How is sensory impairment of the upper limb post-stroke being assessed in acute stroke units?.

Abstract

Introduction: Sensory impairment in the upper limb is common after stroke negatively impacting overall recovery. Occupational therapists play an important role in the assessment and treatment of sensory impairment of the upper limb after stroke. The acute hospital setting is the optimal time for post-stroke upper limb sensory issues to be identified however it is unclear which methods and assessments are currently being used in acute stroke units across Australia. Objective(s): To explore how OTs are assessing UL sensation in patients early after stroke and examine therapist perceptions of influences on practice. Method(s): This study used mixed methodology; a national cross-sectional survey of OTs and focus groups. Participants were OTs who currently work in acute stroke units or have done so in the past 2 years. They were invited to participate in an online survey. Qualitative data was obtained via focus groups. Thematic analysis will be conducted following completion of data collection. Result(s): To date, n=71 survey responses received from OTs meeting the inclusion criteria. It is anticipated that all data analysis will be finalised by March 2019. Conclusion(s): The outcomes of this study will provide clarity as to which methods and assessments are currently implemented in acute stroke units across Australia and influencing factors for OT practice in this area. This may inform recommendations toward a more consistent approach to acute sensory assessment which in turn will positively impact on the quality of assessment and functional outcomes for patients.