In Brief  |   December 2014
Performance-Based Testing in Mild Stroke: Identification of Unmet Opportunity for Occupational Therapy
Author Affiliations
  • M. Tracy Morrison, OTD, is Manager of Clinical Programs and Services, Courage Kenny Rehabilitation Institute, Allina Health, Minneapolis, MN; Clinical Scientist, Courage Kenny Research Center, Minneapolis, MN; and Adjunct Assistant Professor, Department of Occupational Therapy, University of Kansas Medical Center, Kansas City, KS; mary.morrison2@allina.com
  • Dorothy F. Edwards, PhD, is Professor, Department of Kinesiology–Occupational Therapy, University of Wisconsin–Madison
  • Gordon Muir Giles, PhD, OTR/L, FAOTA, is Professor, Samuel Merritt University, Oakland, CA, and Director of Neurobehavioral Services, Crestwood Behavioral Health, Inc., Sacramento, CA
Article Information
Neurologic Conditions / Stroke / Departments / The Issue Is …
In Brief   |   December 2014
Performance-Based Testing in Mild Stroke: Identification of Unmet Opportunity for Occupational Therapy
American Journal of Occupational Therapy, December 2014, Vol. 69, 6901360010p1-6901360010p5. doi:10.5014/ajot.2015.011528
American Journal of Occupational Therapy, December 2014, Vol. 69, 6901360010p1-6901360010p5. doi:10.5014/ajot.2015.011528
Abstract

Age at first stroke is decreasing, and most strokes are mild to moderate in severity. Executive function (EF) deficits are increasingly recognized in the stroke population, but occupational therapists have not altered their evaluation methods to fully accommodate changing patient needs. We present a hierarchical performance-based testing (PBT) pathway using data to illustrate how PBT could identify patients with mild stroke-related EF deficits in need of occupational therapy intervention. Data suggest that a substantial number of patients with EF deficits after mild stroke could benefit from occupational therapy services.