Please use this identifier to cite or link to this item:
http://hdl.handle.net/1942/40511
Title: | Can therapists estimate therapy dose dimensions? A comparison between patient, therapist, and objective outcomes in (sub)acute rehabilitation | Authors: | BERTELS, Nele Seelen, Henk SPOOREN, Annemie |
Advisors: | Spooren, Annemie | Corporate Authors: | Henk Seelen Spooren Annemie |
Issue Date: | 2023 | Source: | Congress on NeuroRehabiliation and Neural Repair, Maastricht, 1 juni 2023 - 2 juni 2023 | Abstract: | Introduction Arm-hand training at an intensive and individualized dosage potentially provides a powerful stimulus for neurological recovery. The current dosage is based on therapists' experience and subjective feelings, which might differ from patients' perceived dosage. Main objective To assess differences in therapy dose dimensions (TDD) between patients' and therapists' perceptions and between therapists' perceptions and objective measured TDD in (sub)acute arm-hand therapy in PwC-SCI. Methods In this longitudinal observational study in 3 rehabilitation centers, PwC-SCI and their therapists estimated TDD difficulty and intensity of arm-hand therapy using a VAS. Active minutes within a session were estimated by the therapist and objectively measured using video recordings of the therapy. Measurements were taken during 3 weeks between 4-24 weeks post-injury, with an interval of 8 weeks, during 3 days per week. Paired sample T-test was used to assess differences. Result and discussion The ongoing study measured 73 arm-hand sessions, including 8 patients (lesion C1-C5, mean age of 56.13 years SD(12.11) and mean post-injury weeks 7.5 SD(1.6) at inclusion) and 16 therapists (mean experience of 11.7 years SD(9.22)). Therapists estimated the difficulty (M(4.89);SD(2.08)) and intensity (M(4.97); SD(2.19)) significantly higher (p<0.005) than perceived difficulty (M(4.03); SD(2.43)) and intensity (M(3.66); SD(2.26)) by the patients. Fifty sessions (mean session length 40’03’’; SD(25’12’’)) were included for estimating active time. Therapists estimated the active time (M(29’44’’); SD(20’30’’)) significantly higher (p=0.003) than objectively measured (M(23’22’’);SD(12’21’’)). Conclusion These preliminary results indicate that therapists overestimate all TDD compared to patient perception and objective measurement. | Document URI: | http://hdl.handle.net/1942/40511 | Category: | C2 | Type: | Conference Material |
Appears in Collections: | Research publications |
Files in This Item:
File | Description | Size | Format | |
---|---|---|---|---|
Bertels_Can therapist estimate therapy dose dimensions.ppt Restricted Access | Conference material | 6.93 MB | Microsoft Powerpoint | View/Open Request a copy |
Google ScholarTM
Check
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.