A randomised controlled trial to determine the effect of intensity of therapy upon length of stay in a neurological rehabilitation setting

J Rehabil Med. 2002 Nov;34(6):260-6. doi: 10.1080/165019702760390347.

Abstract

A randomised single-blind controlled trial was designed to determine whether intensity of therapy (physiotherapy and occupational therapy) shortened length of stay for patients in a rehabilitation unit. Patients were under 65, primarily with stroke, but also with other conditions such as traumatic brain injury, and multiple sclerosis. The experimental group were timetabled to receive 67% more therapy in any given week, than the control group. After controlling for confounders and case mix (as expressed by type of therapy required) patients in the experimental group showed a significant 14-day reduction in length of stay (<0.01). Concurrently average length of stay was increased for both groups by 16 days due to delays in discharge.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Brain Injuries / rehabilitation*
  • Female
  • Humans
  • Length of Stay / statistics & numerical data
  • Male
  • Middle Aged
  • Multiple Sclerosis / rehabilitation*
  • Occupational Therapy*
  • Physical Therapy Modalities*
  • Regression Analysis
  • Rehabilitation Centers / statistics & numerical data
  • Single-Blind Method
  • Statistics, Nonparametric
  • Stroke Rehabilitation*
  • Treatment Outcome