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The Role of the Occupational Therapist on the Neuro-Rehabilitation Team

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Acquired Brain Injury

Abstract

Occupational therapy is defined as “a health and rehabilitation profession that assists individuals of all ages who have had an injury, illness, cognitive impairment, mental illness, developmental, learning, or physical disability to maximize their independence” (AOTA). An occupational therapist’s goal is to maximize a person’s independence in all aspects of daily functioning. Various performance areas such as activities of daily living, work and productive activities, as well as play and leisure activities, guide the practice of occupational therapy. Treatment sessions focus on engaging individuals in meaningful and purposeful activities in order to assist them in achieving their goals so they reach their optimal level of independence, productivity, and satisfaction. This allows the individual to have a sense of increased self-efficacy, autonomy, purpose, competence, and especially wholeness.

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References

  • Alley, J. (2001) Regaining balance after neurological injury. Advances for Occupational Therapy Practitioners 17(23):8.

    Google Scholar 

  • Anemaet, W., Moffa-Trotter, M. (1999) Promoting safety and function through home assessments. Topics in Geriatric Rehabilitation 15(1):26–55.

    Google Scholar 

  • Bailey, M.J., Riddoch, M.J. Crome, P. (2002) Treatment of visual neglect in elderly patients with stroke: a single-subject series using either a scanning and cueing strategy or a leftlimb activation strategy. Physical Therapy 82:782–797.

    PubMed  Google Scholar 

  • Bobath, B. (1990) Adult hemiplegia: evaluation and treatment, 3rd ed. London: William Heinemann Medical Books.

    Google Scholar 

  • Brunnstrom, S. (1970) Movement therapy in hemiplegia. New York: Harper & Row.

    Google Scholar 

  • Creighton, C. (1992) The Origin and Evolution of Activity Analysis. The American Journal of Occupational Therapy 46(1):45–48.

    PubMed  Google Scholar 

  • Davis, J. (1996) Neuro developmental treatment of adult hemiplegia: The Bobath approach. In Pedretti, L.W. (ed.): Occupational Therapy: Practice Skills for Physical Dysfunction, 4th ed. Saint Louis, MO: Mosby-Year Book, Inc., pp. 435–451

    Google Scholar 

  • Donkervoort, M., Dekker, J., Stehmann-Saris, F. Deelman, B. (2001) Efficacy of strategy training in left hemisphere stroke patients with apraxia: A randomized clinical trial. Neuropsychological Rehabilitation 11(5):549–566.

    Article  Google Scholar 

  • Duncan, R. (1989) Basic principles of splinting of the hand. Physical Therapy 69(12):1104–1118.

    PubMed  Google Scholar 

  • Dunn, W., Foto, M., Hinojosa, J., Schell, B., Thomson, L.K., Hertfelder, S.D. (1994) Uniform Terminology for Occupational Therapy, 3rd ed. American Journal of Occupational Therapy 48(11):1047–1054.

    Google Scholar 

  • Fasotti, L., Kovacs, F., Eling, P.A., Brouwer, W.H. (2000) Time pressure management as a compensatory strategy training after closed head injury. Neuropsychological Rehabilitation 10:47–65.

    Article  Google Scholar 

  • Galski, T., Bruno, R.L., Ehle, H.T. (1992) Driving after cerebral damage: A model with implications for evaluation. The American Journal of Occupational Therapy 46:324–332.

    PubMed  Google Scholar 

  • Galski, T., Bruno, R.L., Ehle, H.T. (1993) Prediction of behind-the-wheel driving performance in patients with cerebral brain damage: A discriminant function analysis. The American Journal of Occupational Therapy 47:391–396.

    PubMed  Google Scholar 

  • Galski, T., Ehle, H.T.,Williams, J.B. (1997) Off-road evaluations for persons with cerebral injury: A factor analytic study of predriver and simulator testing. The American Journal of Occupational Therapy 51:352–359.

    PubMed  Google Scholar 

  • Gillen, G. (1998) Managing abnormal tone after brain injury. OT Practice 3(8):18–24.

