Task-oriented training in stroke rehabilitation: Qualitative study on perspectives and challenges among Pakistani...

Area of Science:

• Neurorehabilitation
• Physical Therapy
• Stroke Recovery

Background:

• Task Oriented Training (TOT) is a key approach in stroke rehabilitation.
• Understanding its application in diverse healthcare settings like Pakistan is crucial.

Purpose of the Study:

• To explore Pakistani physiotherapists' integration of Task Oriented Training (TOT) in stroke rehabilitation.
• To categorize TOT use in motor, cognitive, and balance training.
• To identify barriers and adaptation strategies for TOT implementation.

Main Methods:

• Qualitative descriptive study utilizing semi-structured interviews.
• 22 experienced physiotherapists participated.
• Thematic analysis using Braun and Clarke's six-step method with ATLAS.ti9 software.

Main Results:

• 82% of physiotherapists use TOT for motor and balance recovery.
• Only 36% focus on cognitive rehabilitation due to training and engagement issues.
• Key barriers include resource limitations (68%), time constraints (55%), and cultural beliefs (55%).
• Therapists adapt by using home-based modifications and involving caregivers.

Conclusions:

• Task Oriented Training (TOT) is valuable but underutilized in Pakistani stroke rehabilitation.
• Standardized guidelines, enhanced cognitive rehabilitation training, and policy reforms are needed.
• Future research should focus on cost-effective, scalable models for resource-limited settings.