Interventions
Edith Feld
Fieldwork Presentation
Sunrise Hospital
Functional Interventions
Functional, occupation-based activities are known to be
the keystone of an occupational therapy practitioners
skilled treatment and intervention services.
When used correctly, functional activities can address
the same problem areas and impairments as more
commonly used tools, such as therapy balls, exercise
equipment, or cones, but with added benefits.
Davis, 2009
Davis, 2009
Multicomponent Interventions
Occupation-Based
Activities
Cleaning - Sweeping
Motor deficits:
Gross/Fine motor skills
Dynamic sitting/standing balance
Endurance
Strengthening
Coordination
Conclusion of study
Considerably enhanced affected UE motor recovery,
neuroplastic change, and occupational performance for 1
participant with chronic stroke (Skubik-Peplaski, Carrico,
Nichols, Chelette, & Sawaki, 2012, e110).
As intervention progressed, Will reported several changes
taking place:
increased motivation, increased confidence, increased component
factors of affected UE function (including improved proprioceptive
awareness), improved self-management of health routines (e.g.,
knowledge of effective stretching, pain management, and self-cueing
supporting bilateral UE use), increased role competence, and
increased self-direction in occupational performance
Questions?
References
Cohn, E. S., & Lew, C. (2010). Occupational therapys perspective on the use of
environments and contexts to support health and participation in occupations.Am J
Occup Ther,64(6), S57-69.
Davis, J. (2009). Treatment ideas and strategies in stroke rehabilitation.OT Practice, 1318.
Doig, E., Kuipers, P., Prescott, S., Cornwell, P., & Fleming, J. (2014). Development of selfawareness after severe traumatic brain injury through participation in occupationbased rehabilitation: Mixed-methods analysis of a case series.American Journal of
Occupational Therapy,68(5), 578-588.
Skubik-Peplaski, C., Carrico, C., Nichols, L., Chelette, K., & Sawaki, L. (2012).
Behavioral, neurophysiological, and descriptive changes after occupation-based
intervention.American journal of occupational therapy,66(6), e107-e113.
Orellano, E., Coln, W. I., & Arbesman, M. (2012). Effect of occupation-and activitybased interventions on instrumental activities of daily living performance among
community-dwelling older adults: A systematic review.American Journal of Occupational
Therapy,66(3), 292-300.
Teasell, R. W., Foley, N.C., Sanjit, K. B., & Speechley, M. R. (2003). An evidence-based
review of stroke rehabilitation. Topics in Stroke Rehabilitation, 10(1), 29-58.