Stroke Focused Questions
To date, the AOTA Evidence Brief Series has reported on literature reviews of occupational therapy interventions related to specific health conditions and areas of practice (e.g., brain injury, school system). Evidence-based literature reviews can also focus on answering targeted questions relevant to the practice of occupational therapy.
In a focused-question evidence-based literature review, an expert panel first identifies topic areas that merit attention from an evidence-based perspective and then poses specific questions to focus the literature review.
Two topic areas were identified to guide the updated Stroke Evidence-Based Review: (1) the neurophysiological basis of post-stroke brain reorganization; and (2) interventions for post-stroke recovery in impairments, activities, and participation.
The focused questions listed below were then formulated to address the topic areas. Results of the review are presented as answers to the focused questions.
- 1. What occurs in the brain during recovery after stroke (so-called spontaneous recovery)? - pdf, 114 kb
- 2. What is the evidence that challenging demands (therapy, activity, or sensory stimulation) on the brain reorganize brain function after stroke, beyond spontaneous recovery? - pdf, 120 kb
- 3. What conditions have been shown to be associated with cortical reorganization? - pdf, 124 kb
- 4. What is relearned after stroke? - pdf, 78 kb
- 5. Is brain reorganization limited to a certain time period after stroke? - pdf, 84 kb
- 6. What intensity of training is required for brain reorganization to occur? - pdf, 85 kb
- 7. What occupational therapy interventions written about between 2000 and 2002 have been shown to be effective in remediating impairments or restoring activities and participation after stroke? - pdf, 98 kb
- 8. What therapeutic interventions are effective in remediating psychological impairments, especially depression, after stroke? - pdf, 103 kb
- 9. What therapeutic interventions are effective in remediating social impairments and promoting participation after stroke? - pdf, 68 kb
- 10. What therapeutic interventions are effective in remediating perceptual impairments? - pdf, 105 kb
- 11. Is constraint-induced therapy effective in improving behavioral outcomes after stroke? - pdf, 121 kb