THE SELECTION OF INTERVENTION FOR STROKE REHABILITATION AMONG PHYSIOTHERAPY IN KLANG VALLEY.
By : Nurhazalina Bt Rosley, PT
Objectives: To identify current treatment approaches for stroke patient by physiotherapist in Klang Valley and to determine factors that influences physiotherapist’s preference for practicing certain treatment approach to treat stroke patient.
Study Design: This study used a Cross Sectional Study.
Background: Rehabilitation is necessary to optimize functional recovery in the remainder (Rymer, M. M. and D. E. Thrutchley, 2005). Stroke occurs when there is the rapidly developing loss of brain functions due to disturbance in the blood supply to the brain. This can be due to ischemia which is the lack of blood flow that is caused by blockage from thrombosis or due to arterial embolism, or a hemorrhage. As a result, the affected area of the brain is unable to function, leading to inability to move one or more limbs on one side of the body, inability to understand or formulate speech, or an inability to see one side of the visual field. Strokes can be classified into two major categories: ischemic and hemorrhagic. Ischemic strokes are those that are caused by interruption of the blood supply, while hemorrhagic strokes are the ones which result from rupture of a blood vessel or an abnormal vascular structure.
Methodology: Sixty physiotherapists from Hospital in Klang Valley. They must experience in treating stroke patients at least more than one year and be able to read and understanding English language. Questionnaire will distribute to them and answers all the questionnaire.
Results: From the result, it was found that 92 % PNF approach are the most popular treatment approach use by clinicians for stroke rehabilitation in Malaysia. Followed by Bobath approach 88%, MRP 80% and only 2% used others approach. Majority of the physiotherapist in Malaysia 100% agreed on main the aims of treatment for impairment is to re-educate normal movement. about the aim of treatment to pertaining tone. They is 93.3 %agreed that inhibition of spasticity does not necessary result in movement, it need to be facilitated.
Conclusion: Physiotherapy interventions are integrated into a continuous and cyclic process. This process involves the identifications problems and needs, the relation of the problems to relevant factors of the person, definition of goals, planning of interventions and assessment of the effects. One approach is to relate them to their individual goals. The International Classification of Functioning, Disability and Health (ICF) may provide a framework and classification for such a standardized documentation
KEYWORDS: physiotherapy, intervention, stroke, rehabilitation
Tamat la segalanya.... my 4 years degree..