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AJOT CE: Combined Cognitive-Strategy and Task-Specific Training Affects Cognition and Upper-Extremity Function in Subacute Stroke: An Exploratory Randomized Controlled Trial
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SKU: CEAJOT19

Publisher: AOTA Continuing Education

Published: 2016

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Non-Member Price: $24.99

Product Overview

Earn CE Credit With AJOT Articles!

Learn about tested treatment strategies by reading AJOT articles in your area of practice. Become an evidence-based practitioner and demonstrate your knowledge by passing the course exam.  Articles have been selected for their relevance to practice, fresh ideas, and strong evidence supporting treatment and the distinct value of OT.

Earn .1 AOTA CEU (1.25 NBCOT PDU/1 contact hour)

Abstract:

 

The purpose of this study was to estimate the effect of Cognitive Orientation to Daily Occupational Performance (CO–OP) compared with usual occupational therapy on upper-extremity movement, cognitive flexibility, and stroke impact in people less than 3 months after stroke. An exploratory, single-blind randomized controlled trial was conducted with people referred to outpatient occupational therapy services at two rehabilitation centers. Arm movement was measured with the Action Research Arm Test, cognitive flexibility with the Delis–Kaplan Executive Function System Trail Making subtest, and stroke impact with subscales of the Stroke Impact Scale. A total of 35 participants were randomized, and 26 completed the intervention. CO–OP demonstrated measurable effects over usual care on all measures. These data provide early support for the use of CO–OP to improve performance and remediate cognitive and arm movement impairments after stroke over usual care; however, future study is warranted to confirm the effects observed in this trial.

 

Authors:

 

Timothy J. Wolf, OTD, MSCI, OTR/L, FAOTA, is Associate Professor and Chair, Department of Occupational Therapy, University of Missouri, Columbia.

 

Helene Polatajko, PhD, OT Reg. (Ont.), is Professor, Rehabilitation Sciences Institute and Department of Occupational Science and Occupational Therapy, University of Toronto, Toronto, Ontario, Canada.

 

Carolyn Baum, PhD, OTR/L, FAOTA, is Professor and Chair, Program in Occupational Therapy, and Professor, Department of Neurology, Washington University School of Medicine, St. Louis, MO.

 

Jorge Rios, BSc, is Lab Manager, St. John’s Rehab Research Program, Sunnybrook Research Institute, Toronto, Ontario, Canada

 

Dianne Cirone, MSc(RS), OT Reg. (Ont.), is Lecturer, Department of Occupational Science and Occupational Therapy, University of Toronto, Toronto, Ontario, Canada, and Occupational Therapist, St. John’s Rehab Outpatient Program, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada

 

Meghan Doherty, MSOT, OTR/L, is Clinical Specialist, Program in Occupational Therapy, Washington University School of Medicine, St. Louis, MO

 

Sara McEwen, PhD, is Assistant Professor, Rehabilitation Sciences Institute and Department of Physical Therapy, University of Toronto, Toronto, Ontario, Canada, and Scientist, St. John’s Rehab Research Program, Sunnybrook Research Institute, Toronto, Ontario, Canada

 

Learning Objectives

 

Following this course, the learner will be able to:

 

1. Describe the Cognitive Orientation to Daily Occupational Performance (CO-OP) as an occupational therapy intervention approach.

 

2. Discuss implications of using the CO-OP approach in occupational therapy practice.

 

3. Compare effectiveness of the CO-OP approach to usual occupational therapy care for clients with subacute stroke.

 

Exam questions for this course authored by Marie Morreale, OTR/L, CHT

 

Learning Level: Intermediate

 

Target Audience: Occupational Therapists and Occupational Therapy Assistants

 

Content Focus: Category 1: Domain of OT; Category 2: OT Process: Intervention

 

Reference Information:

 

Wolf, T. J., Polatajko, H., Baum, C., Rios, J., Cirone, D., Doherty, M., & McEwen, S. (2016).

Combined cognitive-strategy and task-specific training affects cognition and upper-extremity function in subacute stroke: An exploratory randomized controlled trial. American Journal of Occupational Therapy, 70, 7002290010. http://dx.doi.org/10.5014/ ajot.2016.017293