Effectiveness of interventions to improve occupational performance of people with motor impairments after stroke: an evidence-based review.

Journal Article (Journal Article;Review)

We conducted a review 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.

Full Text

Duke Authors

Cited Authors

  • Nilsen, DM; Gillen, G; Geller, D; Hreha, K; Osei, E; Saleem, GT

Published Date

  • January 2015

Published In

Volume / Issue

  • 69 / 1

Start / End Page

  • 6901180030p1 - 6901180030p9

PubMed ID

  • 25553742

International Standard Serial Number (ISSN)

  • 0272-9490

Digital Object Identifier (DOI)

  • 10.5014/ajot.2015.011965

Language

  • eng

Conference Location

  • United States