A variables associated with occupational and physical therapy stroke rehabilitation utilization and outcomes.

Journal Article

Many studies have reported the benefits of a comprehensive stroke team including occupational therapy/physical therapy (OT/PT) services; however, factors associated with access to these services are less known. This study used a subsample of the Health and Retirement Study database, a cross-sectional survey of more than 11,126 Americans aged 65 to 106 years within the contiguous United States. The purposes of this study were to determine the associational factors that contribute to attending OT/PT and determine if attending OT/PT leads to a reduced report of stroke-related problems. The findings indicated that fewer than 10% of stroke survivors in a noninstitutionalized, community-based setting were currently accessing OT/PT. Additionally, access to OT/PT services was highly associated with report of having an attending physician, report of stroke-related weakness, higher monthly income, and older age. The increased odds of reported continued problems associated with a past stroke were associated with failure to access OT/PT services, lower monthly income, Hispanic culture, and age. OT/PT services were typically provided to patients who reported a higher level of physical dysfunction. Despite the greater degree of severity, OT/PT intervention led to reports of lower levels of disability and problems over time.

Full Text

Duke Authors

Cited Authors

  • Cook, C; Stickley, L; Ramey, K; Knotts, VJ

Published Date

  • 2005

Published In

Volume / Issue

  • 34 / 1

Start / End Page

  • 3 - 10

PubMed ID

  • 15839599

International Standard Serial Number (ISSN)

  • 0090-7421

Language

  • eng

Conference Location

  • United States