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Striking a balance: Charlie ’s recovery from neonatal stroke
“Hey, Charlie,” says Dr. Michael Rivkin as he gently dangles a small rubber ducky in front of the little boy. “Would you like this?” A wide smile breaks out across the toddler’s face. Why yes, he certainly would like that duck. He reaches and grasps at it, closing his tiny fingers around the toy. For Charlie Strzempek, it’s nothing more than a playful act. But for his parents, Kathleen and Tom, it’s a major accomplishment. Dr. Rivkin isn’t simply offering his patient a toy. He’s testing his ability to grab and hold an object in his right hand — the side of his body affected by a neonatal stroke. A shin...
Source: Thrive, Children's Hospital Boston - December 27, 2017 Category: Pediatrics Authors: Jessica Cerretani Tags: Diseases & Conditions Our Patients’ Stories Dr. Michael Rivkin Julie Croteau occupational therapy stroke Stroke and Cerebrovascular Center Source Type: news

What Are the Classifications of Perinatal Stroke?
Discussion Perinatal stroke occurs in about 1:1000 live births and is a “focal vascular injury from the fetal period to 28 days postnatal age.” Perinatal stroke is the most common cause of hemiparetic cerebral palsy and causes other significant morbidity including cognitive deficits, learning disabilities, motor problems, sensory problems including visual and hearing disorders, epilepsy, and behavioral and psychological problems. Family members are also affected because of the potential anxiety and guilt feelings that having a child with a stroke presents, along with the care that may be needed over the child&#...
Source: PediatricEducation.org - May 1, 2023 Category: Pediatrics Authors: Pediatric Education Tags: Uncategorized Source Type: news

Fear of falling in people with chronic stroke.
CONCLUSION: FoF is a prevalent concern in the chronic stroke population. The presence of FoF was associated with a variety of negative consequences. Occupational therapy practitioners should address FoF to help clients manage FoF and possibly improve recovery. PMID: 25871606 [PubMed - in process]
Source: The American Journal of Occupational Therapy - April 18, 2015 Category: Occupational Health Authors: Schmid AA, Arnold SE, Jones VA, Jane Ritter M, Sapp SA, Van Puymbroeck M Tags: Am J Occup Ther Source Type: research

Examining components of community psychosocial stroke interventions using concept mapping
CONCLUSIONS: Concept mapping identified similarities among the three interventions that can be best understood using self-determination theory. Clinicians may utilize findings revealed in the process to inform evidence-based psychosocial stroke interventions.SIGNIFICANCE: Knowledge of key 'active ingredients' for psychosocial community stroke interventions, can be used to guide clinical reasoning and inform development of interventions.PMID:34181505 | DOI:10.1080/11038128.2021.1933172
Source: Scandinavian Journal of Occupational Therapy - June 28, 2021 Category: Occupational Health Authors: Theresa Fraser Leora Karon Anne Lund Unni Sveen Dorothy Kessler Source Type: research

Effectiveness of interventions for adults with psychological or emotional impairment after stroke: an evidence-based review.
Abstract This evidence-based review was conducted to evaluate the effectiveness of occupational therapy interventions to prevent or mitigate the effects of psychological or emotional impairments after stroke. Thirty-nine journal articles met the inclusion criteria. Six types of interventions were identified that addressed depression, anxiety, or mental health-related quality of life: exercise or movement based, behavioral therapy and stroke education, behavioral therapy only, stroke education only, care support and coordination, and community-based interventions that included occupational therapy. Evidence from we...
Source: The American Journal of Occupational Therapy - January 1, 2015 Category: Occupational Health Authors: Hildebrand MW Tags: Am J Occup Ther Source Type: research

Caregivers' effects of augmented cognitive-behavioural therapy for post-stroke depressive symptoms in patients: secondary analyses to a randomized controlled trial.
CONCLUSION:: The results suggest that augmented cognitive-behavioural therapy aimed at improving patients' emotional, behavioural and social functioning positively affects some aspects of caregivers' well-being. PMID: 30841744 [PubMed - as supplied by publisher]
Source: Clinical Rehabilitation - March 6, 2019 Category: Rehabilitation Authors: Kootker JA, van Heugten CM, Kral B, Rasquin SM, Geurts AC, Fasotti L Tags: Clin Rehabil Source Type: research

Active music therapy approach for stroke patients in the post-acute rehabilitation
AbstractGuidelines in stroke rehabilitation recommend the use of a multidisciplinary approach. Different approaches and techniques with music are used in the stroke rehabilitation to improve motor and cognitive functions but also psychological outcomes. In this randomized controlled pilot trial, relational active music therapy approaches were tested in the post-acute phase of disease. Thirty-eight hospitalized patients with ischemic and hemorrhagic stroke were recruited and allocated in two groups. The experimental group underwent the standard of care (physiotherapy and occupational therapy daily sessions) and relational a...
Source: Neurological Sciences - January 29, 2017 Category: Neurology Source Type: research

AHA News: Many Women Plagued by Anxiety After Stroke
THURSDAY, Feb. 7, 2019 (American Heart Association News) -- Angie Read Doyal was unsure if she ' d be the same after her stroke. So, when she felt ready to return to work after only seven weeks of intense physical, speech and occupational therapy, she...
Source: Drugs.com - Daily MedNews - February 7, 2019 Category: General Medicine Source Type: news

Executive Function Performance Test: transcultural adaptation, evaluation of psychometric properties in Brazil
Conclusion: The EFPT-BR is a valid and reliable tool for occupational therapists to assess executive dysfunction in daily routine tasks in patients with stroke in Brazil.RESUMO Disfun ção executiva ocorre em 18,5% a 39% dos pacientes que apresentam comprometimento cognitivo. A terapia ocupacional visa proporcionar independência e autonomia, de modo a melhorar a qualidade de vida. O Teste Desempenho da Função Executiva (TDFE) foi desenvolvido para avaliar a necessidade de ass istência para realizar quatro tarefas diárias básicas. Objetivos: Os objetivos desta pesquisa são: (1) realizar a adaptação transcultural e...
Source: Arquivos de Neuro-Psiquiatria - December 13, 2018 Category: Neurology Source Type: research

Harnessing the Four Elements for Mental Health
DiscussionAs detailed above, the “elements” in both a classical and a contemporary sense have effects on our mental health and are potentially modifiable aspects that can be harnessed as therapeutic interventions. The most robust interventional evidence currently available shows tentative support for several use of the elements via horticultural and nature-exposure therapy, green exercise/physical activity, sauna and heat therapy, balneotherapy, and breathing exercises. It should be noted that, in many cases, these interventions were not studied in definitive diagnosed psychiatric disorders and thus it is pre...
Source: Frontiers in Psychiatry - April 23, 2019 Category: Psychiatry Source Type: research

Self-Perceived ADL/IADL Function is Influenced by Residual Neurological Impairment, Aphasia, and Anxiety
We examined the extent to which aphasia status, neurological impairment and poststroke depression, and anxiety contribute to self-perceived ADL/IADL function.METHOD.: Seventy-six community-dwelling individuals at least 6 months poststroke, 44 with and 32 without aphasia, participated in the cross-sectional study. The Stroke Impact Scale (SIS) ADL/IADL domain was the primary outcome measure with aphasia status, residual neurological impairment, depressive symptoms, and anxiety as predictor variables.FINDINGS: Aphasia status, residual neurological impairment, and anxiety were independent predictors of self-perceived ADL/IADL...
Source: Canadian Journal of Occupational Therapy - May 9, 2022 Category: Occupational Health Authors: Ashley R Juniper Lisa Tabor Connor Source Type: research

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