Occupational Therapy Practice Guidelines for Adults with Stroke

Publication Date: November 1, 2015
Last Updated: March 14, 2022

Interventions to Improve Occupational Performance of People With Cognitive Impairments

  • Visual scanning training to improve performance (A)
  • General cognitive rehabilitation to improve global cognitive function (B)
  • Visuospatial training to improve cognitive function (B)
  • Cognitive strategy training to improve performance on trained and untrained tasks (B)
  • Gesture training to improve ideational, ideomotor, and gesture comprehension with correlational improvements in activities of daily living (ADL) independence in people with apraxia (B)
  • Computerized memory programs to improve memory performance and occupational performance (C)
  • Ecologically oriented neurorehabilitation of memory (EON–MEM) intervention to help improve memory performance (C)
  • Exercise and recreation program to improve memory (C)
  • Time pressure management to improve speed in daily task performance for people with mental slowness (C)
  • VMall (a virtual supermarket) to address multitasking (C)
  • Exercise or recreation program to improve executive function (C)
  • Compensatory training interventions to improve occupational performance in people with visual dysfunction (C)
  • Individualized home rehabilitation program to improve cognitive function (I)
  • Attention processing training to address attention deficits (I)
  • Visual restoration interventions to improve visual dysfunction (I)
  • Prism adaptation to enhance functional measures (including wheelchair mobility) and nonfunctional measures of unilateral spatial neglect. (I)
  • Mirror therapy to improve occupational performance in people with unilateral spatial neglect. (I)
  • Right half-field eye patching to improve occupational performance in people with unilateral spatial neglect (I)
  • Neck vibration before occupational therapy to improve unilateral spatial neglect (I)
  • Family participation in therapy to improve unilateral spatial neglect (I)
  • Spatial cueing to improve wheelchair use for those with unilateral spatial neglect (I)

Interventions to Improve Occupational Performance of People with Motor Impairments

  • Repetitive task practice to improve upper extremity (UE) function, balance–mobility, and activity–participation (A)
  • Constraint-induced movement therapy (CIMT) or modified constraint-induced movement therapy (mCIMT) to improve UE function and activity–participation (A)
  • Strengthening and exercise to improve UE function, balance–mobility, and activity–participation (A)
  • Bilateral training to improve UE function when facilitated by a device (B)
  • Virtual reality (VR) to improve UE function and activity–participation (B)
  • Mental practice to improve UE function, balance–mobility, and activity–participation (B)
  • Mirror therapy to improve UE function and activity–participation (B)
  • Action observation to improve UE function (B)
  • Electrical stimulation to improve UE function (B)
  • Telerehabilitation to augment the delivery of functionally based training programs (B)
  • Bilateral training without the use of a device for improving UE function or activity–participation (C)
  • Electrical stimulation to improve activity–participation (C)
  • Peripheral nerve sensory stimulation to improve UE function (C)
  • Repeated muscle vibration to improve UE function (C)
  • Visual feedback to improve balance–mobility (C)
  • Robotics to improve UE function or activity–participation (C)
  • Shoulder supports to improve balance and mobility (C)
  • Positioning devices, orthoses, and stretching to improve UE function and activity–participation (C)
  • Botulinum toxin A combined with therapy interventions to improve UE function or activity–participation (C)
  • Brain stimulation in addition to therapy to improve UE function and activity–participation (I)
  • Neurodevelopmental treatment to improve UE function or activity–participation (D)

Overview

Title

Adults With Stroke

Authoring Organization