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Evoking Powers of Occupation From Occupation-Based Practices After Stroke: A Scoping Review
Azharul Islam1,2, Yeasir A Alve3, Mohuya Akter2
1Tokyo Metropolitan University, Japan.
OTJR : Occupation, Participation and Health
|January 2, 2026
Summary
Occupation-based practice (OBP) in stroke rehabilitation engages patients in daily activities. This review found OBPs activate all nine powers of occupation, aiding physical, emotional, and social recovery.
Area of Science:
- Rehabilitation Medicine
- Occupational Therapy
- Neuroscience
Background:
- Occupation-based practice (OBP) is crucial for stroke rehabilitation, focusing on daily activities.
- The underlying mechanisms of OBP's effectiveness require further exploration.
Purpose of the Study:
- To explore reported OBPs in stroke rehabilitation across different settings.
- To identify the powers of occupation evoked by these practices.
Main Methods:
- A scoping review was conducted using the PRISMA extension.
- A deductive research approach was applied.
- 45 articles were systematically selected and analyzed.
Main Results:
- Occupation-based practice (OBP) was found to evoke all nine powers of occupation.
- These powers include therapeutic change, self-expression, participation, and habit formation.
- Hospital-based OBPs focused on physical/cognitive enhancement, while community-based OBPs prioritized independence and social integration.
Conclusions:
- Occupation-based practice (OBP) is vital for comprehensive stroke rehabilitation.
- OBPs address physical, emotional, and social needs during recovery.
- The identified powers of occupation highlight OBP's multifaceted therapeutic potential.
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