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

Dawn M. Nilsen, Glen Gillen, Daniel Geller, Kimberly Hreha, Ellen Osei, Ghazala T. Saleem

Research output: Contribution to journalReview articlepeer-review

30 Scopus citations

Abstract

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.

Original languageEnglish (US)
Article number2087148
JournalAmerican Journal of Occupational Therapy
Volume69
Issue number1
DOIs
StatePublished - Jan 1 2015

Keywords

  • Activities of daily living
  • Evaluation studies as topic
  • Evidence based practice
  • Motor skills disorders
  • Occupational therapy
  • Stroke

ASJC Scopus subject areas

  • Occupational Therapy

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