Date Presented 04/22/21 This study was a retrospective cohort design that used data from the U.S. Uniform Data System for Medical Rehabilitation. We examined the improvement of swallowing status between patients with primary dysphagia diagnosis and those with poststroke dysphagia upon discharge from inpatient rehabilitation facilities. A main finding includes that patients with a primary dysphagia diagnosis demonstrated substantially worse swallowing status compared to those with poststroke dysphagia. Primary Author and Speaker: Kimberly Hreha Additional Authors and Speakers: Bailee Cloutier, Zana A. McNeil, Erin Pyles, and Breanna Trueblood Contributing Authors: Sharon Cosper

Date Presented 03/26/20 This study is the first to compare RSAs to other existing geographic tools to understand healthcare utilization for stroke. The study’s findings suggest RSAs are the relatively optimal tool in suburban and rural but not urban regions. Our findings provide OTs with information to better understand regional variations in health outcomes and rehabilitation-services provision for patients living with stroke. Primary Author and Speaker: Chih-Ying Li Additional Authors and Speakers: Timothy Reistetter Contributing Authors: Julianna Dean, Annalisa Na, Allen Haas, Kimberly Hreha, Monique Pappadis, Ickpyo Hong

Date Presented 03/26/20 Using big data visual analytics and a total of 86,887 readmitted Medicare beneficiaries living with stroke, a number of biclusters consisting of patient subgroups and their co-occurring multiple chronic comorbidities were determined. This technique informed a multimorbidity self-management program to support patients managing their health after stroke. Primary Author and Speaker: Ickpyo Hong Additional Authors and Speakers: Kimberly Hreha, Monique Pappadis, Hashem Shaltoni, Yu-Li Lin, Emmanuel Santillana Fayett, Julianna Dean, Chih-Ying Li, Annalisa Na, Suresh Bhavnani, Timothy Reistetter

Date Presented 3/31/2017 Stroke survivors can have spatial neglect and movement deficits. Few studies examine effects of spatial treatments on motor function or recruit people with multiple strokes. This study concluded that prism adaptation treatment is feasible and effective in improving spatial neglect and arm movement. Primary Author and Speaker: Kimberly Hreha Contributing Authors: Glen Gillen

We conducted a review to determine the effectiveness of interventions to improve occupational performance in people with motor impairments after stroke as part of the American Occupational Therapy Association’s Evidence-Based Practice Project. One hundred forty-nine studies met inclusion criteria. Findings related to key outcomes from select interventions are presented. Results suggest that a variety of effective interventions are available to improve occupational performance after stroke. Evidence suggests that repetitive task practice, constraint-induced or modified constraint-induced movement therapy, strengthening and exercise, mental practice, virtual reality, mirror therapy, and action observation can improve upper-extremity function, balance and mobility, and/or activity and participation. Commonalities among several of the effective interventions include the use of goal-directed, individualized tasks that promote frequent repetitions of task-related or task-specific movements.