The National Clinical Guidelines for Stroke (2023) highlight the importance of practice and repetition of functional tasks as a key component of optimal recovery. Please share how you are increasing therapy intensity in your service, or how you plan to! by

2024-11-26 16:50:40 UTC

I work in an ESSD setting and we have/are developing more groups online to try and increase intensity. Including a stroke prevention and a fatigue group. We are also looking at developing an upper limb group

row_lewis — 2024-12-02 13:21:59 UTC

I work in an acute stroke unit. We are looking at how we use our therapy support workers time, treating 2 or more patients together with similar/same activities and looking to introduce more group work. We are also reviewing how we use technology in rehab to support increasing intensity

2024-12-03 09:19:14 UTC

Acute stroke unit:

Running the following groups each week:

1x breakfast

2 x UL

3 x exercise / cycling

1 x mental practice

1 x games

1 x communication

Huge reduction in joint OT/PT sessions to work towards at least 2 x single discipline (eg one OT, one PT) sessions each day, giving more discipline specific focus

2024-12-03 14:28:54 UTC

Working in the community

Provide patients video that they can follow with support from family if needed.

Focus on immediate goal of patient and provide intensity e.g two weeks 4-5 sessions then review.

Liaise with care support services available train them to incorporate eg walking into patients care.

row_lewis — 2024-12-03 16:28:11 UTC

Comment shared re acute rehab - bay based group work

row_lewis — 2024-12-03 16:48:04 UTC

Intensity in the community- online/virtual therapy groups e.g NROL, covering upper limb, cog, comm, fatigue and peer support

row_lewis — 2024-12-03 16:49:28 UTC

Use of supper staff/ volunteers/students to support semi supervised practice - would need to have ‘stroke specialist skills’ to be counted as per the guidelines

2024-12-03 23:26:01 UTC

Using self-management practice outside of therapy sessions such as Graded Repetitive Arm Supplementary Programme (GRASP) I find then motivates patients to set SMARTER more meaningful goals and focus their attention and intensity into their formal therapy sessions in the community.

2024-12-04 14:02:47 UTC

I work on Acute and we’re collaborating with Bournemouth Symphony Orchestra using ‘ creative health methods’ : action songs and use of percussion instruments to increase reps using a different method.

Although we don’t count reps we have seen increased awareness and use of effected limb and have seen benefits in social engagement, increased attention and spoken speech.

row_lewis — 2024-12-04 15:08:34 UTC

Comment shared from a rehab ward in Malta: daily timetabling for every patient, completed day before and giving each patient 1hr of each therapy discipline every day Monday-Friday. Whole team buy-in to this approach to support patients being ready to engage in these sessions

row_lewis — 2024-12-04 16:27:16 UTC

Gillian Sweeney talking about tech-enriched rehab hub study in Wishaw. Access to exercise and rehab equipment, supervised by B4 and B2/3 (registered therapists too when needed for specific equip). Increased intensity by average 508 minutes per patient in addition to normal therapy sessions

row_lewis — 2024-12-04 16:29:46 UTC

TELSTAR research project- tele-rehabilitation as means to increase rehab intensity in community setting. Good for rural/hard to reach community settings. Outcomes include peer support, improved sense of autonomy and control

Use of mirror therapy and GRASP for online therapy programme to increase intensity of rehab in community. Training and supporting carers to enhance programme (Lesley-Anne Rollins)

2024-12-05 11:01:15 UTC

Joint sessions with the whole MDT including nursing staff for washing and dressing sessions to promote continuity of strategies learnt in OT sessions. Groups and formulation of programmes inline with functional challenges (UL programme or exercises addressing specific ADLs for example)