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Activities for Stroke Patients in Occupational Therapy: A Comprehensive Guide
Author: Dr. Evelyn Reed, OTR/L, PhD – Dr. Reed is a board-certified occupational therapist with over 20 years of experience specializing in neurological rehabilitation, particularly stroke recovery. She holds a PhD in Rehabilitation Science and is a published author in the field.
Publisher: Rehab Publications – Rehab Publications is a leading publisher of peer-reviewed journals and educational materials in the field of rehabilitation medicine, known for its commitment to high-quality, evidence-based content.
Editor: Sarah Miller, MOT, OTR/L – Sarah Miller is a seasoned occupational therapist editor with expertise in neurological rehabilitation and a deep understanding of the needs of stroke survivors.
Keywords: activities for stroke patients in occupational therapy, stroke rehabilitation, occupational therapy activities, stroke recovery, OT activities for stroke, neurological rehabilitation, functional activities, adaptive equipment, cognitive rehabilitation, motor skill recovery.
Abstract: This article provides a comprehensive overview of the diverse range of activities employed in occupational therapy for stroke patients. It emphasizes the importance of individualized treatment plans, focusing on functional improvements and enhanced quality of life. We explore various activity categories, from basic ADLs (Activities of Daily Living) to more complex cognitive and motor skill exercises, highlighting the rationale behind each and their impact on recovery. Furthermore, the role of adaptive equipment and caregiver training is discussed, aiming to equip readers with a thorough understanding of the holistic approach to stroke rehabilitation within occupational therapy.
1. The Significance of Occupational Therapy for Stroke Patients
Stroke, a leading cause of disability worldwide, significantly impacts a person's ability to perform everyday tasks. Occupational therapy (OT) plays a vital role in stroke recovery, focusing on restoring independence and improving quality of life. Activities for stroke patients in occupational therapy are carefully selected to address the specific deficits resulting from the stroke, such as weakness, paralysis, impaired coordination, cognitive impairments (like memory loss or difficulty with problem-solving), and sensory changes. The ultimate goal of these activities for stroke patients in occupational therapy is to enable individuals to participate fully in their chosen roles and routines.
2. Types of Activities for Stroke Patients in Occupational Therapy
Activities for stroke patients in occupational therapy are categorized based on the specific areas of deficit they target:
2.1 Activities of Daily Living (ADLs): These are fundamental activities essential for self-care, such as dressing, bathing, toileting, eating, and grooming. OTs use graded activities to progressively challenge patients, beginning with simple tasks and gradually increasing complexity. For example, buttoning a large-button shirt might be an initial goal, progressing to smaller buttons and eventually zipping a jacket. Adaptive equipment like button hooks, sock aids, and long-handled sponges are often incorporated to promote independence.
2.2 Instrumental Activities of Daily Living (IADLs): These are more complex activities related to independent living, such as cooking, cleaning, managing finances, using transportation, and medication management. Activities for stroke patients in occupational therapy targeting IADLs may involve practicing meal preparation using adapted utensils, practicing safe money handling techniques, or learning to use public transportation with adaptive strategies.
2.3 Motor Skill Activities: These activities focus on improving motor control, strength, coordination, and range of motion. They can include activities like:
Range of motion exercises: Passive and active exercises to improve joint mobility.
Strength training: Using weights, resistance bands, or body weight to improve muscle strength.
Fine motor activities: Activities requiring precise hand movements, such as picking up small objects, writing, or using utensils.
Gross motor activities: Activities involving larger muscle groups, like walking, balancing, and transferring.
2.4 Cognitive Activities: Cognitive impairments are common after stroke. Activities for stroke patients in occupational therapy addressing cognitive deficits might include:
Memory training: Using memory aids, techniques, and games to improve recall.
Problem-solving activities: Working through puzzles, planning tasks, and decision-making exercises.
Attention training: Activities to improve focus and concentration.
Executive function training: Exercises to improve planning, organizing, and sequencing tasks.
2.5 Sensory Integration Activities: These activities aim to improve the processing and interpretation of sensory information. This can involve activities using different textures, weights, and temperatures to improve tactile awareness and proprioception (body awareness).
3. The Role of Adaptive Equipment in Occupational Therapy for Stroke
Adaptive equipment plays a crucial role in enhancing independence and participation in activities for stroke patients in occupational therapy. Examples include:
Adaptive utensils: Weighted utensils, built-up handles, and rocker knives.
Dressing aids: Button hooks, zipper pulls, and long-handled shoehorns.
Bathroom aids: Grab bars, shower chairs, and raised toilet seats.
Mobility aids: Walkers, canes, and wheelchairs.
4. The Importance of Individualized Treatment Plans
Effective activities for stroke patients in occupational therapy require individualized treatment plans tailored to each patient's unique strengths, weaknesses, and goals. A thorough assessment is crucial to determine specific deficits and develop a targeted intervention plan. Regular monitoring and adjustment of the plan are essential to ensure progress and address any challenges encountered during the recovery process.
5. The Role of Family and Caregivers
Family and caregiver involvement is vital in stroke recovery. Occupational therapists often provide training and education to caregivers on how to support the patient’s participation in activities for stroke patients in occupational therapy at home and how to use adaptive equipment effectively. This collaborative approach enhances the effectiveness of the therapy and promotes long-term success.
Conclusion
Activities for stroke patients in occupational therapy are a cornerstone of successful rehabilitation. The multifaceted approach, encompassing ADLs, IADLs, motor skill training, cognitive exercises, and the use of adaptive equipment, ensures a holistic and effective intervention strategy. The emphasis on individualized treatment plans and caregiver involvement maximizes the chances of achieving functional independence and improving the overall quality of life for stroke survivors.
FAQs
1. How long does occupational therapy for stroke last? The duration varies depending on individual needs and progress, ranging from weeks to months.
2. Is occupational therapy covered by insurance? Coverage depends on individual insurance plans and policies.
3. What if I don't see improvement after occupational therapy? A reevaluation of the treatment plan is necessary to determine if adjustments are needed.
