occupational therapy in stroke rehabilitation
TRANSCRIPT
Occupational Therapy (OT) in
Stroke Rehabilitation
Phinoj K Abraham, MOTh.,Clinical Neuro Occupational Therapist
NewRo, Bangalore - 27
Overview
• What is Occupational Therapy (OT) ?
• How OT can help a person with stroke?
• When are OT services indicated ?
• Why are OT services important?
– Illustrative Case Study
OT in Rehabilitation Team
• Rehabilitation is like a ‘Building construction process’
• It involves multiple experts working in different aspects for the same building construction
OT in Rehabilitation Team Contd…
Building Construction
Rehabilitation Professionals Involved
Raw Materials- The essential part of a construction
To make the patient ‘Medically Stable’
Consulting Physician, Neuro surgeon, Neurologist etc…
Building Blocks & Units
Muscle power, ROM, Co-ordination, Balance, Walking
Physical Therapist
‘Making’a Building•Taking care of one’s self•Making them ‘Functionally Independent’
Occupational Therapist (OT)
•Teaching them where to walk and how? Neuropsychologist •Communication Skills Speech & Language
Pathologist
What is Occupational Therapy?
• Occupational therapy is skilled treatment that helps people become successful in their everyday ‘occupations’.
Work
Leisure
ADL
How OT can help a person with stroke
• Often Functional independence is the goal and can be achieved through:
• Skilled treatment in rehabilitating lost physical function– Remediating or Compensatory method
• Adaptive equipment • Home modifications• Client and caregiver guidance
When OT services are is indicated ?
OT is indicated if there is a decline in• upper extremity strength, sensation, endurance, hand function• activities of daily living (ADL)
(feeding, grooming, dressing, bathing, toileting)
• functional transfers(tub transfers, toilet transfer)
• home management abilities(cooking, laundry, house hold activities)
• or if there is need for work simplification /modification / energy conservation
Why OT services are important?
“Action speaks louder than words.” ― English Proverb
Story 1• A 35 year old school teacher, with right side hemiplegia
(Paralysis)
• OT Evaluation– Physical assessment
• Muscle power & control Nil• Abnormal Muscle tone Present
– Activities of Daily Living (ADL) / Work / Leisure • ADL: Depedent in Eating, Brushing, bathing, toileting etc…• Work: Teaching: Unable to write with right hand• Leisure: Unable to engage in his time pass activity – Table
tennis
– Persons Background• He is the primary earning member of the family
Story 1 Contd…
• OT ‘Therapy’ Planning process– Based on the medical status & health
• Young, no other complications, shows early signs of recovery, duration of illness
– Based on individual specific need• He is the primary earning member of the family
– Selection of best, maximum possible outcome.• Remediating Therapy
Story 2• A 65 year old Retired Engineer, with 2 year old right side hemiplegia
• OT Evaluation– Physical assessment
• Muscle power & control Nil• Abnormal Muscle tone Present• Right Shoulder subluxation & painful hand Present
– Activities of Daily Living (ADL) / Work / Leisure • ADL: Dependent in Eating, Brushing, bathing, toileting etc…• Work: Retired Engineer.• Leisure: Unable to engage in his time pass activity – Gardening
– Persons Background• He is leading retirement life. He is staying with his younger son. Both
his son and his daughter in law are IT professionals.
Story 2 Contd…
• OT ‘Therapy’ Planning process– Based on the medical status & health
• Elder age, with associated complications, delay in “early signs of recovery”, long duration of illness
– Based on individual specific need• He is leading retirement life. His caregivers are in
earning job
– Selection of best, maximum possible outcome.• Compensatory Therapy
Benefits of OT services
• OT services can help a person with stroke to– adapt to his / her living environment – restoration of maximum possible function– participate more fully in day – to – day activities– Enhance recovery & outcomes– Improved quality of life– Prevention
• Secondary Complications
Questions ..?