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Updated: May 22, 2026
Author Spotlight: Rehabilitation of Stroke Patients With a Digital Occupational Training System
Published on: December 29, 2023
Bridging Research and Practice: A Preliminary Detailed Analysis of Current Upper Limb Occupational Therapy Dose and
Camille E Proulx1,2, Manouchka T Louis Jean1, Johanne Higgins1,2
1School of Rehabilitation, Faculty of Medicine, Université de Montréal, Montreal, Quebec.
Objective:
To characterize the dose and content of poststroke upper limb usual care during inpatient occupational therapy (OT) sessions.
Design:
Two-week longitudinal observational study.
Setting:
Publicly funded inpatient rehabilitation center.
Participants:
Eight poststroke inpatients (N=8) receiving OT. No intervention groups were assigned; all participants underwent observation of usual care sessions.
Interventions:
No experimental intervention was applied. The OT sessions were filmed and analyzed.
Main Outcome Measures:
Session dose (frequency, time in OT, time allocated to upper-limb rehabilitation, repetition intensity) and content (rehabilitation activity types, upper-limb movement types), analyzed using a video-synchronized observational data collection system.
Results:
From 8 participants, a total of 42 sessions were videotaped, translating into 2250 minutes of OT session dose and content. On average, 28.6±16.1 minutes (53.3% of total session time) was dedicated specifically to upper-limb movements. During this time, participants performed a mean of 209.9±175.7 upper-limb movement repetitions per session, most of which involved reaching movements (mean=111.5±97.7). Additionally, most of the time spent on upper-limb movements (mean=15.8±13.1 minutes) focused on active activities.
Conclusions:
This study offered valuable insights into the current dose and content of inpatient OT sessions for upper-limb rehabilitation in a publicly funded rehabilitation center. These findings can inform strategies to optimize stroke rehabilitation outcomes, with future research focusing on adapting them to real-world clinical settings.
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