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Evidence to Improve Care

Continual Long-Term Physiotherapy After Stroke

Draft Recommendation

  • Health Quality Ontario, under the guidance of the Ontario Health Technology Advisory Committee, recommends continuing public funding for post-stroke physiotherapy consistent with the 2016 Quality-Based Procedures: Clinical Handbook for Stroke (Acute and Postacute) and further recommends that the Ministry of Health clarify any applicable policies for receiving publicly funded physiotherapy for rehabilitation after a stroke

Read the draft recommendation report

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When someone suffers a stroke, blood flow is interrupted to part of their brain, resulting in damaged brain cells. Each year, more than 50,000 people in Canada have a stroke for the first time. While more than 80% survive, they often suffer damage to their motor skills which can affect things like their ability to walk and talk.

People who have had a stroke may experience better recovery if they follow a short-term physiotherapy program (of less than 12 weeks) as part of a multidisciplinary rehabilitation program. The goal of physiotherapy after a stroke is to improve strength, balance, coordination, endurance, and flexibility.

This health technology assessment attempted to determine how effective a continual long-term physiotherapy program (of more than 12 weeks) is for people who have had a stroke, if it is cost-effective, and the budget impact of publicly funding continual long-term physiotherapy for recovery from stroke. It also looked at the experiences, preferences, and values of people who have had a stroke.

Read the full health technology assessment report for more information.


Continual Long-Term Physiotherapy After Stroke: A Health Technology Assessment (PDF)
July 2019

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About Health Quality Ontario

Health Quality Ontario is the provincial lead on the quality of health care. We help nurses, doctors and other health care professionals working hard on the frontlines be more effective in what they do—by providing objective advice and data, and by supporting them and government in improving health care for the people of Ontario.

We focus on making health care more effective, efficient and affordable through a legislative mandate of:

  • Reporting to the public, organizations, government and health care providers on how the health system is performing,

  • Finding the best evidence of what works, and

  • Translating this evidence into clinical standards; recommendations to health care professionals and funders; and tools that health care providers can easily put into practice to make improvements.


For more information about Health Quality Ontario, visit hqontario.ca.


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