The development of the Stroke Physiotherapy Intervention Recording Tool (SPIRIT)
- 21 October 2004
- journal article
- research article
- Published by Informa UK Limited in Disability and Rehabilitation
- Vol. 26 (20), 1184-1188
- https://doi.org/10.1080/09638280410001714781
Abstract
To develop a recording system that describes physiotherapy interventions for the rehabilitation of postural control post-stroke. A draft recording tool was developed using the method described by Edwards et al, involving literature searches and collaboration with senior clinicians. It was piloted with stroke physiotherapists using a cross-sectional survey design to assess validity, utility and completeness. Participants used the recording tool to record five treatment sessions. Feedback regarding the utility and completeness of the system was obtained via short semi-structured interviews. 11 NHS Trusts. 35 stroke physiotherapists working in acute and rehabilitation settings recorded the treatment of 120 patients in 590 treatment sessions. A double-sided A4 form with a checklist of 79 physiotherapy interventions in 9 categories was produced: the Stroke Physiotherapy Intervention Recording Tool (SPIRIT). The participants found it quick and easy to use and reflective of clinical practice. There were a few missing interventions and some confusion regarding definition of terms. Revisions were to include the omitted interventions and to produce a user's booklet defining the categories and interventions. SPIRIT provides a system for recording physiotherapy treatment for stroke patients which reflects current clinical practice in acute and rehabilitation settings.Keywords
This publication has 17 references indexed in Scilit:
- The impact of strokeBritish Medical Bulletin, 2000
- Effect of severity of arm impairment on response to additional physiotherapy early after strokeClinical Rehabilitation, 1999
- Effects of Intensity of Rehabilitation After StrokeStroke, 1997
- Physiotherapy for higher-level gait disorders associated with cerebral multi-infarctsPhysiotherapy Theory and Practice, 1997
- Physiotherapy after stroke: More is better?Physiotherapy Research International, 1996
- Review article : Physiotherapy in the rehabilitation of stroke: a reviewClinical Rehabilitation, 1993
- Do stroke units save lives?The Lancet, 1993
- Methodological difificulties in rehabilitation researchClinical Rehabilitation, 1993
- Enhanced physical therapy improves recovery of arm function after stroke. A randomised controlled trial.Journal of Neurology, Neurosurgery & Psychiatry, 1992
- Treatment Schedules for Research A Model for PhysiotherapyPhysiotherapy, 1990