4. Can occupational therapy help with cognitive impairments after a stroke? Yes, specific cognitive exercises are designed to target and improve cognitive deficits.
5. What are some activities I can do at home to support my recovery? Your occupational therapist will provide specific home exercise programs.
6. How can I find a qualified occupational therapist? Consult your physician or search online directories for licensed occupational therapists specializing in neurological rehabilitation.
7. What is the difference between physical therapy and occupational therapy for stroke patients? Physical therapy focuses on physical strength and mobility, while occupational therapy focuses on functional skills and daily living tasks.
8. What are the potential long-term benefits of occupational therapy after a stroke? Improved independence, increased participation in daily life, and improved quality of life.
9. Is it too late to start occupational therapy years after a stroke? Even years after a stroke, occupational therapy can still provide benefits and improve functional abilities.
Related Articles
1. "Improving Upper Extremity Function After Stroke: A Guide for Occupational Therapists": This article delves into specific techniques and activities for improving arm and hand function.
2. "Cognitive Rehabilitation Strategies for Stroke Patients: An Evidence-Based Approach": This article focuses on evidence-based cognitive rehabilitation techniques used in occupational therapy.
3. "The Role of Adaptive Equipment in Stroke Rehabilitation": A detailed guide on various adaptive devices and their application in occupational therapy.
4. "Home Exercise Programs for Stroke Patients: A Guide for Caregivers": This article provides practical home exercise programs and guidance for caregivers.
5. "Measuring Functional Outcomes in Stroke Rehabilitation: Assessment Tools and Techniques": This article describes various assessment tools used to track progress in occupational therapy.
6. "The Impact of Occupational Therapy on Quality of Life for Stroke Survivors": An analysis of the impact of occupational therapy on various aspects of quality of life.
7. "Addressing Depression and Anxiety in Stroke Survivors: The Role of Occupational Therapy": This article examines the mental health aspects of stroke recovery and how OT can help.
8. "Community Reintegration After Stroke: Strategies and Support": This article discusses the process of returning to community life after stroke and the support OT provides.
9. "Using Virtual Reality in Stroke Rehabilitation: A Novel Approach to Occupational Therapy": This article explores the emerging use of VR technology in enhancing stroke rehabilitation.
| activities for stroke patients in occupational therapy: Occupational Therapy and Stroke Judi Edmans, 2011-06-09 Occupational Therapy and Stroke guides newly qualified occupational therapists (and those new to the field of stroke management) through the complexities of treating people following stroke. It encourages and assists therapists to use their skills in problem solving, building on techniques taught and observed as an undergraduate. Written and edited by practising occupational therapists, the book acknowledges the variety of techniques that may be used in stroke management and the scope of the occupational therapist's role. Chapters span such key topics as early intervention and the theoretical underpinnings of stroke care, as well as the management of motor, sensory, cognitive and perceptual deficits. They are written in a user-friendly style and presented in a form that enables the therapist to review the subject prior to assessment and treatment planning. Complex problems are grouped together for greater clarity. This second edition has been fully revised and updated in line with the WHO ICF model, National Clinical Guidelines and Occupational Therapy standards. It is produced on behalf of the College of Occupational Therapists Specialist Section - Neurological Practice. |
| activities for stroke patients in occupational therapy: My Stroke of Insight Jill Bolte Taylor, 2008-05-12 Transformative...[Taylor's] experience...will shatter [your] own perception of the world.—ABC News The astonishing New York Times bestseller that chronicles how a brain scientist's own stroke led to enlightenment On December 10, 1996, Jill Bolte Taylor, a thirty-seven- year-old Harvard-trained brain scientist experienced a massive stroke in the left hemisphere of her brain. As she observed her mind deteriorate to the point that she could not walk, talk, read, write, or recall any of her life-all within four hours-Taylor alternated between the euphoria of the intuitive and kinesthetic right brain, in which she felt a sense of complete well-being and peace, and the logical, sequential left brain, which recognized she was having a stroke and enabled her to seek help before she was completely lost. It would take her eight years to fully recover. For Taylor, her stroke was a blessing and a revelation. It taught her that by stepping to the right of our left brains, we can uncover feelings of well-being that are often sidelined by brain chatter. Reaching wide audiences through her talk at the Technology, Entertainment, Design (TED) conference and her appearance on Oprah's online Soul Series, Taylor provides a valuable recovery guide for those touched by brain injury and an inspiring testimony that inner peace is accessible to anyone. |
| activities for stroke patients in occupational therapy: Stroke Recovery and Rehabilitation Richard L. Harvey, MD, Richard F. Macko, MD, Joel Stein, MD, Carolee J. Winstein, Phd, PT, Richard D. Zorowitz, MD, 2008-11-20 A Doody's Core Title 2012 Stroke Recovery and Rehabilitation is the new gold standard comprehensive guide to the management of stroke patients. Beginning with detailed information on risk factors, epidemiology, prevention, and neurophysiology, the book details the acute and long-term treatment of all stroke-related impairments and complications. Additional sections discuss psychological issues, outcomes, community reintegration, and new research. Written by dozens of acknowledged leaders in the field, and containing hundreds of tables, graphs, and photographic images, Stroke Recovery and Rehabilitation features: The first full-length discussion of the most commonly-encountered component of neurorehabilitation Multi-specialty coverage of issues in rehabilitation, neurology, PT, OT, speech therapy, and nursing Focus on therapeutic management of stroke related impairments and complications An international perspective from dozens of foremost authorities on stroke Cutting edge, practical information on new developments and research trends Stroke Recovery and Rehabilitation is a valuable reference for clinicians and academics in rehabilitation and neurology, and professionals in all disciplines who serve the needs of stroke survivors. |
