Localization of occupational therapy clinical practice guideline to improve the upper extremity function in patients with stroke: an integrative review and expert panel

Document Type : Review Article

Authors

1 1. MSc of occupational therapy& Medical education, Department of Occupational Therapy. Faculty of Rehabilitation Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran

2 2. BSc of Occupational Therapy, Department of occupational therapy. Faculty of Rehabilitation Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran

3 3. Postdoctoral Fellow of Knowledge Transfer in Cardiac Rehabilitation Head of Rehabilitation Management Group University of Social Welfare and Rehabilitation Sciences Tehran/Iran

4 4. PhD of Occupational Therapy, Department of Occupational Therapy. Faculty of Rehabilitation Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran

5 5. Associated Professor of Occupational Therapy, University of Social Welfare and Rehabilitation Sciences Tehran/Iran

Abstract

Background and Aim: Stroke is a major cause of disability in adults and functional disability of upper limb. It is the most important difficulty that makes the person unable to perform activities of daily living. Rehabilitation interventions in the guidelines format can result in integrated therapists’ performance and increases the process of recovery and decrease the level of functional disability after stroke. The purpose of this study was to make an integrative review and localization of occupational therapy practice guideline in rehabilitation of upper limb function in stroke patients according to available evidences and experts’ opinions.
Materials and Methods: This study is a combination of two steps. In the first phase, the integrated review was done in all domestic and foreign published articles and practical guidelines of the previous ten years. The key words of Clinical practice guide, stroke, occupational therapy interventions and of upper limb function were used and the found articles were extracted. In the second phase, the quality of the results were analyzed and discussed in the expert panel that included of 10 occupational therapists in CVA area. Then final results were presented in a booklet format.
Results: In this study 268 articles in the field of stroke and upper limb function and 11 clinical practice guidelines were found. Initially, abstracts and then 70 full texts of articles relating to hand function interventions in stroke patients which had inclusion criteria were investigated. Robotic aids interventions, induced constraint movement therapy, splinting, mirror therapy, sensory training, mental training, task- oriented approach, resistive exercises, bilateral exercises and electrical stimulation of the upper extremities in stroke patients were enrolled in these articles.
Conclusion: The results of the study and the experts werefocused on induced constraint movement therapy, robotic assistive devices, mirror therapy, sensory re-education, mental practice and task-based approach in the rehabilitation of hand function in stroke patients.Results were presented in the field of occupational therapy in improving upper extremity function of stroke patients in booklet format.

Keywords

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The Scientific Journal of Rehabilitation Medicine
Volume 4, Issue 3 - Serial Number 3
September and October 2015
Pages 166-180

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History

  • Receive Date: 06 November 2014
  • Revise Date: 03 May 2015
  • Accept Date: 30 May 2015
  • First Publish Date: 23 September 2015

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