Implementation of Evidence-Based Practice in Stroke Rehabilitation

Background: Stroke is the largest contributor of adult disabilities in the United States and occupational and physical therapists are vital members of stroke rehabilitation teams. However, with advances in stroke rehabilitation research, there is ambiguity regarding the knowledge of and the application of current research evidence by practitioners in clinical practice. Method: A quantitative, descriptive survey study design was implemented to determine the reported knowledge of and application of current adult stroke rehabilitation research by therapists in clinical practice. The survey questions covered: the demographics of the therapists, the environmental characteristics of the workplace, and knowledge of and utilization of specific stroke interventions. Results: Eighty occupational and physical therapists experienced in adult stroke rehabilitation were surveyed. The four most reported stroke interventions included task-oriented training, strength training, proprioceptive neuromuscular facilitation, and passive range of motion. However, rankings of frequency of use did not correlate with knowledge rankings. A statistically significant relationship was found between frequency of use and location of the practice (location setting), but not for profession or years of experience. Conclusion: The results indicate that knowledge of an intervention does not necessarily indicate its application in clinical practice. The location of the practice may have a significant influence on the frequency of use of stroke rehabilitation interventions. Future studies may address barriers within practice settings that inhibit the implementation of evidence-based practice.