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Preparatory Interventions to Support ADL Performance for Adults With Stroke (2012-2019).

Carly Goldberg¹, Lauren Winterbottom², Daniel Geller³

¹Carly Goldberg, MS, OTR/L, is Advanced Clinician at the Inpatient Rehabilitation Unit, New York Presbyterian - Columbia University Irving Medical Center; and Instructor,Programs in Occupational Therapy,Department of Rehabilitation and Regenerative Medicine, Columbia University Irving Medical Center.

The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association

|April 17, 2023

Summary

This summary is machine-generated.

This review summarizes preparatory interventions for adults with stroke to improve daily living activities. Interventions like early mobilization and sensory retraining show promise for enhancing functional performance.

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Area of Science:

Occupational Therapy
Rehabilitation Medicine
Neuroscience

Background:

Stroke survivors often experience significant challenges in performing activities of daily living (ADLs).
Early and appropriate interventions are crucial for optimizing functional recovery post-stroke.
Occupational therapy plays a vital role in addressing ADL deficits in stroke rehabilitation.

Approach:

This brief synthesizes evidence from systematic reviews focusing on preparatory interventions for adults with stroke.
Interventions examined include early mobilization, bilateral priming, passive range of motion, sensory retraining, and shoulder taping.
The focus is on interventions that support subsequent performance in ADLs.

Key Points:

Early mobilization strategies can positively impact functional outcomes in stroke patients.
Bilateral training approaches may enhance motor control and coordination for ADLs.
Sensory retraining and specific techniques like shoulder taping are important for addressing impairments that affect ADL performance.

Conclusions:

Preparatory interventions are essential components of occupational therapy for adults recovering from stroke.
Evidence supports the use of diverse preparatory techniques to improve ADL performance.
Further research can refine the application of these interventions for personalized stroke rehabilitation.