Stroke Rehabilitation: Recent Progress and Future Promise

Abstract

Significant advancements in acute stroke medical management have changed stroke rehabilitation. In addition, an ever-changing health care ecosystem and heightened awareness of continued and new challenges requires that the occupational therapy profession consider new, innovative, and pragmatic approaches to measurement, intervention, and health services research, and clinical practice. The profession must elevate the focus and rigor of research examining occupation and participation after stroke, and their associations with health. Intervention research must progress beyond early phase pilot studies to a robust collection of meaningful large multisite studies that demonstrate the effectiveness of our interventions and the effectiveness of wide-scale implementation to ensure quality and consistent delivery of evidence-based practices in occupational therapy. These studies must address the accessibility of these practices for all people who have sustained stroke, and particularly those people who are most vulnerable to inaccessible stroke rehabilitation service delivery systems.

Occupational Therapy for Poststroke Anxiety and Depressive Symptoms in Inpatient Rehabilitation

“…Given that evidence-based care is not consistently integrated into practice, it is critical that practice patterns are identified and described (Juckett et al, 2020). This work also answers the call for further research into OT practices for psychosocial participation among stroke survivors (Skidmore & Shih, 2022). Therefore, this study sought to: (a) characterize how OT practitioners address P-SADS and; and (b) elucidate factors that influence OT P-SADS care provision at a U.S. academic medical center IRF.…”

Transcranial direct current stimulation combined with bodyweight support–tai chi footwork for motor function of stroke survivors: a study protocol of randomised controlled trial

“…This study has some strengths. First, the intervention protocol used in the present study will be evidence-based and rigorously developed based on the evidence, recommendations, theories and practice standards of the systematic review;47 for example, the gradual, easy-to-difficult progression was designed in BWS-TC training, which is based on the theories of exercise training and motor learning. For tDCS, the dual-tDCS stimulation was used according to the interhemispheric imbalance model and practice standards from review recommendations 48 49.…”

The analysis of nursing diagnoses determined by students for patients in rehabilitation units

“…The high frequency of these nursing diagnoses is justified by the fact that cerebrovascular disease is a motor neuron disease that can lead to loss of voluntary movement control. As motor neurons in the cerebral hemispheres cross over in the brainstem, voluntary motor control disorders on one side of the body reflect motor neuron lesions on the other side of the brain, which can lead to disorders such as hemiplegia ( Clark et al, 2021 ; Skidmore and Shih, 2022 ). Since the nursing process in clinical case studies is also applied according to priority among the health problems of the patients, nursing diagnoses with high priority, such as impaired physical mobility, should be given importance.…”