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According to AOTA, the \u201cfocus of occupational therapy is to help individuals achieve health, well-being, and participation in life through engagement in occupations.\u201d<\/span>1<\/sup><\/sup><\/span> Some services that occupational therapy professionals may provide include but are not limited to:<\/span>\u00a0<\/span><\/p>\n For more information visit <\/span>AOTA\u2019s stroke fact sheet<\/span><\/a>.<\/span>2<\/span>\u00a0<\/span><\/p>\n Each year about 795,000 people experience a stroke in the United States.<\/span><\/span>3<\/span><\/span> Research is progressing in the field of occupational therapy, but one thing remains true; stroke remains one of the leading causes of death and disability in the United States. It is an ever-present threat to the health of millions of Americans. It can be overwhelming when working in a clinical setting to keep up with current research on this important topic. This article will examine a collection of the most current evidence-based treatments for stroke rehabilitation in occupational therapy.\u00a0\u00a0<\/span><\/span>\u00a0<\/span><\/p>\n <\/span>[\/et_pb_text][et_pb_image src=”https:\/\/bioniklabs.com\/wp-content\/uploads\/2022\/06\/stroke-article-patient-1-1.png” alt=”Therapist with InMotion Arm and Patient in a Powerchair” title_text=”TherapistArmPowerchair” _builder_version=”4.17.4″ _module_preset=”default” width=”80%” module_alignment=”center” global_colors_info=”{}”][\/et_pb_image][et_pb_text ul_type=”square” ul_item_indent=”41px” _builder_version=”4.17.4″ _module_preset=”default” link_font=”||||||||” link_text_color=”gcid-32b05293-6d93-449c-9963-b83787b29811″ ul_line_height=”1.7em” header_3_text_align=”center” header_3_line_height=”1.4em” header_4_text_color=”gcid-32b05293-6d93-449c-9963-b83787b29811″ custom_padding=”10px||||false|false” global_colors_info=”{%22gcid-32b05293-6d93-449c-9963-b83787b29811%22:%91%22header_4_text_color%22,%22link_text_color%22%93}”]<\/p>\n There are three basic categories of strokes. You can find the basic definitions below. Learn more on the <\/span>CDC website<\/span><\/a>.\u00a0<\/span>\u00a0<\/span><\/p>\n Ischemic stroke<\/span><\/b>\u00a0<\/span><\/p>\n Often occurs when blood flow of an artery becomes blocked. They are the most common types of strokes (87% of all strokes).<\/span>4<\/sup><\/sup><\/span>\u00a0<\/span><\/p>\n Hemorrhagic Stroke<\/span><\/b>\u00a0<\/span><\/p>\n \u00a0<\/span><\/b>This type of stroke happens when an artery in the brain leaks or ruptures.<\/span>4<\/sup><\/sup><\/span>\u00a0<\/span><\/p>\n Transient Ischemic Attack (TIA)<\/span><\/b>\u00a0<\/span><\/p>\n These are sometimes known as \u2018mini strokes.\u2019 Blood flow to the brain is blocked for a shorter time than a typical ischemic stroke.<\/span>4<\/sup><\/sup><\/span>\u00a0<\/span><\/p>\n *** Any type of stroke is a medical emergency. If you think you or someone you know is experiencing a stroke call 911***\u00a0<\/span><\/i><\/b>\u00a0<\/span><\/p>\n A new study in 2021<\/span><\/span><\/a>5<\/sup><\/sup><\/span><\/span> suggests that <\/span>the optimal \u2018window\u2019 for stroke rehabilitation might <\/span>actually be<\/span> 2-3 months out from stroke.<\/span><\/span>5<\/sup><\/sup><\/span><\/span> <\/span>The study<\/span> was a randomized phase II clinical trial that<\/span> involved 72 patients<\/span> and was led by Georgetown University and Medstar <\/span>National Rehabilitation Hospital. <\/span>This research suggests that <\/span>skilled rehabilitation for stroke is needed for much more time than insurance currently permits.<\/span><\/span>5<\/sup><\/sup><\/span><\/span> <\/span>Larger studies are needed to further examine this finding. One thing is certain, <\/span>this information could change the way we look at stroke rehabilitation.