Physiotherapy of the Trunk Related to Sitting Function After Stroke: A Delphi Study

Area of Science:

• Neurological Rehabilitation
• Physiotherapy
• Stroke Recovery

Background:

• Subacute stroke recovery requires targeted physiotherapy interventions.
• Trunk function is critical for sitting and functional mobility post-stroke.
• Novice physiotherapists need clear guidance for trunk rehabilitation.

Purpose of the Study:

• To establish consensus statements on trunk physiotherapy for subacute stroke patients.
• To aid novice physiotherapists in making informed treatment choices.
• To enhance sitting function and preparation for sit-to-stand transfers.

Main Methods:

• A four-round electronic Delphi study was conducted.
• Twenty-six neurological rehabilitation experts participated.
• Consensus was defined as ≥70% agreement on formulated statements.

Main Results:

• Nineteen of 26 participants (73%) affirmed the importance of trunk physiotherapy.
• Fourteen consensus statements on trunk physiotherapy were developed.
• Key interventions focused on sitting activities, including base of support control and reaching.

Conclusions:

• This study provides specific, consensus-based options for trunk physiotherapy in subacute stroke.
• The findings address gaps in clinical guidelines and systematic reviews.
• The developed statements and observations support novice physiotherapists in treating trunk-related functional tasks.