Issues
Letter to Editor
Cautioning the Role of Occupational Therapy in Addressing Obesity
The recent article by Muntefering et al. (2023) promotes occupational therapy as a tool for the primary prevention of obesity. In this letter, the authors argue that the article is not only misguided but also potentially harmful.
Going Beyond Management and Maintenance: Occupational Therapy’s Role in Primary Prevention for Adults at Risk of Obesity—Is the Elephant in the Room Still the Biggest Challenge?
In this response to the Schwartz & Proffitt (2024) letter to the editor, Muntefering et al. (2023) agree that the profession has a duty to support the occupational participation of diverse individuals, including diverse body types, but also affirm that health management is an area of occupation within the practice framework.
Ethics Commission
Guest Editorial
Recovery of Function After Acquired Neurological Injury
This special issue includes a range of clinical diagnoses, scientific approaches, and theoretical frameworks that demonstrate the breadth and depth of occupational therapy in the restoration of function after neurological injury.
Special Issue on Recovery of Function after Neurological Injury
Effects of the CO-OP Approach in Addressing the Occupational Performance of Adults With Stroke: A Systematic Review
The Cognitive Orientation to daily Occupational Performance approach can be a cost-effective, short duration, task-oriented treatment for stroke patients.
The Breakfast and Dressing Conflict Task: Preliminary Evidence of Its Validity to Measure Online Self-Awareness After Acquired Brain Injury
This study provides preliminary validity for the Breakfast and Dressing Conflict Task, a new tool that assesses aspects of self-awareness simultaneously in the context of familiar and significant activities of daily living.
The Flow State Scale for Rehabilitation Tasks: A New Flow Experience Questionnaire for Stroke Patients
This study confirmed that the Flow State Scale for Rehabilitation Tasks questionnaire is reliable and valid for measuring the flow experience of patients after (sub)acute stroke.
Comparison of Visual Symptom Frequency and Occupational Issues Between Patients With and Without Concussion
This study compares the frequency of vision symptoms and occupational performance deficits in a sample of participants with and without concussion.
Measuring Upper Extremity Activity of Children With Unilateral Cerebral Palsy Using Wrist-Worn Accelerometers: A Pilot Study
The findings of this pilot study support the use of wrist-worn accelerometry as an accurate, easy-to-use, and objective assessment tool for children with unilateral cerebral palsy to detect asymmetries in bilateral real-world arm activity and to use at baseline and after intensive occupational therapy interventions to improve arm function.
Validation of the Machine Learning–Based Stroke Impact Scale With a Cross-Cultural Sample
This study examined the comparability and test–retest reliability of the machine learning–based Stroke Impact Scale with that of the original Stroke Impact Scale–Third Edition in an independent sample of people with stroke.
Effectiveness of Activity-Based Task-Oriented Training on Upper Extremity Recovery for Adults With Stroke: A Systematic Review
This systematic review shows the value of upper extremity task-oriented training as an effective intervention in stroke rehabilitation.
Addressing Participation in Adults With Postconcussive Symptoms Using Cognitive Strategy Training: A Feasibility Trial
The Cognitive Orientation to daily Occupational Performance intervention is practical to use to address the functional impact of persistent concussive symptoms in adults.
An Algorithm for Activity Recognition and Assessment of Adults Poststroke
This study shows that clinical algorithms have the potential to inform occupational therapy practice by providing clinically relevant data about the in-home activities of adults poststroke.
“You’re Someone Different Now”: An Autoethnography on Identity and Occupational Identity Disruption After Traumatic Brain Injury
This article describes the lived experience of identity disruption and occupational identity disruption with an emphasis on the transformative nature of occupation.
Roles of Handedness and Hemispheric Lateralization: Implications for Rehabilitation of the Central and Peripheral Nervous Systems: A Rapid Review
This rapid review examines the basic neural mechanisms behind handedness and their implications for central and peripheral nervous system injury and rehabilitation.
