[Occupational therapy part III. Occupational therapy for patients after stroke]

Reinsperger I, Piso B
Record ID 32012000787
German
Authors' objectives: Stroke is the third leading cause of death in Austria after cardiovascular diseases and cancer, and often leads to functional and cognitive impairment and chronic disability in survivors. Approximately one-third of the patients surviving a stroke remain dependent on their caregivers. Post-stroke rehabilitation intends to reduce disability and dependency. The central aim of occupational therapy is to achieve the maximum degree of autonomy of the patient, above all by improving activities of daily living (ADL) and participation in social life. Occupational therapy interventions after stroke include relearning and training of activities of daily living (e.g., washing, dressing, feeding and personal hygiene), provision and modification of assistive devices, adaptations in the living environment and cognitive training. The project's aim is to analyse the efficacy of occupational therapy interventions with the focus on activities of daily living and on cognitive impairments for patients after stroke, compared to no intervention or routine care.
Authors' recommendations: The results of this systematic review refer to occupational therapy focused on ADL and cognitive impairments. Other occupational therapy interventions as well as occupational therapy in the context of multidisciplinary treatment concepts were not considered. Despite the lack of evidence for some outcomes and for interventions focused on cognitive impairments, the results indicate that occupational therapy focused on ADL training leads to a significant improvement of several outcomes in patients after strokes.
Details
Project Status: Completed
Year Published: 2012
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: Austria
MeSH Terms
  • Humans
  • Occupational Therapy
  • Stroke
  • Employment
Contact
Organisation Name: Ludwig Boltzmann Institute for Health Technology Assessment
Contact Address: Ludwig Boltzmann Institute for fuer Health Technology Assessment (LBI-HTA), Garnisongasse 7/rechte Stiege Mezzanin (Top 20), 1090 Vienna, Austria. Tel: +43 1 236 8119 - 0 Fax: +43 1 236 8119 - 99
Contact Name: tarquin.mittermayr@aihta.at
Contact Email: office@aihta.at
Copyright: Ludwig Boltzmann Institut fuer Health Technology Assessment (LBI-HTA)
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