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Utilizing Repetitive Transcranial Magnetic Stimulation to Improve Language Function in Stroke Patients with Chronic Non-fluent Aphasia
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Occupational Therapy in an Intensive Comprehensive Aphasia Program: Performance and Satisfaction Outcomes.

Anne A Escher1, Aditi M Amlani2, Angela M Viani3

  • 1Anne A. Escher, OTD, OTR, is Clinical Assistant Professor, Department of Occupational Therapy, Boston University, Boston, MA; aaescher@bu.edu.

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Summary
This summary is machine-generated.

This study shows that occupational therapy within an intensive comprehensive aphasia program (ICAP) significantly improves daily living, social participation, and overall function for individuals with chronic stroke and aphasia.

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Area of Science:

  • Neurorehabilitation
  • Occupational Therapy
  • Aphasia Research

Background:

  • Chronic stroke survivors with aphasia often face challenges in daily activities and social participation.
  • Intensive Comprehensive Aphasia Programs (ICAPs) aim to improve functional outcomes but may benefit from specialized interventions.
  • Occupational therapy's role in addressing participation goals for this population requires further investigation.

Purpose of the Study:

  • To evaluate the effectiveness of a community-based occupational therapy intervention within an ICAP.
  • To assess improvements in participation in instrumental activities of daily living, social, leisure, work, and volunteer activities.
  • To determine the impact of occupational therapy on functional participation goals for individuals with chronic stroke and aphasia.

Main Methods:

  • A prospective study involving 19 participants with chronic stroke and aphasia over 3 years.
  • Participants engaged in a month-long, intensive, interprofessional, community-based program.
  • Occupational therapy interventions focused on collaborative goal setting and problem-solving.

Main Results:

  • Significant improvements were observed in participation in valued activities (p < .01) as measured by the Canadian Occupational Performance Measure and Goal Attainment Scaling.
  • Two domains of the Stroke Impact Scale also showed significant improvement (p < .05).
  • The intervention demonstrated positive effects on functional participation.

Conclusions:

  • Occupational therapy is a valuable component of ICAPs for individuals with chronic stroke and aphasia.
  • Collaborative goal setting and problem-solving within an interprofessional team enhance functional participation.
  • This approach effectively addresses the participation goals of stroke survivors with aphasia.