    Google Scholar 

  • Giles, G.M. (1994) Functional assessment and intervention. In Finlayson, M.A.J. & Garner S.H. (eds.): Brain Injury Rehabilitation: Clinical considerations. Philadelphia:Williams & Wilkens, pp. 124–156.

    Google Scholar 

  • Gowland, C., Gambarotto, C. (1994) Assessment and treatment of physical impairments leading to disability after brain injury. In Finlayson, M.A.J. & Garner, S.H. (eds.): Brain Injury Rehabilitation: Clinical Considerations. Philadelphia:Williams – Wilkens, pp. 102–123.

    Google Scholar 

  • Grafman, J. Litvan, I. (1999) Importance of deficits in executive functions. The Lancet 354:1921–1925.

    Article  Google Scholar 

  • Hawley, C. (2001) Return to driving after head injury. Journal of Neurology, Neurosurgery and Psychiatry 70(6):421–426.

    Article  Google Scholar 

  • Hellerstein, L.F. (1997) Visual Problems Associated with Brain Injury. In Mitchell, S. (ed): Understanding and Managing Vision Deficits: A Guide for Occupational Therapists. Thorofare, SLACK Inc., pp. 249–281.

    Google Scholar 

  • Hopewell, C.A. (2002) Driving assessment issues for practicing clinicians. Journal of Head Trauma Rehabilitation 17(1):46–48.

    Article  Google Scholar 

  • Ikai, T., Tei, K., Yoshida, K., Miyano, S., Yonemoto, K. (1998) Evaluation and treatment of shoulder subluxation in hemiplegia: Relationship between subluxation and pain. American Journal of Physical Medicine and Rehabilitation 77(5):421–426.

    Article  PubMed  Google Scholar 

  • Jacobs, K., Jacobs, L. (eds.) (2001) Quick Reference Dictionary for Occupational Therapy, 3ed ed. Thorofare, NJ: Slack Inc.

    Google Scholar 

  • Kabat, H. (1951) Proprioceptive facilitation in therapeutic exercise. In Licht S. (ed.): Therapeutic exercise, 2nd ed. New Haven, CT: Elizabeth Licht, pp. 327–343.

    Google Scholar 

  • Lanin, N.A. (2003) Is hand splinting effective for results following stroke? A systemic reviewand methodological critique of published literature. Clinical Rehabilitation 17:807–816.

    Article  Google Scholar 

  • LePostollec, M. (2000) Restoring balance post-TBI. Advance for Occupational Therapy Practitioners 19(19):25.

    Google Scholar 

  • Levine, B., Roberson, I.H., Clare, L., Carter, G., Hong, J., Wilson, B.A., Ducane, J., Stuss, D.T. (2000) Rehabilitation of executive functioning: an experimental validation of goal management training. Journal of International Neuropsychology & Sociology 6:299–312.

    Article  Google Scholar 

  • Mathiowetz, V. Haugen, J.B. (1997) Evaluation of motor behavior: traditional and contemporary views. In Trombley, C. (ed.): Occupational Therapy for Physical Dysfunction, Baltimore, MD: Lippincott, Williams & Wilkins.

    Google Scholar 

  • Mercier, L., Audet, T., Herbert, R., Rochette, A., Dubois, M.F. (2001) Impact of motor, cognitive and perceptual disorders on ability to perform activities of daily living after stroke. Stroke 32:2602–2608.

    PubMed  Google Scholar 

  • Niemer, J.P. (1998) The Lighthouse Strategy: use of visual imagery technique to treat visual inattention in stroke patients. Brain Injury 12:399–406.

    Article  Google Scholar 

  • Niestadt, M.E. (1994) A meal preparation treatment protocol for adults with brain injury. American Journal of Occupational Therapy 48:431–438.

    Google Scholar 

  • Novack, T.A., Caldwell, S.G., Duke, L.W., Begquiset, Gage, R.J. (1996) Focused versus unstructured intervention for attention deficits after traumatic brain injury. The Journal of Head Trauma Rehabilitation 11:52–60.

