Fatigue affects many persons after cerebrovascular accident, particularly those with mild stroke. A qualitative methodology using focus groups with 19 community-living post-stroke survivors was utilized to explore the occupational impact of fatigue as communicated by the participants. Although self-report of a small sample of the United States' post-stroke population will have limitations in generalizability, this study identifi es specifi c health-related quality of life issues that can occur with post-stroke fatigue. The participants felt unprepared for the fatigue phenomenon and struggled to adapt, with fatigue having a debilitating infl uence upon daily occupational performance and roles, including social participation, return to work, driving, reading and sleeping. The participants indicated that exercise (such as walking and water aerobics) and use of assistive technology were helpful strategies in reducing fatigue. The occupational performance and role impact identifi ed by participants in this study can inform the design of effective occupational therapy interventions and further quantitative study of persons with post-stroke fatigue. Copyright

This pilot study provides additional support for prevention efforts for elders in the community. Wellness programs for seniors may be most effective if targeted to those who are older and nondrivers.

The objective of the study was to examine the results of robotic therapy in a single client.A

Background Studies have shown that rehabilitation and fitness throughout cancer treatment interventions have been linked to improved outcomes for morbidity and mortality of cancer patients. This study serves to detail the efficacy of the Cancer Rehabilitation Physical Therapy Fitness and Debility (Ca PT) Program in cancer patients. Objective To describe the clinical population of cancer patients referred to the Ca PT Program and evaluate the efficacy of the program's therapy protocol in improving cardiopulmonary performance and cancer‐related fatigue and pain. Design Retrospective study. Setting Outpatient clinics. Patients One hundred two adults who had been referred from a variety of referral sources and supervised individualized exercise programs. Methods Participation in the Ca PT Program. Main Outcome Measurements The primary outcome measure was a change in baseline‐to‐discharge scores in the 6‐Minute Walk Test (6MWT), a cardiopulmonary performance measure. The secondary measures were changes in baseline‐to‐discharge scores of cancer‐related fatigue and general pain, measured by patient self‐report using a visual analogue scale. Results 6MWT values were significantly higher at discharge (mean 523 yards) than at baseline (mean 436), (P < .001, r = 0.57). Ninety‐two percent of cases showed improvement and 58% of cases had a change on the 6MWT that met threshold for minimal important difference. Quality of life factors, fatigue (P < .001) and pain (P < .001) also significantly improved. Conclusions The results indicate the Ca PT Program yields significant improvement in cardiovascular fitness, fatigue, and pain in people with cancer history. Personalized physical therapy fitness programs for individuals recovering from cancer treatment should be a standard component of cancer intervention. Level of Evidence III

hiS case repon describes a task-oriented approach to the rehabilitation of a 34-year-old woman with left hemiplegia. The task-oriented aprroach is based on a systems model of motor control and contemporary mowr learning theories. Systems models propose that occupational or functional performance emerge,s from the interaction and cooperation of many systems, and that no one system has a logical priority for control