Individual vs Co-Treatment in Acute Stroke Rehabilitation and Evaluation
Vanderbilt University Medical Center
Summary
This is a single center, pragmatic, randomized trial comparing the effectiveness of two commonly used approaches (co-treatment and individual treatment) in acute care rehabilitation.
Description
Individual and co-treatment are both widely used to deliver physical therapy (PT) and occupational therapy (OT) for patients admitted to the hospital for acute stroke. Studies have shown that patients with stroke who participate in hospital PT and OT have improved function upon discharge. However, there is a lack of evidence informing which patients are best suited for individual versus co-treatment, or which delivery method more effectively improves functional outcomes. This gap in knowledge presents a unique opportunity to advance stroke rehabilitation. This study aims to compare the two ap…
Eligibility
- Age range
- 18+ years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: * Inpatient admission to the neurology stroke service AND * Orders placed for both PT and OT within 96 hours of admission to the service Exclusion Criteria: * Patient is known to be \<18 years * Patient is known to be a prisoner * Patient is known to be pregnant * Prior evaluation or treatment by PT and/or OT while admitted under the stroke service before study enrollment * Clinician determines that either individual PT and OT or co-treatment is required or contraindicated for the optimal care of the patient
Interventions
- OtherCo-treatment
Patients in this arm will be evaluated and treated by PT and OT at the same time for the duration of their hospitalization.
- OtherIndividual Treatment
Participants in this arm will be evaluated and treated by PT and OT individually for the duration of their hospitalization.
Location
- Vanderbilt University Medical CenterNashville, Tennessee