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Research Article  |   October 1994
Cerebrovascular Accident: Relationship of Demographic, Diagnostic, and Occupational Therapy Antecedents to Rehabilitation Outcomes
Author Affiliations
  • Joanne Brodie, MOT, OTR/L, is Staff Therapist, Highline Community Hospital, Seattle, Washington
  • Margo B. Holm, PhD, OTR/L, FAOTA, is Professor of Occupational Therapy, School of Occupational Therapy and Physical Therapy, University of Puget Sound, 1500 N. Warner, Tacoma, Washington 98416-0510, and Adjunct Assistant Professor of Psychiatry, Department of Psychiatry, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania
  • George S. Tomlin, MS, OTR/L, is Associate Professor, University of Puget Sound, Tacoma, Washington
Article Information
Neurologic Conditions / Rehabilitation, Participation, and Disability / Stroke / Special Issue on Functional Outcomes
Research Article   |   October 1994
Cerebrovascular Accident: Relationship of Demographic, Diagnostic, and Occupational Therapy Antecedents to Rehabilitation Outcomes
American Journal of Occupational Therapy, October 1994, Vol. 48, 906-913. doi:10.5014/ajot.48.10.906
American Journal of Occupational Therapy, October 1994, Vol. 48, 906-913. doi:10.5014/ajot.48.10.906
Abstract

Objective. This study was conducted to identify factors that were significant in predicting occupational therapy treatment choices and discharge outcomes after inpatient rehabilitation for 112 patients who had experienced a cerebrovascular accident.

Method. A retrospective descriptive study was conducted.

Results. According to discriminant function analysis, the cerebrovascular accident disability Score (i.e., level of functional disability) during the initial evaluation period was the predictor of discharge outcomes with the most clinical significance. A greater proportion of occupational therapy assessment units was the most influential occupational therapy factor associated with a positive discharge outcome. In one inpatient rehabilitation setting, a greater proportion of occupational therapy intervention for all study subjects was directed at the level of impairment compared to the level of disability.

Conclusion. Shorter inpatient stays, as well as shifts to outpatient rehabilitation, may require occupational therapists to examine whether intervention at the level of impairment or disability yields the best functional outcomes for patients who have sustained a cerebrovascular accident.