title: A variables associated with occupational and physical therapy stroke rehabilitation utilization and outcomes.
abstract: Many studies have reported the benefits of a comprehensive stroke team including occupational therapy/physical therapy (OT/PT) services; however, factors associated with access to these services are less known. This study used a subsample of the Health and Retirement Study database, a cross-sectional survey of more than 11,126 Americans aged 65 to 106 years within the contiguous United States. The purposes of this study were to determine the associational factors that contribute to attending OT/PT and determine if attending OT/PT leads to a reduced report of stroke-related problems. The findings indicated that fewer than 10% of stroke survivors in a noninstitutionalized, community-based setting were currently accessing OT/PT. Additionally, access to OT/PT services was highly associated with report of having an attending physician, report of stroke-related weakness, higher monthly income, and older age. The increased odds of reported continued problems associated with a past stroke were associated with failure to access OT/PT services, lower monthly income, Hispanic culture, and age. OT/PT services were typically provided to patients who reported a higher level of physical dysfunction. Despite the greater degree of severity, OT/PT intervention led to reports of lower levels of disability and problems over time.
authors.affiliation: Division of Physical Therapy, Duke University, Durham, NC 27710, USA. chad.cook@duke.edu
authors.forename: Chad
authors.initials: C
authors.lastname: Cook
authors.forename: Lois
authors.initials: L
authors.lastname: Stickley
authors.forename: Kevin
authors.initials: K
authors.lastname: Ramey
authors.forename: Valerie J
authors.initials: VJ
authors.lastname: Knotts
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003430:Cross-Sectional Studies; D004185:Disability Evaluation; D005260:Female; D006297:Health Services Accessibility; D006801:Humans; D008297:Male; D009788:Occupational Therapy / Q000706:statistics & numerical data*; D026741:Physical Therapy Modalities / Q000706:statistics & numerical data*; D012307:Risk Factors; D012959:Socioeconomic Factors; D000071939:Stroke Rehabilitation; D014481:United States