    Google Scholar 

  • Page, S.J., Sisto, S. Levine, P. (2002a Modified constraint-induced therapy in chronic stroke American Journal of Physical Medicine and Rehabilitation 81, (11) 870–875

    Article  Google Scholar 

  • Page, S.J., Sisto, S., Johnston, M.V., Levine, P. Huges, M. (2002b Modified constraintinduced therapy in subacute stroke: a case report Archives of Physical Medicine and Rehabilitation 83, (2) 286–290

    Article  Google Scholar 

  • Pesperin, J. (1988) Positioning: An adjunct to therapy. In Kovich, K.M. & Bermann, D.E. (eds.): Head injury: A Guide to Functional Outcomes in Occupational Therapy. Gaithersburg, MD: Aspen Publishers.

    Google Scholar 

  • Ploughman, M. Corbett, D. (2004) Can forced-use therapy be clinically applied after stroke? An exploratory randomized controlled trial. Archives of Physical Medicine and Rehabilitation 85(9):1417–1423.

    Article  PubMed  Google Scholar 

  • Shepherd, R. Carr, J. (1998) The shoulder following stroke: Preserving musculoskeletal integrity for function. Topics in Stroke Rehabilitation 4(4):35–53.

    Article  Google Scholar 

  • Sohlberg, M.M., Mateer, C.A. (1987) Effectiveness of an attentional training program. Journal of Clinical and Experimental Neuropsychology 9:117–130.

    PubMed  Google Scholar 

  • Strank, C. (1997) Physical disabilities and their implications on driving. Work: A Journal of Prevention, Assessment and Rehabilitation 8(3):261–266.

    Google Scholar 

  • Taub, E., Uswatte, G. (2000) Constraint-induced movement therapy based on behavioral neuroscience. In Frank, R.G. & Elliot, T.R., (eds.): Handbook of Rehabilitation Psychology. Washington DC: American Psychological Association, pp. 475–496.

    Chapter  Google Scholar 

  • Toglia, J.P. (1994) Lesson 4: Attention and memory. In Royeen, C.B. (ed.): AOTA Self- Study Series: Cognitive Rehabilitation. Bethesda, MD: American Occupational Therapy Association.

    Google Scholar 

  • Trombly, C. (1997a) Remediating motor control and performance through traditional therapeutic approaches. In Trombly, C.A. (ed.): Occupational Therapy for Physical Dysfunction, 4th ed. Philadelphia: Williams & Wilkins, pp. 437–446.

    Google Scholar 

  • Trombly, C. (1997b) Theoretical foundations for practice. In Trombly, C.A. (ed.): Occupational Therapy for Physical Dysfunction, 4th ed. Philadelphia: Williams & Wilkins, pp. 15–27.

    Google Scholar 

  • Zasler, N.D., McNeny, R., Heywood, P.G. (1992) Rehabilitative management of olfactory and gustatory dysfunction following brain injury. Journal of Head Trauma Rehabilitation 7(1):66–75.

    Google Scholar 

  • Zorowitz, R., Idank, D., Ikai,T., Hughes, M., Johnston, M. (1995) Shoulder subluxation after stroke: A comparison of four supports. Archives of Physical Medicine and Rehabilitation 76:763–771.

    Article  PubMed  Google Scholar 

  • Zoltan, B. (1996) Vision, Perception and Cognition: A Manual for the Evaluation and Treatment of the Neurologically Impaired Adult, 3rd ed. Thorofare, NJ: SLACK Inc.

    Google Scholar 

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KEARNEY, P., MCGOWAN, T., ANDERSON, J., STROSAHL, D. (2007). The Role of the Occupational Therapist on the Neuro-Rehabilitation Team. In: Elbaum, J., Benson, D.M. (eds) Acquired Brain Injury. Springer, New York, NY. https://doi.org/10.1007/978-0-387-37575-5_12

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