Khader A. Almhdawi
Jordan University of Science and Technology, Jordan
Title: Task-oriented rehabilitation for upper extremity post-stroke: A case study
Biography
Biography: Khader A. Almhdawi
Abstract
Background: Effective and feasible approaches for Upper Extremity (UE) rehabilitation are needed.
Aims: This case study demonstrated the conduction and efficacy of occupational therapy Task-Oriented approach (TO) for improving UE motor and the functional abilities post-stroke.
Methods: A case study of a 60 years old male (Mr. J) who had ischemic right cerebral vascular accident with resultant left hemiparesis with a chronicity of 12 years. Mr. J got 6 weeks of 3 hours/week TO treatment. TO consisted of client-centered functional activities consistent with Mr. J client-centered treatment goals. Measurements included Canadian Occupational Performance Measure (COPM), Motor Activity Log (MAL), Wolf Motor Function Test (WMFT), active range of motion and handheld dynamometry strength of the paretic UE.
Results: TO treatment followed large functional and motor improvements. COPM performance and satisfaction were 1.8 and 2.2 units greater respectively, MAL amount of use and quality of use were 2.1 and 1.39 units greater, WMFT time was 4.63 second faster and grip strength increased 14.33 lb. Furthermore, paretic UE range of motion, tone status and grasp abilities were improved.
Conclusion: TO approach appears an effective and feasible UE post-stroke rehabilitation approach inducing clinically meaningful UE functional improvements. More studies are needed to provide more evidence for this approach.