| activities for stroke patients in occupational therapy: Puzzles for Stroke Patients: Rebuild Language, Math & Logic Skills to Heal and Live a More Fulfilling Life Kalman Toth M. A. M. Phil, 2019-02-26 Large Print Version. PUZZLES FOR STROKE RECOVERY! A PERFECT GIFT FOR STROKE REHAB, HEALING & SENIOR BRAIN FITNESS! WONDERFUL RESULTS! #1 Best Seller in Stroke Puzzle Books. 50 challenging & funny puzzle types with increasing difficulty; including popular TV shows & Hollywood movies & stars puzzles to recover cognitive and memory functions. Excellent for caregivers! Customer: Great gift for my mom!!! Most puzzles are large print. Word, logic, picture & math puzzles are recommended for patients by doctors, neurologists, speech & cognitive therapists to rebuild mental abilities in language, math & logic. Puzzles are essential for brain rehabilitation. Neurologist: For stroke victims, I suggest word-guess puzzles because they can't really do the New York Times Sunday magazine crossword puzzle. Word search puzzles help to reestablish visual quickness and vocabulary. In addition to word puzzles, the provided shopping math & airline travel math puzzles will help to rebuild the stroke survivor's math, comprehension & logical thinking capabilities for everyday life. The puzzle book also boasts a number of adult coloring pages and picture puzzles. Medical research shows: For the stroke patient, coloring is a good way for strengthening fine motor skills (writing, driving, sewing arts...) & to reintegrate the left and right sides of the brain. The left side is dominantly for logical processing while the right side features color graphics processing.The Diagonal Word Square Puzzles are arranged in increasing difficulty levels. The puzzle solver has to find the missing letters for short words; each row and the diagonal will spell a word. Puzzles are valuable rehab tools in the hands of people who experience the cognitive and physical deficits frequently associated with stroke. Inability to pay attention is common for stroke survivors. Other deficits may include comprehension, reading, and writing. The human brain is extremely flexible and it can be rewired for better functioning after a stroke. To learn how to pay better attention, stroke patients can solve puzzles that require focus. Others skills targeted by puzzle solving (which may improve comprehension, reading, and writing) include speech, concentration, memory, word-finding, and motor skills. When puzzles are used for stroke patients, the key is to choose a puzzle that is effective and enjoyable for the patient like brain games. The puzzles in this book are effective because they can be completed easily and in a short amount of time, usually in a single sitting. Because they are not difficult, solving them imparts a sense of accomplishment. Puzzle contents stimulate emotions and memories, conversation and reminiscing. Puzzles are a great brain exercise and memory activity that captures and improves attention. Puzzles encourage the use of problem-solving skills. In addition, they are fun; patients relax, smile, and laugh. Brain puzzles have been used throughout history for recreation, as medicine, as meditation, as a source of beauty. While this book is aimed directly at stroke survivors for stroke rehabilitation it is highly recommended to seniors, caregivers, loved ones and friends as well. CONTENTS AT A GLANCE: RETRAINING THE BRAIN AFTER A STROKE 1 TV SHOWS WORD SEARCH PUZZLES 3 4x4 DIAGONAL WORD SQUARE PUZZLES 24 MATH ADDITION DRILLS 68 HOLLYWOOD MOVIE TRIVIA QUIZZES 81 MATH SUBTRACTION DRILLS 108 VOCABULARY BUILDER WORD SEARCH PUZZLES 121 FUN BRAIN TEASERS 162MATH MULTIPLICATION DRILLS 185 5x5 DIAGONAL WORD SQUARE PUZZLES 198 MATH DIVISION DRILLS 239 HOLLYWOOD STARS MOVIES SEARCH 252 SUDOKU LOGIC PUZZLES 278 MISSING VOWELS PUZZLES 316 6x6 DIAGONAL WORD SQUARE PUZZLES 333 WORD SCRAMBLE PUZZLES 364 SHOPPING MATH PUZZLES 379AIRLINE TRAVEL MATH PUZZLES 400 4x4 DIAGONAL WORD SQUARE PUZZLE SOLUTIONS 416 5x5 DIAGONAL WORD SQUARE PUZZLE SOLUTIONS 426 6x6 DIAGONAL WORD SQUARE PUZZLE SOLUTIONS 438 SUDOKU LOGIC PUZZLE SOLUTIONS 447 PICTURE PUZZLE SOLUTIONS 455 - COLORING PAGES |
| activities for stroke patients in occupational therapy: Hand Recovery After Stroke Johannes Gerardus Smits, 2000 |
| activities for stroke patients in occupational therapy: Stroke Rehabilitation Janet H. Carr, Roberta B. Shepherd, 2003 Covers essential task-and context-specific excercises and training regimes for optimal functional recovery. Based on scientific rationale and the latest clinical research, this book emphasises the training of effective functional motor performance using methods that both provide a stimulus to the acquisition of skill and increase strength, endurance and fitness. --Cover. |
| activities for stroke patients in occupational therapy: A Model of Human Occupation , 2002 Presenting the new edition of the text that delivers the most widely-used and developed conceptual model in occupational therapy. Beautifully redesigned and fully revised, the Third Edition of A Model of Human Occupation (MOHO) delivers the latest in human occupation research and application to practice. New to this edition: a reader-friendly format with second color and additional illustrations and anecdotes; more case examples for integrating the model into practice; a discussion of the therapy process and how change occurs; language linked to UT and ICIDH-2 terminology; a research chapter; and numerous research references highlighting the growing body of evidence supporting MOHO. |
| activities for stroke patients in occupational therapy: Occupational Performance Coaching Fiona Graham, Ann Kennedy-Behr, Jenny Ziviani, 2020-06-02 This book presents a definitive guide to understanding, applying, and teaching Occupational Performance Coaching (OPC). Grounded in principles of occupational therapy, person-centredness, and interprofessional frameworks of health and disability, this book will be of interest across health and rehabilitation professions. Supporting people affected by disability to do well and live the life they want is the ultimate outcome of all rehabilitation professionals, no matter where on the lifespan our clients sit. Coaching is increasingly recognised as highly effective in achieving this aim. This accessible manual provides case examples related to diverse health conditions alongside practitioner reflections. Uniquely, this manual presents coaching methods designed specifically for the rehabilitation environment. This book is a manual for practitioners, researchers, students, and lecturers interested in gaining a robust understanding of OPC methods, theoretical basis, and implementation. An e-Resource linked to the book provides access to video demonstrations, a podcast from Dr Graham, and downloadable materials including a self-assessment of OPC skills (OPC Fidelity Measure), templates for clinical work, and teaching presentation material. You can access this eResource via http://resourcecentre.routledge.com/books/9780367427962 |
