Evoking Powers of Occupation From Occupation-Based Practices After Stroke: A Scoping Review

Occupation-based practice (OBP) is an integral part of stroke rehabilitation, focusing on engaging individuals in daily activities. However, the mechanisms that underpin its positive outcomes remain insufficiently explored. This scoping review explores reported OBPs, including interventions across hospitals, communities, or both settings for stroke rehabilitation, and identifies the emerging powers of occupation within these practices. Employing the PRISMA extension for scoping reviews was applied with a deductive research approach. A total of 45 articles were selected. Findings revealed that OBPs can evoke all nine powers of occupation proposed by Bontje, which include therapeutic change, self-expression, participation, and habit formation. Hospital-based practices primarily focused on enhancing physical and cognitive functions, whereas community-based approaches concentrated on fostering independence and social integration. In summary, OBPs are essential tools in stroke rehabilitation, offering a comprehensive approach to address the physical, emotional, and social needs of individuals with stroke during their recovery journey.