Timothy J. Wolf, Adrianna Chuh, Tracy Floyd, Karen McInnis, Elizabeth Williams; Effectiveness of Occupation-Based Interventions to Improve Areas of Occupation and Social Participation After Stroke: An Evidence-Based Review. Am J Occup Ther 2014;69(1):6901180060p1-6901180060p11. doi: 10.5014/ajot.2015.012195.
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© 2019 American Occupational Therapy Association
This evidence-based review examined the evidence supporting the use of occupation-based interventions to improve areas of occupation and social participation poststroke. A total of 39 studies met the inclusion criteria and were critically evaluated. Most of the literature targeted activity of daily living (ADL)–based interventions and collectively provided strong evidence for the use of occupation-based interventions to improve ADL performance. The evidence related to instrumental ADLs was much more disparate, with limited evidence to support the use of virtual reality interventions and emerging evidence to support driver education programs to improve occupational performance poststroke. Only 6 studies addressed leisure, social participation, or rest and sleep, with sufficient evidence to support only leisure-based interventions. The implications of this review for research, education, and practice in occupational therapy are also discussed.
The evidence supports the use of occupation-based interventions to improve occupational performance after stroke.
The majority of the evidence supports interventions targeting ADL performance.
The evidence related to IADL performance is disparate and more difficult to draw definitive conclusions from.
Limited to no evidence supports occupation-based interventions to address other areas of occupation beyond ADLs and IADLs.
Several of the studies included were preliminary in nature or had methodological issues that could limit the generalizability of the findings.
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