Stroke Part 2 (Evaluation & Treatment)

Question 1

What is a common theoretical framework used for people who have stroke?

Answer 1

OT task oriented approach

Question 2

What is the OT task oriented approach?

Answer 2

Top down, client centered, occupation based approach
Looks at person, task, and environmental factors on our motor performance
Functional tasks help organize behavior

Question 3

5 steps of evaluation, task oriented approach

Answer 3

1. Role identification (focus on role and current ability) can use role checklist or OPHI-IO occupational performance history interview
2. Observation/assessment of occupational performance task (ex: how they’re sitting, moving in bed) (assessments to observe ADLs: Barthel index, stroke impact scale, AMPS, A-one, COPM)
3. Task selection & analysis (observe patient performing functional tasks that have relevance to desired role, thorough task anaylsis.) we selectively identify unique client factors that need to be addressed (ex: vision, UE impairments) focus on areas that are limiting performance.
   Ex:
   4.