Current clinical practice of Irish physiotherapists and occupational therapists in the assessment and treatment of spasticity in adults

Abstract

Purpose – This paper aims to understand the clinical practice of physiotherapists and occupational therapists in the Republic of Ireland in the assessment and treatment of spasticity in adults, to inform and improve spasticity management practice. This study also aims to describe therapists’ knowledge, confidence and perceived barriers in the management of spasticity. Design/methodology/approach – A cross sectional survey design study was completed, and respondents were recruited through an online survey. Findings – In total, 92 respondents from a wide range of clinical settings revealed there is considerable variation in services available nationally for adults presenting with spasticity. There were significant inconsistencies across all areas of practice. The majority of respondents (94%) did provide intervention to patients with spasticity, yet three quarters did not have access to a specialist spasticity clinic, and the majority (82%) did not feel they were providing sufficient treatment intensity for spasticity. Originality/value – These findings provide a unique insight into the assessment and treatment practices of Irish physiotherapists and occupational therapists. These results demonstrate the need for further upskilling and specialist high-quality spasticity services nationally.

Keywords

• Spasticity management
• Physiotherapy
• Occupational therapy
• Assessment
• Treatment