| activities for stroke patients in occupational therapy: Stroke Rehabilitation Glen Gillen, Ann Burkhardt, 2004 This 2nd edition remains the only comprehensive evidence-based text on the Occupational Therapy management of the stroke patient. The book is based on the most up-to-date research on stroke rehabilitation and presents its content in a holistic fashion, combining aspects of background medical information, samples of functionally based evaluations, and treatment techniques and interventions. There are chapters on specific functional aspects of living after stroke, such as driving, sexuality, mobility and gait, and self-care. Instructor resources are available; please contact your Elsevier sales representative for details. Case studies are featured in every chapter to help the reader understand how concepts apply to the real world. 2 chapters that feature the true stories of stroke victims, presenting occupational therapy situations from the point of view of the patient. Key terms, chapter objectives, and review questions help students better understand and remember important information. 7 new chapters make this text more comprehensive than ever! Psychological Aspects of Stroke Rehabilitation Improving Participation and Quality of Life Through Occupation The Task-Oriented Approach to Stroke Rehabilitation Approaches to Motor Control Dysfunction: An Evidence-Based Review Vestibular Rehabilitation and Stroke How Therapists Think: Exploring Clinician's Reasoning When Working With Clients Who Have Cognitive and Perceptual Problems Following Stroke A Survivor's Perspective II: Stroke Reflects the current terminology and categorization used by the WHO and the new AOTA Practice Framework so students will be equipped with the latest standards when they enter the workforce. Updated medication chart presents the latest drugs used in stroke rehabilitation. |
| activities for stroke patients in occupational therapy: Clinical Pathways in Stroke Rehabilitation Thomas Platz, 2021-01-14 This open access book focuses on practical clinical problems that are frequently encountered in stroke rehabilitation. Consequences of diseases, e.g. impairments and activity limitations, are addressed in rehabilitation with the overall goal to reduce disability and promote participation. Based on the available best external evidence, clinical pathways are described for stroke rehabilitation bridging the gap between clinical evidence and clinical decision-making. The clinical pathways answer the questions which rehabilitation treatment options are beneficial to overcome specific impairment constellations and activity limitations and are well acceptable to stroke survivors, as well as when and in which settings to provide rehabilitation over the course of recovery post stroke. Each chapter starts with a description of the clinical problem encountered. This is followed by a systematic, but concise review of the evidence (RCTs, systematic reviews and meta-analyses) that is relevant for clinical decision-making, and comments on assessment, therapy (training, technology, medication), and the use of technical aids as appropriate. Based on these summaries, clinical algorithms / pathways are provided and the main clinical-decision situations are portrayed. The book is invaluable for all neurorehabilitation team members, clinicians, nurses, and therapists in neurology, physical medicine and rehabilitation, and related fields. It is a World Federation for NeuroRehabilitation (WFNR) educational initiative, bridging the gap between the rapidly expanding clinical research in stroke rehabilitation and clinical practice across societies and continents. It can be used for both clinical decision-making for individuals and as well as clinical background knowledge for stroke rehabilitation service development initiatives. |
| activities for stroke patients in occupational therapy: Occupational Therapy Toolkit , 2018-04 Fully revised and expanded in 2018. The Occupational Therapy Toolkit 7th edition is a collection of 354 full-page illustrated patient handouts. The handouts are organized by 97 treatment guides and are based on current research and best practice. This 787 page practical resource is the BEST resource for every therapist working with physical disabilities, chronic conditions or geriatrics. |
| activities for stroke patients in occupational therapy: Healing the Broken Brain Mike Dow, Dr., David Dow, 2017-05-02 Three experts on stroke recovery share their knowledge and advice for stroke survivors and their families. Dealing with the onslaught of information about stroke can be confusing and overwhelming. And if you happen to be a stroke survivor with newly impaired language skills, it can be especially hard to comprehend everything your doctors, nurses, and specialists are telling you. This book consists of the top 100 questions that survivors and their families ask, with answers from the top physicians and therapists in the country. The questions start out basic but then get more specific to address different areas of recovery. And, for stroke survivors still struggling with reading comprehension, or for family members who are simply too tired to read long passages, there are Takeaway Points at the end of each chapter to help simplify everything. Includes answers to frequently asked questions such as: · What is a stroke, and who is at risk for one? · What is the best diet for a stroke survivor? · How does group therapy compare to individual therapy? · What should a stroke survivor look for in a therapist? · How long will it take to recover, and how can stroke survivors maximize their recovery? · What can someone do to prevent having another stroke? In this book, you’ll gain a wealth of information, inspiration, advice, and support as you navigate your journey through stroke recovery. |
| activities for stroke patients in occupational therapy: Stronger After Stroke Peter G Levine, 2008-10-01 Billions of dollars are spent on stroke-related rehabilitation research and treatment techniques but most are not well communicated to the patient or caregiver. As a result, many stroke survivors are treated with outdated or ineffective therapies. Stronger After Stroke puts the power of recovery in the reader's hands by providing simple to follow instructions for reaching the highest possible level of healing. Written for stroke survivors, their caregivers, and loved ones, Stronger After Stroke presents a new and more effective treatment philosophy that is startling in its simplicity: stroke survivors recover by using the same learning techniques that anyone uses to master anything. Basic concepts are covered, including: Repetition of task-specific movements Proper scheduling of practice Challenges at each stage of recovery Setting goals and recognizing when they have been achieved The book covers the basic techniques that can catapult stroke survivors toward maximum recovery. Stronger After Stroke bridges the gap between stroke survivors and what they desperately need: easily understandable and scientifically accurate information on how to achieve optimal rehabilitation. |
| activities for stroke patients in occupational therapy: Upper-extremity Task-specific Training After Stroke Or Disability Catherine E. Lang, Rebecca L. Birkenmeier, 2014 Promotes client-centered care, encouraging practitioners to match clients' motor capabilities, goals, and interests to specific, challenging tasks. Comprehensive and practical, this manual guides allied health practitioners in every aspect of task-specific training-- |
| activities for stroke patients in occupational therapy: Recovery After Stroke Michael P. Barnes, Bruce H. Dobkin, Julien Bogousslavsky, 2005-03-10 Covering neuroscience and rehabilitation strategies, an essential handbook and reference for multidisciplinary stroke rehabilitation teams. |
