Effectiveness of Interventions to Improve Occupational Performance of People With Cognitive Impairments After Stroke: An Evidence-Based Review.

This evidence-based review was conducted to determine which interventions are effective in improving occupational performance after stroke. Forty-six articles met the inclusion criteria and were examined. Interventions for the following impairments were reviewed: general cognitive deficits, executiv...

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Publicado en:American Journal of Occupational Therapy Vol. 69; no. 1; pp. 1 - 14
Autores principales: Gillen, Glen, Nilsen, Dawn M., Attridge, Jessica, Banakos, Erasmia, Morgan, Marie, Winterbottom, Lauren, York, Wesley
Formato: research systematic review tables/charts Journal Article
Publicado: American Occupational Therapy Association Jan/Feb2015
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan/Feb2015
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      pub: American Occupational Therapy Association
      place: North Bethesda, Maryland
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        atl: Effectiveness of Interventions to Improve Occupational Performance of People With Cognitive Impairments After Stroke: An Evidence-Based Review.
      aug:
        au:
          Gillen, Glen
          Nilsen, Dawn M.
          Attridge, Jessica
          Banakos, Erasmia
          Morgan, Marie
          Winterbottom, Lauren
          York, Wesley
        affil: Associate Professor, Rehabilitation and Regenerative Medicine (Occupational Therapy), Programs in Occupational Therapy, Columbia University Medical Center, Columbia University, New York, NY.
      sug:
        subj:
          Stroke Rehabilitation
          Occupational Therapy Practice, Evidence-Based
          Cognition Disorders
          Rehabilitation, Cognitive
          Activities of Daily Living
          CINAHL Database
          Medline
          Psycinfo
          Occupational Therapy Systematic Evaluation of Evidence
          Stroke Complications
          Cochrane Library
          Unilateral Neglect Rehabilitation
          Systematic Review
          Human
      ab: This evidence-based review was conducted to determine which interventions are effective in improving occupational performance after stroke. Forty-six articles met the inclusion criteria and were examined. Interventions for the following impairments were reviewed: general cognitive deficits, executive dysfunction, apraxia, memory loss, attention deficits, visual field deficits (included because of their close relationship with neglect), and unilateral neglect. Evidence is available from a variety of clinical trials to guide interventions regarding general cognition, apraxia, and neglect. The evidence regarding interventions for executive dysfunction and memory loss is limited. There is insufficient evidence regarding impairments of attention and mixed evidence regarding interventions for visual field deficits. The effective interventions have some commonalities, including being performance focused, involving strategy training, and using a compensatory as opposed to a remediation approach. The implications of the findings for practice, research, and education are discussed.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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