Cognitive assessment across the continuum of care: The importance of occupational performance‐based assessment for individuals post‐stroke and traumatic brain injury

Sansonetti, Danielle; Hoffmann, Tammy

doi:10.1111/1440-1630.12069

Cited by 37 publications

(60 citation statements)

References 23 publications

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“…The top-down approach applies a client-centered and occupation-based method with the purpose of improving participation6, 7 ) . Furthermore, because each person has a different background, tailoring the strategy training according to the client can be more effective than functional training.…”

Section: Discussionmentioning

confidence: 99%

Analysis approaches and interventions with occupational performance

Ahn

2016

J Phys Ther Sci

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[Purpose] The purpose of this study was to analyze approaches and interventions with occupational performance in patients with stroke. [Subjects and Methods] In this study, articles published in the past 10 years were searched. The key terms used were “occupational performance AND stroke” and “occupational performance AND CVA”. A total 252 articles were identified, and 79 articles were selected. All interventions were classified according to their approaches according to 6 theories. All interventions were analyzed for frequency. [Results] Regarding the approaches, there were 25 articles for studies that provided high frequency interventions aimed at improving biomechanical approaches (31.6%). This included electrical stimulation therapy, robot therapy, and sensory stimulation training, as well as others. Analysis of the frequency of interventions revealed that the most commonly used interventions, which were used in 18 articles (22.8%), made use of the concept of constraint-induced therapy. [Conclusion] The results of this study suggest an approach for use in clinics for selecting an appropriate intervention for occupational performance.

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Section: Discussionmentioning

confidence: 99%

Analysis approaches and interventions with occupational performance

Ahn

2016

J Phys Ther Sci

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“…[7][8][9][10] Most post TBI disability involves psychiatric disorders. For example about 70% of cases were followed by a post TBI depression.…”

Section: Discussionmentioning

confidence: 99%

On traumatic brain injury epidemiological data collected from a county hospital in Romania and an estimation of psychiatric consequences thereof

Mittler-Matica¹

2015

Romanian Neurosurgery

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Abstract:Introduction: Many aspects justify the increasing attention upon TBI and post TBI sequels. Material and Methods: The paper resumes statistics on traumatic brain injury (TBI) from a Romanian country district, collected throughout five years. Statistics in the literature that demonstrated the link between TBI and psychiatric disorders are extrapolated. Results: TBI is considered to be a risk factor for psychiatric disorders. As consequence, estimation of some post TBI psychiatric sequels is computed aiming to emphasize the need for psychiatric support and treatment in more organized multidisciplinary neuro-trauma management teams. Conclusions: TBI is considered to be a risk factor for psychiatric disorders which are a major cause of post TBI disability. The size of these psychiatric sequels in accordance with the existing literature can be approximated in a given population. TBI epidemiology analysis reveals hazardous impact on the overall health condition of patients.

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“…The importance of occupational therapists maintaining a focus on occupational performance and using authentic occupation-based approaches to address cognitive impairment in stroke patients is undisputed and the review authors' argument for this has support in the occupational therapy literature (Sansonetti & Hoffmann, 2013; The American Occupational Therapy Association, 2013). The importance of occupational therapists maintaining a focus on occupational performance and using authentic occupation-based approaches to address cognitive impairment in stroke patients is undisputed and the review authors' argument for this has support in the occupational therapy literature (Sansonetti & Hoffmann, 2013; The American Occupational Therapy Association, 2013).…”

Section: Commentarymentioning

confidence: 99%

There is insufficient or mixed evidence about which interventions can improve occupational performance for people with cognitive impairment after stroke

Hoffmann

Eames

2017

Aus Occup Therapy J

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SynopsisSummary of Gillen, G., Nilsen, D. M., Attridge, J., Banakos, E., Morgan, M., Winterbottom, L. & York, W. (2015). Effectiveness of interventions to improve occupational performance of people with cognitive impairments after stroke: An evidence-based review. American Journal of Occupational Therapy, 69(1), 6901180040, 1-9 (with further details on the methods provided in Arbesman, Lieberman & Berlanstein, 2015).Objective: To determine which interventions are effective in improving occupational performance for people with cognitive impairment after stroke. Design: Evidence-based literature review. Search strategies: Searches were conducted in multiple databases (Medline, PscyINFO, CINAHL, AgeLine, OTseeker); some journals were hand searched and review reference lists examined. Search terms for the population and intervention are provided, but the full search strategy is not. Selection criteria: Years: 2003-2012; Language: only English; Interventions: within the scope of occupational therapy practice; Study types: Level I (systematic reviews or randomised trials), II (cohort or case-control studies), and III (studies without a control group: pre-post test, beforeafter, or cross-sectional studies); Outcomes: must have measured real or simulated occupational performance; Population: people with stroke and cognitive impairment (it is not specified how cognitive impairment was determined or how mixed population samples were dealt with). Methods of review: Articles were reviewed according to their 'scientific rigour, and lack of bias, and level of evidence' (Arbesman et al., 2015, p. 5) and summarised using 'evidence tables', but limited details are provided about the critical appraisal process or the risk of bias of each study. Presentation of results of included studies is limited to sentences and p-values, with no effect sizes provided. Results: Forty-six articles met the inclusion criteria; 27 were Level I, nine were Level II, and 10 were Level III evidence. Results are presented in categories according to type of

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Cognitive assessment across the continuum of care: The importance of occupational performance‐based assessment for individuals post‐stroke and traumatic brain injury

Abstract: Targeted efforts to further incorporate standardised occupational performance-based methods into clinical practice, research, and ongoing professional development is required to enhance occupational therapy services when working with individuals with cognitive impairment.

Cited by 37 publications

References 23 publications

Analysis approaches and interventions with occupational performance

Analysis approaches and interventions with occupational performance

On traumatic brain injury epidemiological data collected from a county hospital in Romania and an estimation of psychiatric consequences thereof

There is insufficient or mixed evidence about which interventions can improve occupational performance for people with cognitive impairment after stroke

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