Evidence map›Paper›PMID 31711211›Full record

ArticlePhysical therapy2020

Factors Influencing the Delivery of Intensive Rehabilitation in Stroke: Patient Perceptions Versus Rehabilitation Therapist Perceptions.

Jessie Janssen, Tara D Klassen, Louise A Connell, Janice J Eng

Open access · bronzeAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Physical therapy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
1.0field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 31 citations in OpenAlex.

  1. Combined cardiorespiratory and resistance training for people with stroke.The Cochrane database of systematic reviews · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 3 countries.

Jessie JanssenJ. Janssen, PhD, Allied Health Research Unit, Faculty of Health and Wellbeing, University of Central Lancashire, Preston, United Kingdom; and Institute of Therapeutic Sciences, IMC University of Applied Sciences Krems, Krems an der Donau, Austria. Address all correspondence to Dr Janssen at: Jessie.janssen@fh-krems.ac.at.
Tara D KlassenT.D. Klassen, PhD, Department of Physical Therapy, University of British Columbia, Vancouver, British Columbia, Canada; and Rehabilitation Research Program, GF Strong Rehab Centre, Vancouver, British Columbia, Canada.
Louise A ConnellL.A. Connell, PhD, Allied Health Research Unit, Faculty of Health and Wellbeing, University of Central Lancashire.
Janice J EngJ.J. Eng, PhD, Department of Physical Therapy, University of British Columbia and Rehabilitation Research Program, GF Strong Rehab Centre.
GF Strong Rehabilitation Centre · CAUniversity of British Columbia · CAUniversity of Lancashire · GB

Funding

CIHR FDN 143340
6 · The paper itself

Abstract

backgroundDespite increasing evidence regarding the benefit of intensive task-specific practice and aerobic exercise in stroke rehabilitation, implementation remains difficult. The factors influencing implementation have been explored from therapists' perspectives; however, despite an increased emphasis on patient involvement in research, patients' perceptions have not yet been investigated.

objectiveThe study aimed to investigate factors influencing implementation of higher intensity activity in people with stroke and to compare this with therapists' perspectives.

designThe design was a cross-sectional qualitative study.

methodsThe study used semistructured interviews with people with stroke who were part of a randomized clinical trial, the Determining Optimal post-Stroke Exercise study, which delivered a higher intensity intervention. An interview guide was developed and data analyzed using implementation frameworks. Factors emerging from interviews with people with stroke were compared and contrasted with factors perceived by rehabilitation therapists.

resultsTen people with stroke were interviewed before data saturation was reached. Participants had a positive attitude regarding working hard and were satisfied with the graded exercise test, high intensity intervention, and the feedback-monitoring devices. Therapists and patients had contrasting perceptions about their beliefs regarding intensive exercise and the content of the intervention, with therapists more focused on the methods and patients more focused on the personal interactions stemming from the therapeutic relationship.

conclusionsPeople with stroke perceived no barriers regarding the implementation of higher intensity rehabilitation in practice and were positive towards working at more intense levels. Contrastingly, from the therapists' perspective, therapists' beliefs about quality of movement and issues around staffing and resources were perceived to be barriers. In addition, therapists and people with stroke perceived the contents of the intervention differently, highlighting the importance of involving patients and clinicians in the development and evaluation of rehabilitation interventions.

Indexed as

Health Knowledge, Attitudes, PracticeAdultCross-Sectional StudiesExercise TherapyFemaleHumansMaleMiddle AgedPatient ParticipationPhysical TherapistsQualitative ResearchRandomized Controlled Trials as TopicSelf EfficacyStrokeStroke Rehabilitation

Identifiers

PMID31711211
PMCPMC7246073
OpenAlexW2987523597

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.