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Session Descriptions

This Specialty Conference has been completed. For future AOTA conferences please visit the Conferences & Events page. Click here to access your CE Transcript.

Thursday, December 5

4:00 pm- 6:00 pm - Registration Open – Mezzanine 1-3

Friday, December 6th

7:00 am- 6:00 pm - Registration/Exhibits Open- Mezzanine 1-3

8:00 am- 9:00 am

Keynote Presentation: The Performance and Participation Issues of Stroke

Celebrity Ballroom 1-3           

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.         

9:00 am- 9:15 am - Exhibits and Networking Break- Mezzanine 1-3

9:15 am- 10:15 am                 

Changes in Participation after Mild Stroke      

Celebrity Ballroom 1-3             

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.                 

10:15 am-10:30 am - Exhibits and Networking Break- Mezzanine 1-3

10:30 am- 11:45 am     

Upper Limb Post Stroke Sensory Impairments

Celebrity Ballroom 1-3 

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.         

11:45 am - 1:15 pm - Lunch on your own; Exhibits Open- Mezzanine 1-3

1:15 pm- 3:15 pm

Part I:  Inspiring Clinical Excellence & Creating Dynamic Interventions in the Treatment of Stroke Survivors

Celebrity Ballroom 1-3             

Jan Davis, MS, OTR/L, International Clinical Educators, Port Townsend, WA        

Achieving clinical excellence in the treatment of stroke survivors is the driving force behind this two-part session. Dynamic treatment approaches, substantiated with current evidence in neuroplasticity, are clearly and effectively demonstrated with video examples filmed in acute care, skilled nursing, rehab and home health settings. Topics include developing exceptional practice skills in observation, clinical reasoning, assessment, and creating effective and client-centered intervention programs.

3:15 pm-3:30 pm Exhibits and Networking Break  - Mezzanine 1-3

3:30 pm- 5:30 pm

Part II: Inspiring Clinical Excellence & Creating Dynamic Interventions in the Treatment of Stroke Survivors

Celebrity Ballroom 1-3                                                 

Jan Davis, MS, OTR/L, International Clinical Educators, Port Townsend, WA

Achieving clinical excellence in the treatment of stroke survivors is the driving force behind this two-part session. Dynamic treatment approaches, substantiated with current evidence in neuroplasticity, are clearly and effectively demonstrated with video examples filmed in acute care, skilled nursing, rehab and home health settings. Topics include developing exceptional practice skills in observation, clinical reasoning, assessment, and creating effective and client-centered intervention programs.                                       

Saturday, December 7th

7:00 am- 4:45 pm - Registration Open - Mezzanine 1-3

7:00 am- 8:00 am - Exhibits Open- Mezzanine 1-3

8:00 am- 9:00 am

Psychological and Emotional Conditions After Stroke

Celebrity Ballroom 1-3

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

Psychological and emotional conditions often occur after stroke as a result of damage to the brain and coping with this life-threatening event.  Depression has been reported in 30% to 50% of persons who have had a stroke. While less common, anxiety, personality changes, and other psychological impairments may also occur. In addition to dealing with the physiological impact of stroke, the client with a psychological condition will experience further challenges with participation, occupational performance, and quality of life. This presentation will focus on depression and occupational therapy options for effective interventions.    

9:00 am- 9:15 am - Exhibits and Networking Break- Mezzanine 1-3

9:15 am- 10:15 am       

Addressing Cognitive Impairments after Stroke:  Occupational Therapy’s Unique Contribution

Celebrity Ballroom 1-3             

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.     

10:15 am-10:30 am - Exhibits and Networking Break- Mezzanine 1-3

10:30 am- 12:00 pm               

Facilitating Recovery After Stroke: Traditional Methods Meet Technologically Innovative Interventions

Celebrity Ballroom 1-3

Robert C. Ferguson, OTRL; Douglas Rakoski, MA, OTR/L, ATP, both of University of Michigan Hospital, Ann Arbor, MI

Evidence from traditional as well as innovative neuromuscular facilitation and re-education approaches can help improve motor and functional recovery after stroke. Many clinicians, however, struggle to find ways to link these approaches to a person’s participation in meaningful occupations. One novel solution is to use an innovative computer therapy lab to incorporate these approaches into an occupation-based treatment. Additionally, low to mid-level technologies are available that can impact daily treatment interventions. This presentation will explore how to incorporate technology using a clinical reasoning process to appropriately select, utilize and modify the technology and software to meet therapeutic goals.                                           

12:00 pm - 1:30 pm - Lunch on your own; Exhibits Open- Mezzanine 1-3

1:30 pm- 3:00 pm

Hemiplegic Shoulder Pain: Evidence-Based Strategies for Assessment, Prevention, and Remediation

Celebrity Ballroom 1-3 

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.               

3:15 pm- 4:30 pm

Occupation Based Cognitive Assessment & Intervention After Stroke

Celebrity Ballroom 1-3             

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.