Europe

Wit

Putman

Lincoln

et al. 2006

Stroke

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Background and Purpose-Physiotherapy (PT) and occupational therapy (OT) are key components of stroke rehabilitation. Little is known about their content. This study aimed to define and compare the content of PT and OT for stroke patients between 4 European rehabilitation centers. Methods-In each center, 15 individual PT and 15 OT sessions of patients fitting predetermined criteria were videotaped.The content was recorded using a list comprising 12 therapeutic categories. A generalized estimating equation model was fitted to the relative frequency of each category resulting in odds ratios. Results-Comparison of PT and OT between centers revealed significant differences for only 2 of the 12 categories: ambulatory exercises and selective movements. Comparison of the 2 therapeutic disciplines on the pooled data of the 4 centers revealed that ambulatory exercises, transfers, exercises, and balance in standing and lying occurred significantly more often in PT sessions. Activities of daily living, domestic activities, leisure activities, and sensory, perceptual training, and cognition occurred significantly more often in OT sessions. Conclusion-This study revealed that the content of each therapeutic discipline was consistent between the 4 centers. PT and OT proved to be distinct professions with clear demarcation of roles. Key Words: occupational therapy Ⅲ physical therapy Ⅲ rehabilitation Ⅲ stroke S troke can result in life-altering changes to an individual's functional abilities. 1 Stroke rehabilitation includes treatment of these impairments and improves outcome. 2 Rehabilitation involves multidisciplinary teams, in which physiotherapy (PT) and occupational therapy (OT) are key components. 3 However, the content of both therapeutic disciplines is not clearly defined and frequently referred to as a "black box." 4 Several factors contribute to the notion of a "black box": (1) detailed characteristics of the applied interventions are not reported, 4 (2) interventions are complex and diverse, 5 (3) different approaches are used in neurological rehabilitation, 6,7 (4) therapists often rely on clinical experience rather than on theoretical frameworks, 8,9 (5) substantial clinical variation exists between patients with an identical diagnostic label, 9 and (6) physiotherapists and occupational therapists function in collaboration with other health care professionals. 9,10 In addition, there is some controversy over the uniqueness of each profession. Ballinger et al 11 reported that PT and OT for stroke patients were not homogeneous activities. However, Booth and Hewison 12 revealed that the majority of the therapists experience a role overlap.In the majority of previous studies, the content of either PT 13,14 or OT 15 was defined, and patients' specific impairments were not clearly reported. 11,13,14,16 However, to enable a valid identification and comparison of both therapeutic disciplines, both PT and OT should be defined for a welldefined patient group because patients with different lesions may require different inte...

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Role overlap between occupational therapy and physiotherapy during in-patient stroke rehabilitation: an exploratory study

Cited by 77 publications

References 27 publications

Examining the Use of Constraint-Induced Movement Therapy in Canadian Neurological Occupational and Physical Therapy

Examining the Use of Constraint-Induced Movement Therapy in Canadian Neurological Occupational and Physical Therapy

A Shared Viewpoint but Diverse Focus: A Case Study About Teamwork Within Geriatric Home Rehabilitation

Stroke Rehabilitation in Europe

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