Executive dysfunction post-stroke: an insight into the perspectives of physiotherapists

Purpose: To gain an understanding of physiotherapy practice in relation to executive dysfunction (ED) post-stroke. Method: Three focus groups were conducted using semi-structured interview schedules to highlight how ED post-stroke was understood by 12 physiotherapists with greater than 1 year of exp...

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Bibliographic Details
Published in:Disability and rehabilitation 2015-09, Vol.37 (20), p.1817-1824
Main Authors: Hayes, Sara, Donnellan, Claire, Stokes, Emma
Format: Article
Language:English
Subjects:
Executive dysfunction
Executive Function
Female
Focus Groups
Humans
Interviews as Topic
Ireland
Male
Physical Therapists - education
Physical Therapists - psychology
Physical Therapy Modalities - education
Physical Therapy Modalities - standards
physiotherapy
Qualitative Research
rehabilitation
stroke
Stroke - psychology
Stroke Rehabilitation
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Summary:Purpose: To gain an understanding of physiotherapy practice in relation to executive dysfunction (ED) post-stroke. Method: Three focus groups were conducted using semi-structured interview schedules to highlight how ED post-stroke was understood by 12 physiotherapists with greater than 1 year of experience working in the area of stroke care. The focus group data were analysed using qualitative data analysis. Results: The themes extracted from the data on physiotherapists' self-reported knowledge of ED post-stroke were: physiotherapists' lack of knowledge of ED post-stroke; current physiotherapy practice regarding ED post-stroke; the negative impact of ED on physiotherapy rehabilitation post-stroke and the future learning needs of physiotherapists regarding ED post-stroke. Conclusions: Current results demonstrate that ED has negative implications for physiotherapy rehabilitation post-stroke. Although further interdisciplinary research is warranted, the present results suggest that physiotherapists should be aware of the presence of ED in people post-stroke and develop strategies to minimise the impact of ED on physiotherapy rehabilitation. Implications for Rehabilitation Physiotherapists report a lack of knowledge of ED post-stroke and a requirement for future learning and training regarding the optimal management of people with ED undergoing physiotherapy rehabilitation post-stroke. ED has negative implications for physiotherapy rehabilitation post-stroke and physiotherapists should be aware of the presence of ED in people post-stroke and develop strategies to minimise the impact of ED on physiotherapy rehabilitation.
ISSN:0963-8288
1464-5165
DOI:10.3109/09638288.2014.980915