Client-centred practice in occupational therapy after stroke: A systematic review.

Area of Science:

• Rehabilitation Medicine
• Occupational Therapy
• Neuroscience

Background:

• Client-centred practice prioritizes patient involvement in therapeutic decision-making.
• It assigns individuals a central and active role in their treatment process.

Purpose of the Study:

• To evaluate the impact of client-centred practice in occupational therapy.
• Focus on occupational performance and participation in stroke and traumatic brain injury survivors.

Main Methods:

• Systematic review of randomized clinical trials.
• Searched PubMed, Web of Science, Scopus, OT Seeker, PsycINFO, and EBSCO.
• Included studies on adults (18+) with stroke or TBI undergoing occupational therapy.

Main Results:

• Eight studies (from 294) met inclusion criteria.
• Client-centred practice improved satisfaction with occupational performance compared to conventional care.
• No significant differences were found in functionality, life satisfaction, or caregiver burden.

Conclusions:

• Client-centred practice leads to increased satisfaction with occupational performance.
• This approach aids patients in adapting to occupational performance limitations.
• Further research is recommended for other outcome measures.