Systematic Review of Evidence-Based Approaches in Occupational Therapy Stroke Rehabilitation Programs: A Comprehensive Analysis
Abstract
Significance Of The Study: This systematic review, led by Dr. Megha Satyawali and Dr. S.K. Meena, contributes to the foundation of evidence-based practice in occupational therapy by comprehensively analyzing existing research on stroke rehabilitation. The study aims to identify interventions with proven efficacy, promoting standardization in occupational therapy practices and emphasizing the importance of evidence-based approaches in tailoring interventions for individual stroke survivors.
Introduction: Occupational therapy plays a pivotal role in stroke rehabilitation, focusing on evidence-based practices to enhance independence. This systematic review explores effective interventions across various phases of stroke recovery, from acute care to community-based and long-term care. The review emphasizes the significance of early mobilization, task-specific training, integration of technology, and psychosocial aspects addressed through mindfulness-based interventions.
Materials and methods: The review includes qualitative studies meeting predefined inclusion criteria. A comprehensive search across databases such as PubMed, Online Journals, Access Open, Google Scholar, and ResearchGate was conducted. Inclusion criteria encompassed WHO-defined incidence of the first clinically diagnosed stroke, age range, stroke types, and upper and lower extremity assessment. The PRISMA flow diagram guided article selection, and data were tabulated for analysis.
Results: Out of 250 potentially relevant articles, 10 studies were included for review. The characteristics of these studies, including authors, publication year, research design, participant numbers, and themes, were analyzed. The studies highlighted key interventions such as early mobilization, task-specific training, technological integration, and psychosocial approaches, contributing to the evidence-based landscape of stroke rehabilitation.
Discussion: The systematic review provides insights into the effectiveness of various interventions during different phases of stroke recovery. Emphasis is placed on early mobilization, task-specific training, the integration of technology, and addressing psychosocial aspects. Virtual reality interventions and mindfulness-based approaches are explored, showcasing promising avenues for enhancing upper limb function and promoting emotional well-being.
Implications for clinical practice: The synthesized evidence holds crucial implications for clinical practice in occupational therapy stroke rehabilitation. Recommendations include timely initiation of interventions, technological integration, and addressing psychosocial aspects for a more holistic and patient-centered approach.
Future research directions: The review identifies opportunities for future research, suggesting exploration of long-term effects, comparative effectiveness, and implementation science in occupational therapy stroke rehabilitation. These avenues can further advance the field and bridge the gap between research findings and real-world application.
Conclusion: In conclusion, this systematic review contributes to evidence-based practices in occupational therapy stroke rehabilitation. By emphasizing effective interventions across different phases of stroke recovery, the study promotes standardization, personalized care, and advancements in stroke rehabilitation practices.
