Publications by authors named "Mark P McGlinchey"
Objective: To explore physiotherapists' perspectives on current and alternative models of physiotherapy delivery in acute stroke rehabilitation.
Design: Qualitative service evaluation.
Setting: An acute stroke rehabilitation unit within a London teaching hospital in the UK.
Purpose: Whilst strong evidence supports rehabilitation to improve outcomes post-stroke, there is limited evidence to guide rehabilitation in the most severely disabled group. In an era of evidence-based practice, the aim of the study was to understand what factors guide physiotherapists (PTs) and occupational therapists (OTs) to select particular interventions in the rehabilitation of physical function after severely disabling stroke.
Material And Methods: An ethnographic study was undertaken over an 18-month period involving five London, UK stroke services.
Purpose: Exercise improves functional outcome post-stroke, but how long patients with differing severity spend undertaking active exercise within physiotherapy sessions is unknown. We aimed to investigate if stroke severity is associated with time undertaking active exercise in physiotherapy sessions, and if any differences between planned and actual physiotherapy session length existed.
Materials And Methods: A prospective observational study of 107 stroke rehabilitation sessions in a UK acute stroke unit.
Objective: To evaluate the effectiveness of rehabilitation interventions on physical function and immobility-related complications in severe stroke.
Design: Systematic review of electronic databases (Medline, Excerpta Medica database, Cumulative Index to Nursing and Allied Health Literature, Allied and Complementary Medicine Database, Physiotherapy Evidence Database, Database of Research in Stroke, Cochrane Central Register of Controlled Trials) searched between January 1987 and November 2018.
Methods: The Preferred Reporting Items for Systematic Reviews and Meta-Analysis statement guided the review.
Rationale, Aims, And Objectives: National policy, guided by research, suggests several patient and service benefits achieved by providing 7-day health care. Therefore, a 7-day inpatient neurophysiotherapy service was introduced at a large teaching hospital in London. The study's aim was to evaluate the effect of the 7-day service on physiotherapy provision, length of stay (LOS), and patient experience.
View Article and Find Full Text PDFIntroduction: The purpose of this study is to investigate which factors are associated with physiotherapy provision to hospitalised stroke patients.
Methods: Data were analysed for stroke patients admitted to hospital in England and Wales between April 2013 and March 2017 recorded on the Sentinel Stroke National Audit Programme (SSNAP) national stroke register. Associations between different patient factors, and applicability for and intensity of physiotherapy were measured using multi-level logistic and regression models.
Background: Stroke rehabilitation aims to optimise function and reduce complications post-stroke. Rehabilitation to optimise physical function post-stroke has beneficial effects for survivors of mild to moderate stroke. However, little is known about the effectiveness of interventions to rehabilitate physical function or manage immobility-related complications for survivors of severe stroke.
View Article and Find Full Text PDFPurpose: The aim of this study was to explore the decision-making process in the delivery of physiotherapy in a stroke unit.
Methods: A focused ethnographical approach involving semi-structured interviews and observations of clinical practice was used. A purposive sample of seven neurophysiotherapists and four patients participated in semi-structured interviews.