Hello,
I am currently working as PT in a research project with acute stroke patients.
We are trying to find outcomes/scales that are validated for questions concerning
1. the best moment to start with PT
2. intensity of therapy and the best therapeutical approach (bobath, vojta, pnf, brunkow...).
The results should
1. show the effectiveness of PT
2. be integrated in a database with the outcomes acqired MD´s to show the effectivness of stroke units
Until now I have done medline research (most results in "stroke" and "clinical rehabilitation"). We are using the following scales:
NationalInstituteofHealth score, EuropeanStrokeScale, ScandinavianStrokeScale, Barthel ADL index.
The articles are sometimes contradictory. For example:
Some authors report that there are enough scales and there is only the need to make progesses in validating; other authors say that you need specially designed scales for different questions.
Furthermore the need of PT with acute stroke patients (within 24 hours) is controversial ,then is general scepticismon weather the results of PT can be demonstrated or compared in such complex areas like stroke.
Please help me:
We need links and literature (critical views on the quality of the projects),
contacts to other PT´s in neurological research projects and more scales, that are validated for stroke patients.
Thank you very much,
Claus Willemer, PT
University of Heidelberg
Fakultät für Klinische Medizin Mannheim
Department of Neurology
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