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Updated: May 21, 2026
Application of a Dual Upper Limb Task-Oriented Robotic System for the Functional Recovery of the Upper Limb in Stroke Patients
Published on: October 11, 2024
Temporal adaptation approach in stroke rehabilitation: a randomized controlled one-month follow-up study
İbrahim Yavuz Tatlı1, Gamze Ekici2, Burcu Semin Akel3
1Faculty of Health Sciences, Department of Occupational Therapy, Kütahya Health Sciences University, Kütahya, Türkiye.
Background:
Temporal adaptation offers a specialized framework for understanding time use in occupational therapy.
Purpose:
This study evaluated the effectiveness of a Temporal Adaptation Approach (TAA) on occupational performance, satisfaction, and occupational balance in individuals with chronic stroke.
Method:
Fifty-four participants (≥6 months post-stroke) were randomized to either a six-week TAA intervention - focused on scheduling meaningful occupations with one-month follow-up - or a control home program. Outcomes were assessed at baseline, six weeks, and ten weeks using the Canadian Occupational Performance Measure (COPM) and the Occupational Balance Questionnaire (OBQ). Repeated-measures ANOVA was conducted to examine Time × Group interactions, with Bonferroni-corrected pairwise comparisons and Paired-Sample T-Tests for within-group analyses. The study received ethical approval from the Clinical Trials Ethics Committee (No: 11686) and was registered on ClinicalTrials.gov (ID: NCT06085469).
Findings:
A 2 × 3 repeated-measures ANOVA demonstrated a significant Time × Group interaction for COPM Performance (p < 0.01), Satisfaction (p < 0.01), and OBQ scores (p < 0.01), indicating greater improvements from baseline to post-intervention and follow-up in the TAA group compared to controls.
Conclusion:
Incorporating TAA into rehabilitation enhanced occupational performance, satisfaction, and balance in chronic stroke. Structured time use may support long-term functional recovery and promote autonomy in daily life.
