Executive dysfunction post-stroke: an insight into the perspectives of physiotherapists

Area of Science:

• Neurology
• Rehabilitation Medicine
• Allied Health Professions

Background:

• Executive dysfunction (ED) is a common cognitive impairment following stroke.
• ED significantly affects a patient's ability to engage in and benefit from rehabilitation.
• Understanding the current landscape of physiotherapy practice concerning ED is crucial.

Purpose of the Study:

• To explore and understand physiotherapy practice in relation to executive dysfunction (ED) in stroke survivors.
• To identify physiotherapists' perceptions and knowledge regarding ED post-stroke.

Main Methods:

• Qualitative study employing three focus groups with 12 experienced stroke physiotherapists.
• Semi-structured interviews were used to gather insights into understanding and managing ED.
• Data analysis utilized qualitative data analysis techniques.

Main Results:

• Physiotherapists reported a lack of knowledge regarding ED post-stroke.
• Identified challenges in current physiotherapy practice related to managing ED.
• Highlighted the negative impact of ED on physiotherapy rehabilitation outcomes.
• Expressed a need for future learning and training on ED management.

Conclusions:

• Executive dysfunction presents significant challenges in post-stroke physiotherapy rehabilitation.
• Physiotherapists require enhanced knowledge and training to effectively address ED.
• Awareness and strategic interventions are necessary to minimize the impact of ED on rehabilitation.
• Further interdisciplinary research is recommended to optimize care for stroke survivors with ED.