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  4. Quantifying the amount of physical rehabilitation received by individuals living with neurological conditions in the community: a scoping review

Quantifying the amount of physical rehabilitation received by individuals living with neurological conditions in the community: a scoping review

BMC Health Services Research, 2022 · DOI: 10.1186/s12913-022-07754-4 · Published: March 9, 2022

NeurorehabilitationRehabilitation

Simple Explanation

Physical rehabilitation, like physical and occupational therapy, is typically prescribed after a neurological condition diagnosis or event to help people do important tasks as independently and safely as they can. Occupational therapy focuses on improving independence in daily living by addressing both physical and mental health, while physical therapy focuses on movement and considers physical, social, and psychological aspects. Even though people spend time in physical rehabilitation during inpatient care, many still have long-term physical issues and need ongoing rehabilitation after leaving the hospital.

Study Duration
Not specified
Participants
Adults living in the community with neurological conditions
Evidence Level
Scoping Review

Key Findings

  • 1
    Individuals with spinal cord injury and stroke received a greater number of rehabilitation hours while living in the community compared to other populations.
  • 2
    The vast majority of studies reported increased hours spent in physical therapy compared to occupational therapy.
  • 3
    The amount of rehabilitation received is likely insufficient, and understanding barriers to accessing resources and determining needed rehabilitation for functional improvements is critical.

Research Summary

This scoping review aimed to identify and describe studies characterizing outpatient or community physical rehabilitation received by those living with neurological conditions. The review found that the amount of physical rehabilitation varied greatly, with spinal cord injury and stroke patients receiving the most care, and more time spent in physical therapy than occupational therapy. The findings point to the heterogeneity of physical rehabilitation and highlight areas for future research, including service use over time and the impact of rehabilitation on functional outcomes and quality of life.

Practical Implications

Informing Guidelines

The findings can inform future guidelines for community rehabilitation and provide a baseline amount of therapy for interventions targeting these populations.

Highlighting Service Gaps

The review highlights gaps in the literature regarding physical rehabilitation use in those with neurological conditions, particularly for progressive neurological conditions.

Improving Access

The study underscores the need to address barriers to accessing rehabilitation resources and determining the optimal amount of rehabilitation needed for functional improvements.

Study Limitations

  • 1
    Calculation of time spent in rehabilitation was estimated based on the number of sessions when time in minutes or hours was not provided.
  • 2
    Disease chronicity was not considered which likely impacts rehabilitation time.
  • 3
    Articles were limited to those published in English.

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