| Paper title: |
Post stroke arm rehabilitation based on a comprehensive assessment and smart goals: a case-study |
| DOI: | https://doi.org/10.4316/SAM.2023.0112 |
| Published in: | Volume XVI issue 1/ 2023 |
| Publishing date: | 2023 |
| Pages: | 84-93 |
| Author(s): | Gabriela Iuliana Cazac |
| Abstract. | The physiotherapist has a specific role in regaining, learning, and maintenance of physical function after a stroke. Physiotherapist need to develop the skills that will allow them to choose measurement tools based on their knowledge and clinical experiences. The selection of suitable measures to evaluate practice is critical in enabling therapist to planning a safe intervention based on clinical reasoning, to accurately characterize the effectiveness of their intervention and to monitor changes occurring during rehabilitation. The goal is to define the patient’s potential and how we can reach optimal function within the frame of available resources. Specific, measurable, achievable, realistic and time frame (SMART) is a multidisciplinary tool that actively involves and encourage patients and therapists jointly to participate in goal setting with a client centered perspective. This patient’s active involvement in goal setting increases their motivation with regard to their participation. This case study is based on a comprehensive assessment and on the use of SMART. At the core of rehabilitation should be this strong drive for physiotherapists to determine the effectiveness of their treatment by evaluation and measuring patient outcomes and by setting SMART goals. |
| Keywords: | physiotherapy, rehabilitation, stroke, SMART goals |
| References: |
1. Raine, S., Meadows, L., Lynch-Ellerington, M. (2009). Bobath Concept Theory and Clinical Practice in Neurological Rehabilitation. Blackwell Publishing Ltd, p. 45 2. Bente E. Bassøe Gjelsvik & Line Syre (2016). The Bobath concept in adult neurology– 2nd edition. Georg Thieme Verlag KG, p. 177, p. 190-198 3. Beckers, D. & Buck, M. (2021). PNF in Practice. Springer, p.4-5 4. Mudge, S. & Stott, S. (2007). Outcome measures to assess walking ability following stroke: A systematic review of the literature. Physiotherapy, volume 93, issue 2, 189-200. https://doi.org/10.1016/j.physio.2006.12.010. 5. Bovend’Eerdt, T.J., Botell, R.E., Wade, D.T. (2009). Writing SMART rehabilitation goals and achieving goal attainment scaling: a practical guide. Clin Rehabil, 23(4):352-61. doi: 10.1177/0269215508101741 6. Amir-ur, R., Jocelyn, B., Muhammad, S. (2014). Post stroke rehabilitation based on SMART goals: A case study. J Exp Integr Med, p. 71-73 DOI:10.5455/jeim.101113.cr.004 7. Gert Kwakkel, Boudewijn J. Kollen, Jeroen van der Grond and Arie J.H. Prevo (2003). Probability of Regaining Dexterity in the Flaccid Upper Limb: Impact of Severity of Paresis and Time Since Onset in Acute Stroke. Journal of the American Heart Association, DOI: 10.1161/01.STR.0000087172.16305.CD 8. Canadian Stroke Best Practice Recommendations (2019). Rehabilitation, Recovery and Community Participation following Stroke. Heart & Stroke, retrieved from https://www.heartandstroke.ca/-/media/1-stroke-best-practices/rehabilitation-nov2019/2019- csbpr6-rehabrecovery-module-eng-final-dec2019.ashx?rev=d9be6748ea0945368a0733e6b26423ae 9. Teasell, Hussein, Mirkowski et al. (2020). Stroke rehabilitation clinician handbook. In Rehabilitation management of upper extremity, p. 32, retrieved from http://www.ebrsr.com/sites/default/files/EBRSR%20Handbook%20Chapter%204_ Upper%20Extremity%20Post%20Stroke_ML.pdf 10. Semenko, B. et al. (2015). An Evidence Based Occupational Therapy Toolkit 11. https://motioncare360.com/products/motorpoint-pen (accesed 08.06.2023) |
| Back to the journal content | |