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
American Occupational Therapy Association