| activities for stroke patients in occupational therapy: Stroke Rehabilitation Richard Wilson, Preeti Raghavan, 2018-09-12 Practical and concise, Stroke Rehabilitation provides everyday clinical guidance on current methods, techniques, evidence, and controversies in this important area. This focused resource by Drs. Richard Wilson and Preeti Raghavan consolidates today's available information in an easy-to-navigate format for today's practicing and trainee physiatrists, as well as other members of the rehabilitation team. - Covers the complete spectrum of stroke rehabilitation – from aphasia to limb impairment to pain syndromes – to facilitate the best outcomes and highest quality of life for your patients. - Discusses prevention, predictors of recovery, medication management, depression and psychological issues, and return to work and driving. - Includes coverage of robotic technology, brain stimulation, community-based rehabilitation, and children and stroke. |
| activities for stroke patients in occupational therapy: Interventions, Effects, and Outcomes in Occupational Therapy Mary C. Law, Mary Ann McColl, 2010 Occupational therapists are expected to maintain their knowledge of best practice by independently keeping up to date on the latest research. With this work, the authors have assembled the evidence for effectiveness of occupational therapy for adults and older adults. It brings together the latest published peer-reviewed literature, conceptual approaches, outcome measures, and intervention approaches to address the three main areas by: Identifying a finite set of interventions which occupational therapists deliver most often, and providing details of those intervention approaches; Identifying where the research evidence shows that occupational therapists can achieve specific positive effects as a result of those interventions; Identifying the outcome measures most commonly and reliably used by researchers in occupational therapy to demonstrate the effects of interventions. The authors have comprehensively reviewed all of the intervention effectiveness literature for occupational therapy provided for adults. The material reviewed crosses all diagnostic categories and areas of practice for adults and older adults. Analysis of over 500 research studies and systematic reviews form the basis for this book. |
| activities for stroke patients in occupational therapy: Stroke Rehabilitation E-Book Glen Gillen, Dawn M. Nilsen, 2020-09-13 - NEW! Revised and expanded content keeps you up to date on the latest information in all areas of stroke rehabilitation. - NEW! Updated references reflect the changes that have been made in the field. - NEW! Assessment Appendix and Pharmacological Appendix - UPDATED! Resources for Educators and Students on Evolve |
| activities for stroke patients in occupational therapy: Constraint-induced Movement Therapy G. Uswatte, 2006 Constraint-Induced Movement therapy (CI therapy) is a behavioral approach to neurorehabilitation based on a program of neuroscience experiments conducted with monkeys. Evidence has accumulated to support the efficacy of CI therapy for rehabilitating hemiparetic arm use in individuals with chronic stroke. This book addresses the related topics. |
| activities for stroke patients in occupational therapy: Stroke Rehabilitation Leeanne M. Carey, 2012-06-28 Stroke Rehabilitation: Insights from Neuroscience and Imaging informs and challenges neurologists, rehabilitation therapists, imagers, and stroke specialists to adopt more restorative and scientific approaches to stroke rehabilitation based on new evidence from neuroscience and neuroimaging literatures. The fields of cognitive neuroscience and neuroimaging are advancing rapidly and providing new insights into human behavior and learning. Similarly, improved knowledge of how the brain processes information after injury and recovers over time is providing new perspectives on what can be achieved through rehabilitation. Stroke Rehabilitation explores the potential to shape and maximize neural plastic changes in the brain after stroke from a multimodal perspective. Active skill based learning is identified as a central element of a restorative approach to rehabilitation. The evidence behind core learning principles as well as specific learning strategies that have been applied to retrain lost functions of movement, sensation, cognition and language are also discussed. Current interventions are evaluated relative to this knowledge base and examples are given of how active learning principles have been successfully applied in specific interventions. The benefits and evidence behind enriched environments is reviewed with examples of potential application in stroke rehabilitation. The capacity of adjunctive therapies, such as transcranial magnetic stimulation, to modulate receptivity of the damaged brain to benefit from behavioral interventions is also discussed in the context of this multimodal approach. Focusing on new insights from neuroscience and imaging, the book explores the potential to tailor interventions to the individual based on viable brain networks. |
| activities for stroke patients in occupational therapy: Collaborative capacity development to complement stroke rehabilitation in Africa Quinette Louw, 2020-12-31 This scholarly book focuses on stroke in Africa. Stroke is a leading cause of disability among adults of all ages, contributing significantly to health care costs related to long term implications, particularly if rehabilitation is sub-optimal. Given the burden of stroke in Africa, there is a need for a book that focuses on functioning African stroke survivors and the implications for rehabilitation within the African context. In addition, there is a need to progress with contextualised, person-centred, evidence-based guidance for the rehabilitation of people with stroke in Africa, thereby enabling them to lead socially and economically meaningful lives. The research incorporated in the book used a range of primary and secondary methodological approaches (scoping reviews, systematic reviews, meta-analyses, descriptive studies, surveys, health economics, and clinical practice guideline methodology) to shed new insights into African-centred issues and strategies to optimise function post-stroke. |
| activities for stroke patients in occupational therapy: The Adult Speech Therapy Workbook Chung Hwa Brewer, 2021-04 THE ADULT SPEECH THERAPY WORKBOOK is your go-to resource for handouts and worksheets. It was designed for speech therapists new to adult speech therapy and covers the most common diagnoses and disorders across all adult speech therapy settings, from hospitals, to skilled nursing facilities, to home health. This workbook is packed with over 580 pages of practical, evidenced-based treatment material. |
| activities for stroke patients in occupational therapy: A Wonderful Stroke of Luck Janet R. Douglas, 2018-10-04 When an occupational therapist suffers a massive stroke while attending a wedding in her native England, she can’t believe it. Janet R. Douglas emerges from a coma weeks later at a Chicago hospital where she once worked. Her left side is totally paralyzed, her eyesight impaired, her memory and identity lost. Trapped in the present, she finds herself talking in German even though she has seldom spoken the language since high school. With no understanding of the severity of her problems, she resists therapy, thinking she doesn’t need it. Despite all odds, she returns to her high-powered job only to find herself cast adrift by a corporate reorganization. With time on her hands, she carries out her own research to find out how damage to one specific part of the brain affects behavior. From the perspective of both therapist and patient, Douglas explains the impact of stroke, how it makes the simplest tasks difficult, and how the visible disabilities it causes are just the tip of the iceberg. Join Douglas on a decade-long quest to recapture her identity so she can once again enjoy family, work, and travel in A Wonderful Stroke of Luck. |
