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Occupational Therapy Practice Guidelines for Adults With Stroke.

Mary W Hildebrand1, Daniel Geller2, Rachel Proffitt3

  • 1Mary W. Hildebrand, OTD, OTR/L, is Associate Professor, Department of Occupational Therapy, MGH Institute of Health Professions, Boston, MA.

The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association
|October 20, 2023
PubMed
Summary
This summary is machine-generated.

Occupational therapy offers evidence-based interventions to improve daily activities and mobility for stroke survivors. These guidelines highlight effective strategies for enhancing participation and caregiving roles post-stroke.

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Area of Science:

  • Rehabilitation Medicine
  • Occupational Therapy
  • Neuroscience

Background:

  • Stroke is a primary cause of long-term disability.
  • Occupational therapy is crucial for restoring function and participation in daily life for stroke survivors.
  • Caregivers play a vital role in the recovery process.

Purpose of the Study:

  • To provide occupational therapy practitioners with evidence-based recommendations for clinical decision-making.
  • To support the participation and performance of stroke survivors in meaningful occupations.
  • To aid caregivers in maintaining their role and well-being.

Main Methods:

  • Systematic reviews of clinical recommendations were conducted.
  • Interventions focused on improving daily activities, occupations, and caregiver roles.
  • Evidence was graded based on study levels (1a, 1b, 2b).

Main Results:

  • 168 studies informed the recommendations, with strong or moderate supporting evidence.
  • Effective interventions for activities of daily living and mobility include mirror therapy, task-oriented training, and balance training.
  • Constraint-induced therapy showed strong evidence for instrumental activities of daily living.

Conclusions:

  • Occupational therapy interventions like mirror therapy, task-oriented training, and multidisciplinary programs are strongly supported for improving daily function.
  • Cognitive-behavioral therapy and specialized devices show moderate evidence for enhancing specific aspects of recovery and participation.
  • These guidelines synthesize evidence to guide practitioners in optimizing outcomes for stroke survivors and their caregivers.