Factors Influencing Decision‐Making for Poststroke Paretic Upper Limb Treatment: A Survey of Japanese Physical and Occupational Therapists.

This study investigated the treatment methods used by physical and occupational therapists for poststroke paretic upper limbs and the factors influencing their decision‐making processes. For the treatment methods of poststroke paretic upper limbs, the respondents were asked to select the most clinic...

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Published in:Occupational Therapy International Vol. 2024; pp. 1 - 9
Main Authors: Hirayama, Koichiro, Takebayashi, Takashi, Takahashi, Kayoko, Hilton, Claudia
Format: equations & formulas research tables/charts Journal Article
Published: Wiley-Blackwell 10/7/2024
Online Access:View this record in EBSCOhost
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      dt: 10/7/2024
      vid: 2024
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1155/2024/1854449
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        atl: Factors Influencing Decision‐Making for Poststroke Paretic Upper Limb Treatment: A Survey of Japanese Physical and Occupational Therapists.
      aug:
        au:
          Hirayama, Koichiro
          Takebayashi, Takashi
          Takahashi, Kayoko
          Hilton, Claudia
        affil: Graduate School of Rehabilitation,, Osaka Metropolitan University,, Osaka, Japan
      sug:
        subj:
          Stroke Rehabilitation
          Upper Extremity Pathology
          Hemiplegia Rehabilitation
          Decision Making, Clinical
          Physical Therapists Psychosocial Factors
          Occupational Therapists Psychosocial Factors
          Human
          Japan
          Questionnaires
          Summated Rating Scaling
          Factor Analysis
          Descriptive Statistics
          Severity of Illness
          Therapeutic Exercise
          Electric Stimulation
      ab: This study investigated the treatment methods used by physical and occupational therapists for poststroke paretic upper limbs and the factors influencing their decision‐making processes. For the treatment methods of poststroke paretic upper limbs, the respondents were asked to select the most clinically used treatment according to the severity of the patient's condition. For the factors influencing their decision‐making processes, the respondents were asked to indicate each determinant using a 5‐point Likert scale (1 = no influence at all to 5 = very strong influence). Six hundred thirty‐eight therapists participated in this study. Exploratory factor analysis was used to assess the validity of the questionnaire. The findings indicated task‐specific training (N = 333, 52%) as the most popular for mild cases, followed by repetitive facilitative exercise (n = 143, 22.3%) for moderate cases and electrical stimulation (n = 246, 38.4%) for severe cases. This study revealed that evidence about treatment (very strong: n = 171 (27.0%), and strong: n = 287 (45.0%)) and patient preferences (very strong: n = 203 (31.8%), and strong: n = 251 (39.3%)) affected decision‐making significantly regarding treatment methods for the poststroke paretic upper limb.
      pubtype: Academic Journal
      doctype:
        equations & formulas
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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