<\/span><\/span>\u00a0<\/span><\/span>\u00a0<\/span><\/p>\n [\/et_pb_text][et_pb_image src=”https:\/\/bioniklabs.com\/wp-content\/uploads\/2022\/06\/stroke-article-patient-1-1-1.png” alt=”Circuit Brain” title_text=”light-up-brain” _builder_version=”4.17.4″ _module_preset=”default” width=”80%” module_alignment=”center” global_colors_info=”{}”][\/et_pb_image][et_pb_text ul_type=”square” ul_item_indent=”41px” _builder_version=”4.17.4″ _module_preset=”default” link_font=”||||||||” link_text_color=”gcid-32b05293-6d93-449c-9963-b83787b29811″ ul_line_height=”1.7em” header_3_text_align=”center” header_3_line_height=”1.4em” header_4_text_color=”gcid-32b05293-6d93-449c-9963-b83787b29811″ custom_padding=”10px||||false|false” global_colors_info=”{%22gcid-32b05293-6d93-449c-9963-b83787b29811%22:%91%22header_4_text_color%22,%22link_text_color%22%93}”]<\/p>\n Promising Interventions From AJOT and Gillen (2015)<\/span><\/b>3<\/sup><\/sup><\/span><\/span><\/span><\/b>\u00a0<\/span><\/p>\n According to a 2015 \u2018Evidence Connection\u2019 article from the American Journal of Occupational Therapy (AJOT), which provides sample clinical applications in response to evidence-based reviews, evidence was found for occupational therapy intervention in these categories. You can read this clinical practice resource <\/span>here<\/span><\/a>.<\/span>6<\/sup><\/sup><\/span><\/p>\n Evidence level:<\/span> Strong Evidence<\/span><\/b>6<\/sup><\/sup><\/span><\/b>\u00a0<\/span>\u00a0<\/span><\/p>\n Evidence level:<\/span> Strong Evidence<\/span><\/b>6<\/sup><\/sup><\/span><\/b>\u00a0<\/span>\u00a0<\/span><\/p>\n Evidence level:<\/span> Moderate to Strong Evidence<\/span><\/b>6<\/sup><\/sup><\/span><\/b>\u00a0<\/span>\u00a0<\/span><\/p>\n \u00a0Evidence level: <\/span>Moderate Evidence<\/span><\/b>6<\/sup><\/sup><\/span><\/b>\u00a0<\/span><\/p>\n The Canadian Partnership for Stroke Recovery provides a fantastic resource for occupational therapy practitioners everywhere. It is called the Evidence-based Review of Stroke Rehabilitation (EBRSR). Now publishing its 19<\/span>th<\/span> edition, the EBRSR, written by Edwin Teasell and his colleagues, includes reviews of over 2,170 randomized clinical trials<\/span>7<\/sup><\/sup><\/span> and is one of the largest reviews of stroke rehabilitation. One of the reasons the EBRSR is such a great resource, is that it provides not only an evidence-based review, but also an easy-to-digest clinician\u2019s handbook divided by different categories in stroke rehabilitation including upper extremity and lower extremity motor rehabilitation.\u00a0<\/span>\u00a0<\/span><\/p>\n See the chart below for definitions of the levels of academic research.\u00a0<\/span>\u00a0<\/span><\/p>\n\n
Stroke Rehabilitation<\/h4>\n
Types of Strokes<\/h4>\n
A New Treatment Window<\/h4>\n
Resources for Occupational Therapy Intervention<\/span><\/b><\/h4>\n
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Resources from the Canadian Partnership for Stroke Recovery<\/h4>\n
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\n Level of evidence (LOE)<\/span><\/b>\u00a0<\/span><\/td>\n Description<\/span><\/b>\u00a0<\/span><\/td>\n<\/tr>\n \n Level I<\/span>\u00a0<\/span><\/td>\n Evidence from a systematic review or meta-analysis of all relevant RCTs (randomized controlled trial) or evidence-based clinical practice guidelines based on systematic reviews of RCTs or three or more RCTs of good quality that have similar results.<\/span>\u00a0<\/span><\/td>\n<\/tr>\n \n Level II<\/span>\u00a0<\/span><\/td>\n Evidence obtained from at least one well-designed RCT (e.g. large multi-site RCT).<\/span>\u00a0<\/span><\/td>\n<\/tr>\n \n Level III<\/span>\u00a0<\/span><\/td>\n Evidence obtained from well-designed controlled trials without randomization (i.e. quasi-experimental).<\/span>\u00a0<\/span><\/td>\n<\/tr>\n \n