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Session Descriptions

Friday, January 9, 2015

8:00am - 9:00am
Keynote Presentation: The Performance and Participation Issues of Stroke

Carolyn Baum, PhD, OTR/L, FAOTA
Washington University, St. Louis, MO

For years intervention for person with stroke was treated primarily as a medical condition. As we have learned more about the population of people who have strokes, including children, adults and older adults, we have learned that stroke must be treated as a chronic health condition that seriously impairs the occupations of the person and their families. Occupational therapy practitioners must build interventions to address the occupational performance and participation issues of those with stroke at the acute, rehabilitation, and community level. The keynote will propose a measurement and treatment model that highlights occupational therapy’s unique contribution in the management of stroke.

9:00am - 9:15am
Exhibits & Networking Break

9:15am - 10:15am
Changes in Participation after Mild Stroke
Timothy J. Wolf, OTD, MSCI, OTR/L
Washington University, St. Louis, MO

Individuals with mild neurological injury following stroke represent a large percentage of the stroke population in the acute care setting. Impairments following mild stroke tend to be more subtle (e.g., executive dysfunction) as opposed to the more common overt symptoms associated with stroke (e.g., hemiparesis). Longitudinal studies with individuals with mild stroke have shown that these subtle impairments are often not identified and this population is having difficulty reintegrating back into complex everyday life activities (e.g., work, driving, leisure activities). The impairments and participation changes seen in the mild stroke population pose several challenges for the rehabilitation community. This lecture will define and describe mild stroke. Specific assessments and intervention approaches for working with individuals with mild stroke will also be discussed.

10:15am - 10:30am
Exhibits & Networking Break

10:30am - 12:00pm
Upper Limb Post Stroke Sensory Impairments

Susan Doyle, MS, OTR/L, CFE
Cascade Park Care Center, Vancouver, WA

This presentation will outline our current understanding of upper limb post-stroke sensory impairments (ULPSSI) including a description of the impairments, their incidence and how they impact rehabilitation and survivor outcomes. The experience of ULPSSI from the survivors’ perspective will also be discussed. A brief review of evidence based interventions will also be undertaken.

12:00pm - 1:30pm
Lunch on Your Own - Exhibits Open

1:30pm - 3:00pm
Feeding, Eating, and Swallowing: Impact of Occupational Therapy Intervention on Functional Outcome QOL and following Stroke

Marcia S. Cox, MHS, OTR/L, SCFES, Kettering Medical Center, Kettering, OH, and Shari Bernard, OTD, OTR/L, SCFES, Mayo Foundation, Rochester, MN

This session utilizes occupational therapy clinical and videofluoroscopy evaluation and treatment to improve feeding, eating, and swallowing function with clients from stroke from acute care to community settings. These clients face issues from social embarrassment and avoidance of eating with others, to end of life issues related to their swallowing disorder. Our ability as occupational therapists to assist our clients with stroke to improve functional outcome and quality of life and may ease the burden for them and their families.

3:00pm - 3:15pm
Exhibits & Networking Break

3:15pm - 4:45pm
Improving Occupational Performance for Persons with Motor Impairments after Stroke: What Does the Evidence Say?
Dawn M. Nilsen EdD, OTL Columbia University, New York, NY

Evidence suggests that meaningful task oriented training, strengthening and exercise, and interventions that combine task oriented training with cognitive strategies (e.g. mental practice, mirror therapy, and action observation) are effective for improving occupational performance for those with motor impairments after stroke. This session will review current evidence as it relates to these interventions and best practice for integrating these interventions into clinical practice will be highlighted.

Saturday, January 10, 2015

8:00am - 9:15am
Psychological Conditions for the Stroke Survivor and Caregiver

Mary W. Hildebrand, OTD, OTR/L, East Carolina University, Greenville, NC

Up to 50% of persons who have had a stroke may experience stroke-related psychological disorders such as depression or anxiety. However, many occupational therapists focus solely on the physical impairments of stroke even though psychological conditions have a negative impact on overall health outcomes. In addition, the caregiver has been identified as the most important environmental factor in the recovery of the stroke survivor. The emotional benefits and costs of being a caregiver have consequences not only for the caregiver, but also for the person who has had a stroke. This session will examine psychological assessments and interventions for persons who have had a stroke and for their caregivers.

9:15am - 9:30am
Exhibits & Networking Break

9:30am - 10:30am
Addressing Cognitive Impairments after Stroke: Occupational Therapy’s Unique Contribution

Elizabeth R. Skidmore, PhD, OTR/L, University of Pittsburgh, Pittsburgh, PA

One-third to one-half of acute strokes result in newly acquired cognitive impairments. Stroke-related cognitive impairments are associated with significant functional disability, as indicated by the inability to regain independence in daily activities. This loss of independence is costly because individuals with stroke-related cognitive impairments require more rehabilitation and more resources to support their living than individuals who sustain stroke without cognitive impairments. This session will review the current state-of-the science addressing interventions designed to address cognitive impairments after stroke and reduce long-term disability associated with these impairments. We will also discuss novel applications for applying the evidence in occupational therapy practice.


10:30am - 10:45am
Exhibits & Networking Break

10:45am - 12:15pm
Therapeutic Use of Technology: Case-based Clinical Reasoning with Everyday Technology
Robert C. Ferguson, MHS, OTR/L, University of Michigan Hospital, Ann Arbor, MI, and Douglas Rakoski, OTD, OTR/L, ATP, University of Michigan Hospital, Ann Arbor, MI

Everyday technology is engineered to enhance what we do in our daily occupations, from self-care, leisure, and productivity in our vocational and avocational pursuits. Therefore, technology is a natural component of our treatment ecology to enable and enhance occupational performance. Technology as a therapeutic tool ranges the gamut of low-tech and high-tech devices including what is considered as every day technology (EDT), which are technologies that are commonly used by the general public. As OT practitioners, we use occupations as a means to our interventions. As such, EDT should be integral to engaging in meaningful occupations. Through the application of clinical reasoning and case-based approaches, participants will learn to apply EDT within the context of current stroke recovery evidence.

12:15pm - 1:30pm
Lunch on Your Own - Exhibits Open

1:30pm - 3:00pm
Hemiplegic Shoulder Pain: Evidence-Based Strategies for Assessment, Prevention, and Remediation

Kathryn Levit, PhD, OTR/L, Shenandoah University, Winchester, VA

Stroke is a leading cause of disability in the United States and shoulder pain is a common complication that may affect up to 80% of stroke survivors. Hemiplegic shoulder pain (HSP )is a significant problem for occupational therapists because of its devastating effects on arm function, occupational performance, participation and quality of life. This presentation introduces an evidence-based approach to understanding and treating HSP. It will begin with a review of the literature on the causes of HSP and introduce a simple schema for assessing pain in hemiplegia. The second part of the presentation will describe research evidence on treatment effectiveness, making connections between problems and effective treatment strategies. Participants will leave the session with a practical framework for understanding this challenging clinical condition.

3:00pm - 3:15pm
Exhibits & Networking Break

3:15pm - 4:45pm
Occupation Based Cognitive Assessment & Intervention After Stroke

Glen Gillen, EdD, OTR, FAOTA, Columbia University, New York, NY

This session will compare and contrast various methods of assessing cognition after stroke. It will highlight the use of performance based assessments and provide several examples. Various approaches to improving occupational performance for those with cognitive impairment will be reviewed with a focus on strategy training. Specific evidence based interventions will be discussed. The main theme of this presentation is to highlight occupational therapy’s unique contribution to this area of practice.