Physical therapy care to community-dwelling individuals with stroke in primary care setting in Brazil: a cross-sectional study
DOI:
https://doi.org/10.1590/1809-2950/e23014824ptKeywords:
Stroke, Physiotherapy, Public health; Primary health careAbstract
After hospital discharge, it is recommended that
post-stroke individuals receive follow-up by a physical therapist throughout all the stages of recovery. Despite clinical recommendations,
few studies have investigated physical therapy care to communitydwelling individuals with stroke. This study aimed to describe physical
therapy care to community-dwelling individuals with stroke in primary
care setting and identify clinical-functional and sociodemographic
characteristics that determined physical therapy assistance. This is an
exploratory cross-sectional study. Community-dwelling individuals
with stroke who were assisted by the primary healthcare team of
four basic health units from an important Brazilian metropolis were
included. Their medical records were analyzed to identify the care
provided by physical therapists. Individuals who received and did not
receive physical therapy care were compared (α=0.05). Out of the 100
included individuals, 55% received assistance from the multidisciplinary
primary healthcare team and 44% from physical therapists. Physical
therapy approaches consisted mainly of general orientations (89%)
and assessments (75%). Only 45% of the individuals who received
physical therapy care were followed-up, and those who received
this type of care had significantly more stroke events and higher
levels of disability (p<0.001). It was observed that many individuals
with various levels of disabilities have not received physical therapist
assistance. Moreover, follow-up care and referrals were not frequent
physical therapy approaches. Therefore, physical therapy care in
primary care needs to be expanded to ensure that all individuals with
some level of disability receive treatment. Moreover, it is necessary to
increase the number of individuals receiving follow-up and encourage
multidisciplinary work between physical therapists and other primary
healthcare professionals.
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