Executive Function After Yoga: Adults With Acquired Brain Injury—A Pilot Study
Group yoga may improve behavioral regulation for adults with acquired brain injury.
Understanding Occupational Therapists’ Knowledge and Confidence When Assessing for Spatial Neglect: A Special Issue Review
This study gathered baseline information on an underinvestigated topic—occupational therapists’ education, confidence, current practices, barriers, and facilitators when assessing for spatial neglect in adult stroke survivors.
Participants With Acquired Brain Injury Realized They “Could Still Do Things” After a Yoga Intervention: A Qualitative Descriptive Study
This study reports individuals’ perceptions of their re-engagement with occupations and changes in occupational performance skills after participating in an adaptive yoga intervention.
Reablement of Instrumental Activities of Daily Living for Patients With Stroke: A Randomized Crossover Trial
The results of this study showed positive outcomes for a reablement intervention that focuses on goal-oriented instrumental activities of daily living for patients with stroke.
Longitudinal Association of Health Satisfaction With Functional Status and Income Satisfaction in Stroke Survivors
As an occupational therapy intervention, comprehensive ADL training could be crucial for stroke survivors who are preparing to return to their community from a clinical setting.
Effectiveness of Virtual Reality for Upper Extremity Function and Motor Performance of Children With Cerebral Palsy: A Systematic Review
This systematic review explains how virtual reality (VR) as an intervention has been used with children with cerebral palsy. The findings include a recommended minimum frequency for VR to be used in occupational therapy to yield noticeable improvements in upper extremity function and motor performance.
Surveying the Landscape of Persistent Concussive Symptoms in Adults Through an Occupational Lens
The study results showed that the most commonly affected occupational performance areas for adults with persistent concussion symptoms included education and work, social participation, and the performance of instrumental activities of daily living.
Unilateral Spatial Neglect May Not Be Detected by Performance-Based Functional Neglect Assessment
The study findings contribute to the evidence that existing assessments used by occupational therapists to measure performance-based neglect may not always detect neglect symptoms comprehensively in people poststroke. The finding also suggest that we may be missing neglect symptoms entirely.
Pre-Implementation Analysis of the Usability and Acceptability of a Poststroke Complex Telehealth Biofeedback Intervention
The study findings highlight the value and support the development and use of complex telehealth interventions, which have the potential to improve remote access to occupational therapy for clients living with chronic neurological conditions.
Spinal Cord Stimulation for Poststroke Hemiparesis: A Scoping Review
The results of this scoping review show that spinal cord stimulation may provide an alternative way to improve motor function after stroke.
Development of a Dyad-Focused Intervention for Stroke Survivors and Their Family Caregivers: A Feasibility Study
This study offers preliminary evidence that supports the potential advantages of involving both stroke survivors and their caregivers in a dyad-focused intervention process.
Characterizing Heart Rate Response During Upper Extremity Repetitive Task Practice in Chronic Stroke
The study findings show that occupational therapists should include gross motor tasks trained in standing with targets at or above shoulder height to maximize aerobic intensity during poststroke repetitive task practice.
Factors Influencing Real-World Use of the More-Affected Upper Limb After Stroke: A Scoping Review
The study findings identify factors that occupational therapy practitioners can target separately or in combination to improve real-world use of the more-affected upper limb poststroke.
Columns: The Issue Is . . .
Let’s Talk About Ethics: Addressing Ethical Tensions and Building Moral Resilience in the Occupational Therapy Profession
The authors assert a call to action for the profession to address the moral distress related to the well-being of practitioners and discuss resources and strategies for building moral resilience in occupational therapy practice.
Evidence-Based Practice: Evidence Connection
Occupational Therapy Interventions for Caregivers of People Who Have Experienced Stroke
This Evidence Connection article provides a case report for a caregiver of a patient who had experienced a stroke and describes the occupational therapy evaluation and intervention process.
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