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Exploring Occupational Therapy Interventions for Heatstroke in Emergency and Critical Care Settings: A Retrospective
Masayoshi Seki1, Takuya Maeda2, Risa Mizushima3
1Rehabilitation Center, Koto Toyosu Hospital, Showa University, Tokyo, JPN.
Cureus
|June 26, 2025
Summary
Occupational therapy (OT) for heatstroke patients is inconsistently applied, especially in severe cases. Early, structured OT may improve functional recovery, necessitating standardized rehabilitation protocols for heatstroke survivors.
Area of Science:
- Environmental Health
- Neurology
- Rehabilitation Medicine
Background:
- Heatstroke incidence is rising due to climate change and urbanization.
- Rehabilitation, specifically occupational therapy (OT), for heatstroke is understudied.
- Occupational therapy plays a crucial role in managing heatstroke sequelae.
Purpose of the Study:
- To investigate the implementation, characteristics, and effects of OT in heatstroke patients.
- To analyze OT's role in recovery and outcomes based on heatstroke severity.
- To identify needs for standardized OT protocols in heatstroke management.
Main Methods:
- Retrospective analysis of 49 heatstroke patients (2019-2022).
- Classification of patients using the Japanese Association for Acute Medicine Heatstroke (JAAM-HS) criteria.
- Collection of demographic, clinical outcome, and OT intervention data; statistical analysis.
Main Results:
- OT was mainly used in severe (Grade III) heatstroke cases.
- Severe heatstroke patients had poorer outcomes and longer hospital stays.
- OT was not linked to discharge destination but correlated with longer hospitalization.
Conclusions:
- Heatstroke OT implementation is variable, indicating a need for standardized protocols.
- Early, structured OT could enhance functional recovery in severe heatstroke.
- Further research is needed to establish evidence-based OT strategies for heatstroke severity.
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