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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

Sensory Modulation and Participation in Daily Occupations in Stroke Survivors : Modulation sensorielle et participation aux occupations quotidiennes chez les survivants d'un AVC
Can J Occup Ther. 2021 Oct 9:84174211047372. doi: 10.1177/00084174211047372. Online ahead of print.ABSTRACTBackground. Stroke may alter sensory modulation and restrict participation in daily occupations. Although studies highlight the relationship between altered sensory modulation and reduced participation, this relationship in stroke survivors has not been studied enough. Purpose. To examine the prevalence of altered sensory modulation among stroke survivors; to compare sensory modulation and participation between stroke survivors and healthy controls; to estimate the relationship between sensory modulation and participa...
Source: Canadian Journal of Occupational Therapy - October 11, 2021 Category: Occupational Health Authors: Avivit Fuks Sharony Batya Engel-Yeger Source Type: research

Front Desk Duty Multitasking Test after Mild Stroke: Preliminary Reliability and Validity.
Abstract BACKGROUND.: Performance-based multitasking assessments may be more sensitive than cognitive screens to detect executive dysfunction after a mild stroke. PURPOSE.: This cross-sectional study examined inter-rater reliability and preliminary convergent and discriminant validity of the Front Desk Duty Test (FDDT). METHOD.: Adults with mild stroke (n = 35) and community controls (n = 33) were administered the FDDT and other measures of executive functions. FINDINGS.: Inter-rater reliability of the FDDT subscores were high (ICC 0.971-0.999). There were weak but statistically significant correlat...
Source: Canadian Journal of Occupational Therapy - August 31, 2020 Category: Occupational Health Authors: Carroll GL, Radomski M, Halsten J, Meyers A, Rabusch S, Takimoto R, Kreiger R Tags: Can J Occup Ther Source Type: research

A qualitative study of stroke survivors' experience of sensory changes.
This study utilized a qualitative description method. Researchers used semi-structured interviews with probing questions. Inductive content analysis approach was used to analyze the data. Researchers recruited 13 stroke survivors ≤75 years old who participated in a community-based stroke program. FINDINGS.: Emerging themes included daily life impact of sensory function changes, and experience and timing of sensory changes. Participants experienced changes in various sensory systems including touch and proprioception, visual, auditory, and taste. Survivors also reported sensitivity to environmental stimuli. Sensory c...
Source: Canadian Journal of Occupational Therapy - July 21, 2020 Category: Occupational Health Authors: Alwawi DA, Dean E, Heldstab A, Lawson LM, Peltzer J, Dunn W Tags: Can J Occup Ther Source Type: research

Experiences of occupational performance in survivors of stroke attending peer support groups.
This study explores the experiences of occupational performance in survivors of stroke attending an outpatient peer support group. METHOD.: An interpretive qualitative study using semi-structured interviews was conducted with seven survivors of stroke attending an outpatient peer support group. Data was thematically analyzed. FINDINGS.: Four themes related to the experience of peer support on occupational performance emerged: finding hope to return to meaningful occupation, a place for belonging, problem-solving occupational concerns, and finding purpose beyond oneself. IMPLICATIONS.: This research adds to t...
Source: Canadian Journal of Occupational Therapy - February 29, 2020 Category: Occupational Health Authors: Wijekoon S, Wilson W, Gowan N, Ferreira L, Phadke C, Udler E, Bontempo T Tags: Can J Occup Ther Source Type: research

Intention to Return to Work after Stroke Following Rehabilitation in Ontario.
This study examined the prevalence of intention to return to work after discharge among stroke rehabilitation inpatients. METHODS.: We performed secondary analysis of National Rehabilitation Reporting System data for all stroke rehabilitation inpatients across Ontario (2012-2017). Intention to return to work was examined by gender, age, and level of disability. FINDINGS.: Among 25,691 stroke rehabilitation inpatients, 4,668 (18.2%) were employed pre-stroke and 2,039 (43.7%) of them intended to return to work. Intention to return to work was somewhat higher among younger and middle-aged stroke survivors and those ...
Source: Canadian Journal of Occupational Therapy - February 12, 2020 Category: Occupational Health Authors: Duong PK, Egan MY, Meyer MJ, Morrison TL Tags: Can J Occup Ther Source Type: research

Does training in a top-down approach influence recorded goals and treatment plans?
This study aimed to examine the characteristics of goals and treatment plans in occupational therapy before and after CO-OP KT. METHOD.: A descriptive secondary analysis of medical record data was employed. FINDINGS.: Post intervention, there was a change in goal specificity ( p = .04) and therapist-client goal alignment ( p = .05). Occupation-based goals were often paired with a bottom-up, impairment-based treatment. Top-down treatments, when present, lacked the same detail given to bottom-up plans. IMPLICATIONS.: CO-OP KT seemed to lead to more specific goals, but matching top-down treatment plans were not...
Source: Canadian Journal of Occupational Therapy - June 5, 2019 Category: Occupational Health Authors: Jutzi KSR, Linkewich E, Hunt AW, McEwen S Tags: Can J Occup Ther Source Type: research

LSVT BIG in late stroke rehabilitation: A single-case experimental design study.
This study explored whether the LSVT BIG program could lead to improved performance in client-identified occupations and decreased impairment late poststroke. METHOD.: A single-case experimental design with one repetition was completed. Participants were two adults who had experienced a stroke 3 and 12 years previously. Each participant selected up to six occupational goals, and the intervention was applied to half. Repeated measures were taken using the Canadian Occupational Performance Measure and the Rating of Everyday Arm-Use in the Community and Home. Additional measures of performance and impairment were applied...
Source: Canadian Journal of Occupational Therapy - March 11, 2019 Category: Occupational Health Authors: Metcalfe V, Egan M, Sauvé-Schenk K Tags: Can J Occup Ther Source Type: research

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