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Effectiveness of interventions to improve occupational performance of people with cognitive impairments after stroke : an evidence-based review

GILLEN G; NILSEN DM; ATTRIDGE J; BANAKOS E; MORGAN M; WINTERBOTTOM L; YORK W
AM J OCCUP THER , 2015, vol. 69, n° 1, p. 180040 (9 p)
Doc n°: 172455
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.5014/ajot.2015.012138
Descripteurs : AF21 - ACCIDENTS VASCULAIRES CEREBRAUX, AD3 - MOTRICITE

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.
CI - Copyright (c) 2015 by the American Occupational Therapy Association, Inc.

Langue : ANGLAIS

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