Introduction: Evidence supports that increased therapy dosage following stroke improves outcomes. While group therapy is safe and effective for enhancing therapy time in sub-acute rehabilitation, its application in acute settings is unclear.
Aims: Single-group pilot study aims to assess the feasibility of implementing a student-led physiotherapy group intervention on an acute stroke ward in an Australian tertiary hospital.
Methods: Physiotherapy students on clinical placement, supervised by an experienced clinical educator, delivered daily 1-hour group therapy incorporating strengthening, balance and mobility exercises. Group sessions were delivered in addition to usual stroke unit care. Evaluation was guided by the RE-AIM framework. Recruitment rates were recorded, and sessions were observed to map type of intervention delivered and minutes of intervention delivery. Focus groups and interviews were conducted with students and the clinical educator.
Results: Thirty-nine stroke survivors participated in group sessions (mean age 71.13 years [SD 14.63]; 56% male), indicating a 54% recruitment rate (Reach). 88.5% of participants agreed they were satisfied with participating in the group, and students reported positive experiences (Effectiveness). One clinical educator and all participating students were involved with running the intervention, delivered on the majority (91%) of scheduled days (Adoption). Participants received an average of 27.54 minutes (SD 8.13) of group therapy per session, spending 62% of therapy time completing standing balance or mobility activities. No adverse events occurred during group sessions (Implementation). Factors identified as important for maintenance included having available space, an experienced and motivated clinical educator, and student clinical skills. The model showed promise for ongoing integration into acute care practice (Maintenance).
Conclusion: Findings demonstrate that a student-led group physiotherapy model is feasible, safe and well tolerated in acute stroke settings.
Relevance to clinical practice: This approach may increase opportunities for patient practice, support active participation in recovery, and enhance clinical outcomes and discharge readiness.