Deans' stroke musings: Effects of Occupational Therapy Task-Oriented Approach in Upper Extremity Post-Stroke Rehabilitation

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Wednesday, November 2, 2011

Effects of Occupational Therapy Task-Oriented Approach in Upper Extremity Post-Stroke Rehabilitation

I really don't understand this one but hey its about stroke so it needs to be disseminated. The therapists that read this should be able to decipher it, hopefully you already received this another way.
http://proquest.umi.com/pqdlink?Ver=1&Exp=10-31-2016&FMT=7&DID=2488229941&RQT=309&attempt=1&cfc=1

Abstract (Summary)

There is a need for effective Upper Extremity (UE) post-stroke rehabilitation approaches. The Occupational Therapy Task-Oriented (TO) approach was described early in the nineties of the past century. Many of the TO principles were supported in the literature. However, the TO as a whole was only evaluated in case studies. This study aimed to evaluate the functional and the impairment effects of this approach and to refine its treatment protocol. Twenty participants with stroke of three months or more fulfilled the minimal affected UE active movements of at least 10° of shoulder flexion and abduction and elbow flexion-extension and volunteered for this study. Participants were randomized into two order groups. The immediate group got 3 hours of TO treatment per week for six weeks and then got six weeks of no treatment control while the delayed intervention group underwent the reversed order. Participants were evaluated before the first phase, at the cross over, and after the second phase by trained, blinded evaluators. The treatment change scores from both groups were compared with those of the control. The results supported the TO functional superiority as indicated by significant and clinically meaningful changes in the Canadian Occupational Performance Measure (COPM), the Motor Activity Log (MAL), and the time scale of the Wolf Motor Function Test (WMFT). The result failed to support hypothesis of the impairment effects superiority of the TO. We conclude that the TO approach is an effective UE post-stroke rehabilitation approach in improving the UE functional abilities. More studies are needed to provide more evidence for this approach and to illuminate more of its therapeutic abilities with different stroke severity and chronicity levels.