Orthotic intervention following stroke: a survey of physiotherapist, occupational therapist and orthotist practice and views in the UK

Golding-Day, Miriam R; Walker, Marion F; Whitehead, Phillip J

Abstract

Background/Aims Orthoses are often used to promote mobility and rehabilitation for patients in the UK after a stroke. The perspective of stroke therapists in the UK is an important factor determining current practice and orthotic provision. The purpose of this study was to investigate the views of orthotists, physiotherapists and occupational therapists on the delivery mechanisms and relationships that influence orthoses intervention and provision for patients with stroke in the UK. Methods A UK-based online survey was conducted. Participants were stroke therapy clinicians within acute and community settings, recruited through their membership of the British Association of Prosthetists and Orthotists, the Association of Chartered Physiotherapists Interested in Neurology, and the Royal Collage of Occupational Therapists-Specialist Section for Neurological Practice. Data were analysed using descriptive statistics and content analysis. Results A total of 305 questionnaires were completed (64 orthotists, 131 physiotherapists, 110 occupational therapists). Some 67% (n=190) of respondents identified the optimal timing for initial orthotic assessment as within the first days following a stroke or before discharge from hospital. Waiting times and operational barriers to orthoses provision were perceived to have a negative impact on patients' rehabilitation. A closer working relationship between orthotists and the stroke rehabilitation team is desirable. Conclusions The survey found that the use of orthoses and orthotic specialist input are perceived to play an important role within the stroke rehabilitation pathway. Further evaluative research is warranted to explore the optimal timing and benefits, and the orthotist's role within the stroke rehabilitation team.

Citation

Golding-Day, M. R., Walker, M. F., & Whitehead, P. J. (2022). Orthotic intervention following stroke: a survey of physiotherapist, occupational therapist and orthotist practice and views in the UK. International Journal of Therapy and Rehabilitation, 29(6), 1-16. https://doi.org/10.12968/ijtr.2021.0177

• Journal Article Type: Article
• Acceptance Date: Dec 21, 2021
• Online Publication Date: Jun 30, 2022
• Publication Date: Jun 2, 2022
• Deposit Date: Jan 5, 2022
• Publicly Available Date: Dec 3, 2022
• Journal: International Journal of Therapy and Rehabilitation
• Print ISSN: 1741-1645
• Electronic ISSN: 1759-779X
• Publisher: Mark Allen Group
• Peer Reviewed: Peer Reviewed
• Volume: 29
• Issue: 6
• Pages: 1-16
• DOI: https://doi.org/10.12968/ijtr.2021.0177
• Keywords: Rehabilitation; Physical Therapy, Sports Therapy and Rehabilitation
• Public URL: https://nottingham-repository.worktribe.com/output/7166578
• Publisher URL: https://www.magonlinelibrary.com/doi/abs/10.12968/ijtr.2021.0177
• Additional Information: This document is the Accepted Manuscript version of a Published Work that appeared in final form in International Journal of Therapy and Rehabilitation, copyright © MA Healthcare, after peer review and technical editing by the publisher. To access the final edited and published work see https://www.magonlinelibrary.com/doi/full/10.12968/ijtr.2021.0177