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  • Title: Time use of stroke patients in an intensive rehabilitation unit: a comparison between a Belgian and a Swiss setting.
    Author: De Weerdt W, Selz B, Nuyens G, Staes F, Swinnen D, van de Winckel A, Nieuwboer A, Lysens R, Feys H.
    Journal: Disabil Rehabil; 2000 Mar 10; 22(4):181-6. PubMed ID: 10798306.
    Abstract:
    PURPOSE: Functional improvement after stroke has been related to the intensity of treatment. The present study was set up to observe how stroke patients spend their time in a rehabilitation unit. METHOD: Behavioural mapping was performed throughout a full working day in a Belgian and Swiss stroke unit. RESULTS: Patients were most frequently involved in therapeutic activities, 28% of the day in Belgium and 45% in Switzerland. Physiotherapy accounted for the majority of the therapy time. The Belgian patients spent 27% of the day in their own room and Swiss patients 49% of the day. The most striking finding was that the Swiss patients spent nearly 1.5 hours per day more in therapy. CONCLUSIONS: Differences between the two settings could only partially be explained by more favourable patient-staff ratios in the Swiss setting. Autonomous practice, group therapy sessions and family involvement have to also be considered.
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