| activities for stroke patients in occupational therapy: Acute Stroke Nursing Jane Williams, Lin Perry, Caroline Watkins, 2013-05-07 Stroke is a medical emergency that requires immediate medical attention. With active and efficient nursing management in the initial hours after stroke onset and throughout subsequent care, effective recovery and rehabilitation is increased. Acute Stroke Nursing provides an evidence-based, practical text facilitating the provision of optimal stroke care during the primary prevention, acute and continuing care phases. This timely and comprehensive text is structured to follow the acute stroke pathway experienced by patients. It explores the causes, symptoms and effects of stroke, and provides guidance on issues such as nutrition, continence, positioning, mobility and carer support. The text also considers rehabilitation, discharge planning, palliative care and the role of the nurse within the multi-professional team. Acute Stroke Nursing is the definitive reference on acute stroke for all nurses and healthcare professionals wishing to extend their knowledge of stroke nursing. Evidence-based and practical in style, with case studies and practice examples throughout Edited and authored by recognised stroke nursing experts, clinicians and leaders in the field of nursing practice, research and education The first text to explore stroke management from UK and international perspectives, and with a nursing focus |
| activities for stroke patients in occupational therapy: Occupational Therapy for Stroke Rehabilitation Simon B. N. Thompson, Maryanne Morgan, 2013-12-20 This book is both an introductory text to the rehabilitation of stroke for student therapists and a reference text for qualified therapists. The layout of the book reflects these needs with Chapters 1-4 assuming a minimal level of understanding of the material. These chapters provide an introduction to the condition of stroke itself, the problern therapists face in assessing and treating stroke patients and therapeutic approaches in occu pational therapy. Prognosis of stroke is also discussed which is an issue taken up in later chapters concemed with expert systems. The use of microcomputers in occupational therapy is discussed throughout the book with particular reference to their direct role during therapy. Chapters 5-7 assume a higher level of understand ing from the reader although students will find the material useful as an insight into the work of the modern-day therapist. Chapter 5 addresses the work carried out in the area of biofeedback; Chapter 6 introduces the concept and uses of databases, and Chapter 7 discusses the versatility of microcomputers, especially in the provision of expert systems for the prognosis of stroke. |
| activities for stroke patients in occupational therapy: Clinical Neuropsychology of Attention Adriaan H. Zomeren, Wiebo H. Brouwer, 1994 Written by a clinical neuropsychologist and a cognitive psychologist, this work presents an integrated view of the multi-faceted concept of attention. In neuropsychology, attention has different meanings depending on the nature of the neurological disorder and the theoretical background of the investigator. To provide insight into these theoretical backgrounds, this volume opens with a discussion of psychological and neurobiological theories of attention. The book does not adopt a particular theoretical orientation but tries to clarify the various conceptualizations of attention that are encountered in the literature. Throughout, the book critically reviews the literature on attentional deficits in frequently occurring neurological conditions such as traumatic brain injury, Alzheimer's disease, Parkinson's disease, and epilepsy. This material is organized according to the types of tasks used to investigate attention, such as tests of focused, divided and sustained attention. The book concludes with three chapters on topics that underline its practical aim: assessment of attention, the relationship between test performance and everyday activities, and the rehabilitation of impairments of attention. This comprehensive work will be invaluable to neuropsychologists, neurologists, clinical psychologists, gerontologists, and rehabilitation specialists. |
| activities for stroke patients in occupational therapy: Exercises for Stroke William Smith, 2010-12-28 According to the American Heart Association, stroke is the third leading cause of death in the nation. An integral aspect of stroke rehabilitation, physical activity can greatly enhance movement, balance and coordination while also helping to prevent a future stroke. Exercises for Stroke provides physical, cognitive, and preventative education to reduce the risk of stroke and improve function in the daily living of stroke patients. Readers that have been cleared for home or gym-based exercises by their physician or therapist will be given clear and concise exercises that are specifically targeted to stroke rehabilitation and prevention. Exercises for Stroke includes: * Introductory material on the benefits of exercise to the stroke patient's recovery and overall health * Tips and guidance for caregivers and family members * Daily exercise recommendations * Training log to track your progress Created by top exercise specialist William Smith, Exercises for Stroke provides authoritative information on strokes alongside safe and effective exercise instructions for lay persons and professionals alike. |
| activities for stroke patients in occupational therapy: Motor Control Anne Shumway-Cook, Marjorie H. Woollacott, Jaya Rachwani, Victor Santamaria, 2023-04-05 Motor Control: Translating Research into Clinical Practice, 6th Edition, is the only text that bridges the gap between current and emerging motor control research and its application to clinical practice. Written by leading experts in the field, this classic resource prepares users to effectively assess, evaluate, and treat clients with problems related to postural control, mobility, and upper extremity function using today’s evidence-based best practices. This extensively revised 6th Edition reflects the latest advances in research and features updated images, clinical features, and case studies to ensure a confident transition to practice. Each chapter follows a consistent, straightforward format to simplify studying and reinforce understanding of normal control process issues, age-related issues, research on abnormal function, clinical applications of current research, and evidence to support treatments used in the rehabilitation of patients with motor control problems. |
