Earn .1 AOTA CEU (1.25 NBCOT PDU/1 contact hour)
Effectiveness of Interventions to Improve Occupational Performance of People with Motor Impairments after Stroke: An Evidence-Based Review
A review was conducted to determine the effectiveness of interventions to improve occupational performance in people with motor impairments after stroke as part of the American Occupational Therapy Association’s Evidence-Based Practice Project. One hundred forty-nine studies met inclusion criteria. Findings related to key outcomes from select interventions are presented. Results suggest that a variety of effective interventions are available to improve occupational performance after stroke. Evidence suggests that repetitive task practice, constraint-induced or modified constraint-induced movement therapy, strengthening and exercise, mental practice, virtual reality, mirror therapy, and action observation can improve upper-extremity function, balance and mobility, and/or activity and participation. Commonalities among several of the effective interventions include the use of goal-directed, individualized tasks that promote frequent repetitions of task-related or task-specific movements.
Dawn M. Nilsen, EdD, OT/L, is Assistant Professor of Rehabilitation and Regenerative Medicine (Occupational Therapy), Columbia University, New York, NY; email@example.com; Glen Gillen, EdD, OTR/L, FAOTA, is Associate Professor of Rehabilitation and Regenerative Medicine (Occupational Therapy), Columbia University, New York, NY; Daniel Geller, MS, MPH, OTR/L, Kimberly Hreha, OTR/L, Ellen Osei, MS, OTR/L, and Ghazala T. Saleem, MS, OTR/L, are Doctoral Students, Department of Biobehavioral Sciences, Teachers College, Columbia University, New York, NY
1. Describe the evidence-based review process, and understand how this information is used to inform clinical practice decisions.
2. Identify interventions described in the study that were found to improve occupational performance for those with motor impairments after stroke.
3. Describe select interventions, and how these interventions might be applied in clinical practice to improve occupational performance for those with motor impairments after stroke.
CE Find Key Words: Stroke, CVA, evidence, repetitive task practice, M-CIMT
Learning Level: Intermediate
Target Audience: Occupational Therapists and Occupational Therapy Assistants
Content Focus: Category 1: Domain of OT; Category 2: OT Process: Intervention
Dawn M. Nilsen, Glen Gillen, Daniel Geller, Kimberly Hreha, Ellen Osei, Ghazala T. Saleem; Effectiveness of Interventions to Improve Occupational Performance of People With Motor Impairments After Stroke: An Evidence-Based Review. Am J Occup Ther 2014;69(1):6901180030p1-6901180030p9. doi: 10.5014/ajot.2015.011965.