Time use of stroke patients in an intensive rehabilitation unit: a comparison between a Belgian and a Swiss setting

Disabil Rehabil. 2000 Mar 10;22(4):181-6. doi: 10.1080/096382800296872.


Purpose: Functional improvement after stroke has been related to the intensity of treatment. The present study was set up to observe how stroke patients spend their time in a rehabilitation unit.

Method: Behavioural mapping was performed throughout a full working day in a Belgian and Swiss stroke unit.

Results: Patients were most frequently involved in therapeutic activities, 28% of the day in Belgium and 45% in Switzerland. Physiotherapy accounted for the majority of the therapy time. The Belgian patients spent 27% of the day in their own room and Swiss patients 49% of the day. The most striking finding was that the Swiss patients spent nearly 1.5 hours per day more in therapy.

Conclusions: Differences between the two settings could only partially be explained by more favourable patient-staff ratios in the Swiss setting. Autonomous practice, group therapy sessions and family involvement have to also be considered.

Publication types

  • Comparative Study

MeSH terms

  • Activities of Daily Living*
  • Aged
  • Belgium
  • Evaluation Studies as Topic
  • Female
  • Health Knowledge, Attitudes, Practice*
  • Humans
  • Length of Stay
  • Male
  • Middle Aged
  • Physical Therapy Modalities / methods*
  • Rehabilitation Centers
  • Severity of Illness Index
  • Stroke / diagnosis
  • Stroke Rehabilitation*
  • Switzerland