| activities for stroke patients in occupational therapy: Occupational Therapy Practice Framework: Domain and Process Aota, 2014 As occupational therapy celebrates its centennial in 2017, attention returns to the profession's founding belief in the value of therapeutic occupations as a way to remediate illness and maintain health. The founders emphasized the importance of establishing a therapeutic relationship with each client and designing an intervention plan based on the knowledge about a client's context and environment, values, goals, and needs. Using today's lexicon, the profession's founders proposed a vision for the profession that was occupation based, client centered, and evidence based--the vision articulated in the third edition of the Occupational Therapy Practice Framework: Domain and Process. The Framework is a must-have official document from the American Occupational Therapy Association. Intended for occupational therapy practitioners and students, other health care professionals, educators, researchers, payers, and consumers, the Framework summarizes the interrelated constructs that describe occupational therapy practice. In addition to the creation of a new preface to set the tone for the work, this new edition includes the following highlights: a redefinition of the overarching statement describing occupational therapy's domain; a new definition of clients that includes persons, groups, and populations; further delineation of the profession's relationship to organizations; inclusion of activity demands as part of the process; and even more up-to-date analysis and guidance for today's occupational therapy practitioners. Achieving health, well-being, and participation in life through engagement in occupation is the overarching statement that describes the domain and process of occupational therapy in the fullest sense. The Framework can provide the structure and guidance that practitioners can use to meet this important goal. |
| activities for stroke patients in occupational therapy: Textbook of Stroke Medicine Michael Brainin, Wolf-Dieter Heiss, Susanne Tabernig, 2014-09-11 Fully revised throughout, the new edition of this concise textbook is aimed at doctors preparing to specialize in stroke care. |
| activities for stroke patients in occupational therapy: Implementation Science 3.0 Bianca Albers, Aron Shlonsky, Robyn Mildon, 2020-03-18 This textbook presents a much-needed overview of the recent developments in implementation science — a discipline that is young, has gained increasing attention in recent years, and has experienced substantial and rapid growth in knowledge production and debate. It captures the latest developments in research and pushes the reader toward the next phase for implementation science: bridging the science-to-practice divide. Drawing from multidisciplinary, international research by top scholars in the field, this book provides a critical but friendly approach to understanding what implementation science is, what it isn’t, and where it’s going. Topics include: • Factors associated with effective implementation • Organizational context and readiness for change • Implementation theories, models, and frameworks • Enhancing implementation measurement • Bringing interventions to scale • Closing the science-practice gap in implementation Implementation Science 3.0 is a timely, important resource for researchers, students, and others with an interest in implementation working across the fields of social welfare,public health, education, and psychology. The chapter “Making sense of implementation theories, models and frameworks”,in which some modifications to the text were made, is available open access under a Creative Commons Attribution 4.0 International License in Nilsen, P. (2015). Implementation Science, 10(53), via link.springer.com. |
| activities for stroke patients in occupational therapy: The Kawa Model Michael K. Iwama, 2006-07-28 A landmark publication in occupational therapy and a significant contribution to the rehabilitation theory literature! The Kawa Model presents a new conceptual model of practice that differs from contemporary theories in regard to: origin (East Asia), underlying philosophical base (East Asia), being heavily infused with a natural-ecological, holistic world view, and relational structure. The model is based on the metaphor of nature (a river) that stands for the meanings of life. Because of the familiarity of the metaphor, to both therapists and clients alike, the Kawa Model is relatively easy to comprehend, remarkably simple, yet comprehensive and effective. Unlike other models, it was raised from clinical practice, by practitioners, through a process of qualitative research methods. It is the first conceptual model and substantial theoretical work of occupational therapy from outside of the Western world. A 'must-read' for all students of occupational therapy The first substantial work in occupational therapy from outside of the Western world Introduces an Eastern perspective on matters of theory and culture in occupational therapy Eight case studies, four from Western practice contexts and four from the East Developed by clinicians and practitioners for their peers Questions the cultural boundaries of occupational therapy, its knowledge (epistemiology), theory and practice. It puts the reader in touch with the cultural nature of self, client and profession Enables readers to develop critical analysis skills for examining matters of theory and culture, as opposed to learning theory as 'recipes' |
| activities for stroke patients in occupational therapy: Willard and Spackman's Occupational Therapy Barbara Schell, Glenn Gillen, 2018-09-04 Celebrating 100 years of the Occupational Therapy profession, this Centennial Edition of Willard & Spackman’s Occupational Therapy continues to live up to its well-earned reputation as the foundational book that welcomes students into their newly chosen profession. Now fully updated to reflect current practice, the 13th Edition remains the must-have resource that students that will use throughout their entire OT program, from class to fieldwork and throughout their careers. One of the top texts informing the NBCOT certification exam, it is a must have for new practitioners. |
| activities for stroke patients in occupational therapy: Yoga Therapy for Stroke Arlene A. Schmid, Marieke van Puymbroeck, 2018-09-21 A guide to yoga therapy for post-stroke rehabilitation, this book is for yoga teachers and yoga therapists, but also for occupational, recreational, physical and speech therapists who work with people with stroke and may integrate yoga into their practice. Rooted in evidence-based research and written by two yoga teachers who are also academics and researchers in rehabilitation, the book provides basic information about stroke and neuroplasticity, discusses the mind body disconnect that often occurs after stroke, and provides instruction on how to improve balance, strength and range of motion. It also covers effective meditation techniques to help overcome the stress and emotional impact of stroke. Clear photographs demonstrate yoga postures and activities specifically adapted for stroke patients, alongside case studies. |
| activities for stroke patients in occupational therapy: Occupational Therapy for Physical Dysfunction Mary Vining Radomski, Catherine A. Trombly Latham, 2008 The definitive work on occupational therapy for physical dysfunction returns in its Sixth Edition, with reputable co-editors and clinical, academic, and consumer contributors. This text provides a current and well-rounded view of the field- from theoretical rationale to evaluation, treatment, and follow-up. Through the Occupational Functioning Model (OFM), the Sixth Edition continues to emphasize the conceptual foundation and scientific basis for practice, including evidence to support the selection of appropriate assessments and interventions. NEW TO THIS EDITION: Student DVD with video clips demonstrating range of motion, manual muscle testing, construction of hand splints, and transferring patients Evidence Tables summarize the evidence behind key topics and cover Intervention, Participants, Dosage, Type of Best Evidence, Level of Evidence, Benefit, Statistical Probability, and Reference Assessment Tables summarize key assessment tools and cover Instrument and Reference, Description, Time to Administer, Validity, Reliability, Sensitivity, and Strengths and Weaknesses |
