The content of physiotherapy treatment of stroke patients at Community Health Centres in the Western Cape, South Africa

  • Anthea Rhoda
  • Ratie Mpofu
  • Willy De Weerdt


Physiotherapy plays an important role in the rehabilitation of stroke patients. The aim of this study was to determine the content of physiotherapy of stroke patients receiving physiotherapy at Community Health Centres in the Western Cape, South Africa.

The content of physiotherapy was determined using video recordings. The study sample consisted of a conveniently selected sample of 13 stroke patients. A reliable scoring list was used to define the content of physiotherapy.Descriptive and inferential statistics were computed using SPSS version 16.

The most frequently occurring categories were relearning selective movements, mobilisations and standing and standing balance. The activities of sensory and visual perceptual training and cognition, domestic activities of daily living, leisure and work related activities and
miscellaneous techniques were not included in the physiotherapy

The content of physiotherapy consisted mainly of activities to improve movement patterns and not functional activities such as walking and dressing.



Ballinger, C., Ashburn, A., Low, J., & Roderick, P. (1999).

Unpacking the black box of therapy - a pilot study to describe occupational therapy and physiotherapy interventions for people with stroke. Clinical Rehabilitation, 13(301 - 309).

Booth, J., & Hewison, J. (2002). Role overlap between occupational therapy and physiotherapy during in- patient stroke rehabilitation: an exploratory study. Journal of Interprofessional Care, 16(1),31-40.

De Wit, L., Kamsteegt, H., Yadav, B., Verheyden, G., Feys, H., & De Weerdt, W. (2007). Defining the content of individual physiotherapy and occupational therapy sessions for stroke patients in an inpatient rehabilitation setting. Development, validation and inter-rater reliability of a scoring list. Clinical rehabilitation, 21, 450-459.

De Wit, L., Putman, K., Lincoln, N., Baert, I., Berman, P., Beyens, H., et al. (2006). Stroke rehabilitation in Europe: what do physiotherapists and occupational therapists actually do? Stroke, 37(6), 1483-1489.

Mardensen, J., Greenwood, R. (2005). Physiotherapy

after Stroke define, divide and conquer. Journal of Neurology Neurosurgery and Psychiatry, 76,465-466.

Pollock, A., Baer, G., Langhorne, P., & Pomeray, V. (2007). Physiotherapy treatment approaches for the recovery of postural control and lower limb function following stroke: a systematic review. Clinical Rehabilitation, 21, 395-410.

Rhoda, A. (2002). A profile of stroke patients treated at the Bishop Lavis Rehabilitation Centre:1995-1999. Unpublished Thesis University of Stellenbosch.

Steuljens, E., Dekker, J., Bouter, L., van de Nes, J., & Cup, E. (2003). Occupational Therapy for Stroke Patients. A Systematic Review. Stroke, 34, 676-687.

Teasall, R., Bitensky, J., Salter, K., Nestor,A., & Bayon, A. (2005) The role of timing and intensity of rehabilitation therapies. Topics in Stroke Rehabilitation, 12(3), 46-57.

Van Peppen, R.P. S., Kwakkel, G., Wood-Dauhinee, S., Hendriks, H. J. M., Van der Wees, P., & Dekker, J. (2004).

The impact of physical therapy on functional outcomes after stroke: what's the evidence? Clinical Rehabilitation, 18, 833 - 862.

Walker, M., Gladman, J., Lincoln, N., Siemonsma, P., & Whiteley, T. (1999). Occupational Therapy for stroke patients not admitted to hospital: A randomised controlled trial. Lancet, 354, 278-280.

World Confederation for Physical therapy. Definition of Physical Therapy Retrieved 10 May 07, from

World Health Organisation. (2001). International Classification of Functioning, Disability and Health: ICF short version: WHO Library Cataloguing-in-

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