{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T10:07:57Z","timestamp":1782814077763,"version":"3.54.5"},"reference-count":26,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2018,6,1]],"date-time":"2018-06-01T00:00:00Z","timestamp":1527811200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"NIHR i4i programme","award":["II-LB-0313-20001"],"award-info":[{"award-number":["II-LB-0313-20001"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Rehabil"],"published-print":{"date-parts":[[2018,8]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To describe the dose, intensity and context of physiotherapy for balance and mobility problems after stroke.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Process mapping to describe the context and non-participant observation of therapy sessions to describe the dose and content of therapy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting:<\/jats:title>\n                    <jats:p>Four inpatient stroke units in North-West England.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants:<\/jats:title>\n                    <jats:p>Therapy staff and previously mobile stroke survivors who were treating, or receiving treatment for balance and mobility problems in the participating units.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Two units were stand-alone rehabilitation units; two offered a service at the weekends. One had no access to community-based rehabilitation. All had dedicated treatment facilities but often did not use them because of lack of space and difficulty transporting patients. Twenty-two patients participated and 100 treatment sessions were observed. Practicing walking, sit-to-stand and transfers were the most frequent objectives and interventions usually with the therapist(s) physically facilitating the patient\u2019s movements. The dose of practise was low; mean repetitions of sit-to-stand per session was 5 (SD 6.4); mean time spent upright per session was 11.24 (SD = 7) minutes, and mean number of steps per session was 202 (SD 118). The mean number of staff per patient was 2.1 (SD = 0.6, mode = 2), usually involving two qualified therapists. Falls prevention or management, wheelchair skills and bed mobility were not practised.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Stroke physiotherapy for balance and mobility problems features low-dose, low-intensity therapist-led practice, mainly of walking and sit-to-stand. Staff:patient ratios were high. Therapists need to organize treatment sessions to maximize the intensity of functional task practice.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0269215518777789","type":"journal-article","created":{"date-parts":[[2018,6,1]],"date-time":"2018-06-01T05:02:57Z","timestamp":1527829377000},"page":"1145-1152","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":20,"title":["How are balance and mobility problems after stroke treated in England? An observational study of the content, dose and context of physiotherapy"],"prefix":"10.1177","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6301-8791","authenticated-orcid":false,"given":"Sarah F","family":"Tyson","sequence":"first","affiliation":[{"name":"Stroke Research Centre, The University of Manchester, Manchester, UK"},{"name":"Division of Nursing, Midwifery and Social Work, The University of Manchester, Manchester, UK"},{"name":"Manchester Academic Health Science Centre, Manchester, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kate","family":"Woodward-Nutt","sequence":"additional","affiliation":[{"name":"Stroke Research Centre, The University of Manchester, Manchester, UK"},{"name":"Division of Nursing, Midwifery and Social Work, The University of Manchester, Manchester, UK"},{"name":"Manchester Academic Health Science Centre, Manchester, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Plant","sequence":"additional","affiliation":[{"name":"Stroke Research Centre, The University of Manchester, Manchester, UK"},{"name":"Division of Nursing, Midwifery and Social Work, The University of Manchester, Manchester, UK"},{"name":"Manchester Academic Health Science Centre, Manchester, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2018,6,1]]},"reference":[{"key":"bibr1-0269215518777789","doi-asserted-by":"publisher","DOI":"10.1097\/00004356-198806000-00012"},{"key":"bibr2-0269215518777789","doi-asserted-by":"publisher","DOI":"10.1177\/0269215517719485."},{"key":"bibr3-0269215518777789","doi-asserted-by":"publisher","DOI":"10.1191\/0269215504cr843oa"},{"key":"bibr4-0269215518777789","first-page":"CD006073","volume":"4","author":"French B","year":"2007","journal-title":"Cochrane Database Syst Rev"},{"key":"bibr5-0269215518777789","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.114.004695"},{"key":"bibr6-0269215518777789","doi-asserted-by":"publisher","DOI":"10.1310\/tsr1902-96"},{"key":"bibr7-0269215518777789","unstructured":"National Stroke Foundation. Clinical guidelines for stroke management, 2017, https:\/\/informme.org.au\/guidelines (accessed 18 December 2017)."},{"key":"bibr8-0269215518777789","unstructured":"Hebert D, Teasell R. On behalf of the stroke rehabilitation writing group of Canadian stroke best practices and advisory committee. Canadian Stroke Best Practice Recommendations, 2015, http:\/\/www.strokebestpractices.ca\/stroke-rehabilitation\/ (accessed 18 December 2017)."},{"key":"bibr9-0269215518777789","unstructured":"Royal College of Physicians of London. Intercollegiate stroke working party: national clinical guideline for stroke. 5th ed. London, 2016, https:\/\/www.rcplondon.ac.uk\/guidelines-policy\/stroke-guidelines (accessed 18 December 2017)."},{"key":"bibr10-0269215518777789","unstructured":"Sentinel Stroke National Audit Programme. Quarterly summary report April\u2013July 2017, 2017, https:\/\/www.strokeaudit.org\/results\/Clinical-audit\/National-Results.aspx (accessed 18 December 2017)."},{"key":"bibr11-0269215518777789","doi-asserted-by":"publisher","DOI":"10.1080\/09638280500535090"},{"key":"bibr12-0269215518777789","doi-asserted-by":"publisher","DOI":"10.1080\/09638280802627686"},{"key":"bibr13-0269215518777789","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.111.623819"},{"key":"bibr14-0269215518777789","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.107.482869"},{"key":"bibr15-0269215518777789","doi-asserted-by":"publisher","DOI":"10.1080\/09638280600638216"},{"key":"bibr16-0269215518777789","doi-asserted-by":"publisher","DOI":"10.3109\/09638288.2012.656790"},{"key":"bibr17-0269215518777789","doi-asserted-by":"publisher","DOI":"10.3109\/09638288.2016.1146361"},{"key":"bibr18-0269215518777789","doi-asserted-by":"publisher","DOI":"10.3109\/09638288.2016.1138550"},{"key":"bibr19-0269215518777789","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.c4078"},{"key":"bibr20-0269215518777789","doi-asserted-by":"publisher","DOI":"10.1177\/0269215518765329"},{"key":"bibr21-0269215518777789","doi-asserted-by":"publisher","DOI":"10.3109\/03790799009166594"},{"key":"bibr22-0269215518777789","doi-asserted-by":"publisher","DOI":"10.1097\/01.NPT.0000260568.31746.34"},{"key":"bibr23-0269215518777789","doi-asserted-by":"publisher","DOI":"10.1016\/j.jphys.2013.12.006"},{"key":"bibr24-0269215518777789","first-page":"CD002840","volume":"8","author":"Mehrholz J","year":"2017","journal-title":"Cochrane Database Syst Rev"},{"key":"bibr25-0269215518777789","first-page":"CD006185","volume":"5","author":"Mehrholz J","year":"2017","journal-title":"Cochrane Database Syst Rev"},{"key":"bibr26-0269215518777789","doi-asserted-by":"publisher","DOI":"10.2340\/16501977-0824"}],"container-title":["Clinical Rehabilitation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0269215518777789","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0269215518777789","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0269215518777789","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T16:53:57Z","timestamp":1777395237000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0269215518777789"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,6,1]]},"references-count":26,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2018,8]]}},"alternative-id":["10.1177\/0269215518777789"],"URL":"https:\/\/doi.org\/10.1177\/0269215518777789","relation":{},"ISSN":["0269-2155","1477-0873"],"issn-type":[{"value":"0269-2155","type":"print"},{"value":"1477-0873","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,6,1]]}}}