2.50
Hdl Handle:
http://hdl.handle.net/10755/150023
Type:
Presentation
Title:
Neurodevelopmental Treatment After Stroke: A Comparative Study
Abstract:
Neurodevelopmental Treatment After Stroke: A Comparative Study
Conference Sponsor:Sigma Theta Tau International
Conference Year:2005
Author:Hafsteinsdottir, Thora, PhD
P.I. Institution Name:University Medical Center, Utrecht
Title:PhD
Co-Authors:Ale Algra, MD, PhD; Jaap Kappelle, MD, PhD; Mieke Grypdonck, PhD
Objective: Neurodevelopmental treatment (NDT) is a widely used rehabilitation approach in the care of stroke patients, despite the lack of evidence for its effects. The aim of this study was to investigate the effects of the NDT-therapy on the functional status, shoulder pain, depression and Quality of life of stroke patients. Methods: In a prospective, non-randomised, parallel group design, 324 consecutive patients with stroke from 12 Dutch hospitals were included in the study. In the experimental group (N=223), nurses and physical therapists used the NDT-therapy when caring for the patients, whereas conventional therapy was used in the control group (N=101). Functional status was assessed with the Barthel Index; shoulder pain was assessed with a Visual Analogue Scale (VAS), depression was assessed with the Center of Epidemiological Depression Scale and Quality of Life was assessed with the SF-36, SA?SIP 30 and the VAS. Results: At 12 months 59 (27%) patients in the NDT group had a poor outcome and 24 (24%) in the non-NDT group (corresponding adjusted OR: 1.7, 95% CI 0.8?3.5). At discharge the adjusted odds ratio was 0.8 (95% CI 0.4-1.5) and after six months 1.6 (95% CI 0.8-3.2). No differences in Quality of Life and shoulder pain were found between the treatment groups. After one year less patients were depressed in the NDT group (23%) than in the non NDT group (43%) (adjusted odds ratio 0,56; 95% CI 0.32-0.98). Conclusion: The current evidence indicates that the NDT-therapy is not beneficial in the acute stage of stroke. Efforts should be undertaken to develop an evidence based rehabilitation method not only focusing on physical functioning of the patient, but also on his psychosocial and behavioural experiences. The effects of such a new approach should be properly assessed prior to the implementation on a large scale.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleNeurodevelopmental Treatment After Stroke: A Comparative Studyen_GB
dc.identifier.urihttp://hdl.handle.net/10755/150023-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Neurodevelopmental Treatment After Stroke: A Comparative Study</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2005</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Hafsteinsdottir, Thora, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University Medical Center, Utrecht</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">PhD</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">t.hafsteinsdottir@azu.nl</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Ale Algra, MD, PhD; Jaap Kappelle, MD, PhD; Mieke Grypdonck, PhD</td></tr><tr><td colspan="2" class="item-abstract">Objective: Neurodevelopmental treatment (NDT) is a widely used rehabilitation approach in the care of stroke patients, despite the lack of evidence for its effects. The aim of this study was to investigate the effects of the NDT-therapy on the functional status, shoulder pain, depression and Quality of life of stroke patients. Methods: In a prospective, non-randomised, parallel group design, 324 consecutive patients with stroke from 12 Dutch hospitals were included in the study. In the experimental group (N=223), nurses and physical therapists used the NDT-therapy when caring for the patients, whereas conventional therapy was used in the control group (N=101). Functional status was assessed with the Barthel Index; shoulder pain was assessed with a Visual Analogue Scale (VAS), depression was assessed with the Center of Epidemiological Depression Scale and Quality of Life was assessed with the SF-36, SA?SIP 30 and the VAS. Results: At 12 months 59 (27%) patients in the NDT group had a poor outcome and 24 (24%) in the non-NDT group (corresponding adjusted OR: 1.7, 95% CI 0.8?3.5). At discharge the adjusted odds ratio was 0.8 (95% CI 0.4-1.5) and after six months 1.6 (95% CI 0.8-3.2). No differences in Quality of Life and shoulder pain were found between the treatment groups. After one year less patients were depressed in the NDT group (23%) than in the non NDT group (43%) (adjusted odds ratio 0,56; 95% CI 0.32-0.98). Conclusion: The current evidence indicates that the NDT-therapy is not beneficial in the acute stage of stroke. Efforts should be undertaken to develop an evidence based rehabilitation method not only focusing on physical functioning of the patient, but also on his psychosocial and behavioural experiences. The effects of such a new approach should be properly assessed prior to the implementation on a large scale.</td></tr></table>en_GB
dc.date.available2011-10-26T10:14:45Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T10:14:45Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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