The role of physiotherapists in acute post-stroke neurorehabilitation: qualitative perspectives from clinicians and stroke unit managers

PURPOSE: The aim of this study was to explore and compare the perspectives of both physiotherapists and medical managers regarding the professional role and clinical contributions of physiotherapy within stroke units. METHOD: A qualitative study was conducted involving ten physiotherapists and five medical managers from stroke units. Participants shared their professional experiences concerning work performance and the perceived impact of physiotherapy on patient care. RESULTS: Thematic analysis identified four key areas for physiotherapists: specific training, professional functions, treatment modalities, and the relevance of professionalism and empathy. For medical managers, the analysis focused on their perception of physiotherapy work, their understanding of factors that enhance treatment, and assigned functions. The findings reveal a lack of standardized treatment protocols (non-heterogeneity) and emphasize the need for strong interpersonal professional relationships and high standards of professionalism. CONCLUSIONS: The observed heterogeneity in practices leads to inconsistencies in patient care. Furthermore, there is a notable gap in medical managers' understanding of the specific clinical scope and technical interventions provided by physiotherapists. These findings highlight the need for coordinated rehabilitation programs and a clearer definition of the physiotherapist's role in acute stroke units to ensure equitable and comprehensive care.