An observation-based intervention for stroke rehabilitation: experiences of eight individuals affected by stroke

Ewan, Louise, Kinmond, Kathy and Holmes, Paul S. (2010) An observation-based intervention for stroke rehabilitation: experiences of eight individuals affected by stroke. Disability and Rehabilitation, 32 (25). pp. 2097-2106. ISSN 1464-5165

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Abstract

Purpose.To explore eight individuals’ experiences and responses to taking part in a personalised observation-based intervention for stroke rehabilitation. Methods.Eight participants who had experienced a cerebrovascular accident were recruited to a 16-week observation-based intervention. Participants were interviewed face-to-face to explore their responses to, and experiences of, taking part in the intervention. A list of topics, derived from the intervention process and earlier studies provided a provisional structure for the interview. All interviews were transcribed, coded and analysed using inductive content analysis to explore the impact of the observational intervention for these participants. Results.Three main themes emerged: physical function, behaviour change and DVD content. Lower order themes were also identified. These included: interaction with the physiotherapist; ability to complete tasks; and increased motivation to (re)engage in activities of everyday living. Conclusion.The findings suggest that a programme of action observation, linked to individualised and meaningful motor behaviours can provide a valid intervention for individuals affected by stroke by serving as a motivating agent to (re)engage in activities which they had believed they could not perform following their stroke. There was also evidence for positive affect on psychological wellbeing and motor function.