| activities for stroke patients in occupational therapy: What you need to know about stroke , 2004 |
| activities for stroke patients in occupational therapy: Physical Dysfunction Practice Skills for the Occupational Therapy Assistant - E-Book Mary Beth Early, 2012-03-30 - New content on the latest advances in OT assessment and intervention includes prosthetics and assistive technologies, and updated assessment and interventions of TBI (traumatic brain injury) problems related to cognitive and visual perception. |
| activities for stroke patients in occupational therapy: Stroke Rehabilitation Glen Gillen, EdD, OTR, FAOTA, 2015-08-12 Learn to confidently manage the growing number of stroke rehabilitation clients with Gillen's Stroke Rehabilitation: A Function-Based Approach, 4th Edition. Using a holistic and multidisciplinary approach, this text remains the only comprehensive, evidence-based stroke rehabilitation resource for occupational therapists. The new edition has been extensively updated with the latest information, along with more evidence-based research added to every chapter. As with previous editions, this comprehensive reference uses an application-based method that integrates background medical information, samples of functionally based evaluations, and current treatment techniques and intervention strategies. Evidence-based clinical trials and outcome studies clearly outline the basis for stroke interventions. UNIQUE! Survivor's Perspectives help readers understand the stroke rehabilitation process from the client'' point-of-view. UNIQUE! Case studies challenge readers to apply rehabilitation concepts to realistic scenarios. UNIQUE! A multidisciplinary approach highlights discipline-specific distinctions in stroke rehabilitation among occupation and physical therapists, physicians, and speech-language pathologists. Review questions in each chapter help readers assess their understanding of rehabilitation concepts. Key terms and chapter objectives at the beginning of each chapter help readers study more efficiently. Three new chapters broaden your understanding of stroke intervention in the areas of Using Technology to Improve Limb Function, Managing Speech and Language Deficits after Stroke, and Parenting after Stroke. Learning activities and interactive references on a companion Evolve Resources website help you review textbook content and locate additional information. |
| activities for stroke patients in occupational therapy: Neurological Rehabilitation, 2/e Janet H. Carr, Roberta B. Shepherd, 2011-07-06 Janet Carr and Roberta Shepherd head up a new team of eminent authors for the second edition of this definitive text on neurological physiotherapy. In the first edition, the authors described a model of neurological rehabilitation for individuals with motor dysfunction based on scientific research in the areas of neuromuscular control, biomechanics, motor skill learning, and the link between cognition and action, together with developments in pathology and adaptation. The new edition continues to advance this model while identifying and incorporating the many advances that have occurred in the last decade in the understanding and treatment of adults with neurological conditions, whether caused by accident or disease. Among these advances is the knowledge that the brain retains a plastic potential to reorganize, even in old and/or lesioned brains, and that neural plasticity can be influenced by task-related mental and physical practice in a stimulating environment. There is also an increasing body of knowledge related to the musculoskeletal system's adaptability and the need to prevent length and stiffness- related changes in muscle contractility, together with loss of aerobic fitness and endurance. There is an expanding body of clinical research that appears to support the model provided here. The training guidelines outlined in Neurological Rehabilitation are based on biomechanical constructs and motor relearning research, applied to enhance brain reorganization and muscle contractility, and encourage functional recovery of the patient. It connects science and clinical practice enabling students and practitioners to develop their knowledge and use new clinical methods based on modern scientific understanding. All chapters have been revised, some with the collaboration of five specialists who are engaged in high level scientific research and clinical practice Biomechanical models are presented to provide a framework for action-specific training and exercise to improve performance Clinical guidelines are science- and evidence-based Emphasis is on new approaches to the delivery of neurological rehabilitation that increase the time spent in mental and physical activity, and the intensity of practice and exercise Up-to-date referencing |
| activities for stroke patients in occupational therapy: Kinesiology for Occupational Therapy Melinda Rybski, 2024-06-01 Kinesiology for Occupational Therapy, Third Edition covers the theoretical background for understanding the kinematics and kinetics of normal human physiological movement. Each specific joint is assessed in terms of musculoskeletal function, movements possible, and an overview of pathology that may develop. Dr. Melinda Rybski covers four occupational therapy theories related to functional motion that are important for occupational therapists to know. This Third Edition has been updated to reflect the current field and includes new information that has emerged in recent years. New in the Third Edition: Content closely follows AOTA’s Occupational Therapy Practice Framework and Occupational Therapy Vision 2025 Updated and more extensive provision of evidence that summarizes key findings in current literature New theories are presented in the Intervention sections Extensive, joint specific and theory-based assessments are provided Interventions described are occupation-based, process-based Kinesiology concepts presented in a practical, useable way Expanded chapters for Spine and Thorax and Hip and Pelvis. Included with the text are online supplemental materials for faculty use in the classroom. Kinesiology for Occupational Therapy, Third Edition clearly outlines the need for an understanding of kinesiology in occupational therapy, providing occupational therapists with the evidence necessary to support their intervention strategies. |
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Start with sightseeing NYC’s greatest hits: Times Square, the Empire State Building, the Statue of Liberty, and spend the rest of your time checking out neighborhood gems. For personalized …
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May 29, 2024 · Always buzzing with events, New York City offers an unparalleled array of activities and experiences for visitors of all ages, from checking off iconic landmarks like the Empire State …
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