This book is both an introductory text to the rehabilitation of stroke for student therapists and a reference text for qualified therapists. The layout of the book reflects these needs with Chapters 1-4 assuming a minimal level of understanding of the material. These chapters provide an introduction to the condition of stroke itself, the problern therapists face in assessing and treating stroke patients and therapeutic approaches in occu pational therapy. Prognosis of stroke is also discussed which is an issue taken up in later chapters concemed with expert systems. The use of microcomputers in occupational therapy is discussed throughout the book with particular reference to their direct role during therapy. Chapters 5-7 assume a higher level of understand ing from the reader although students will find the material useful as an insight into the work of the modern-day therapist. Chapter 5 addresses the work carried out in the area of biofeedback; Chapter 6 introduces the concept and uses of databases, and Chapter 7 discusses the versatility of microcomputers, especially in the provision of expert systems for the prognosis of stroke.

This 2nd edition remains the only comprehensive evidence-based text on the Occupational Therapy management of the stroke patient. The book is based on the most up-to-date research on stroke rehabilitation and presents its content in a holistic fashion, combining aspects of background medical information, samples of functionally based evaluations, and treatment techniques and interventions. There are chapters on specific functional aspects of living after stroke, such as driving, sexuality, mobility and gait, and self-care. Instructor resources are available; please contact your Elsevier sales representative for details. Case studies are featured in every chapter to help the reader understand how concepts apply to the real world. 2 chapters that feature the true stories of stroke victims, presenting occupational therapy situations from the point of view of the patient. Key terms, chapter objectives, and review questions help students better understand and remember important information. 7 new chapters make this text more comprehensive than ever! Psychological Aspects of Stroke Rehabilitation Improving Participation and Quality of Life Through Occupation The Task-Oriented Approach to Stroke Rehabilitation Approaches to Motor Control Dysfunction: An Evidence-Based Review Vestibular Rehabilitation and Stroke How Therapists Think: Exploring Clinician's Reasoning When Working With Clients Who Have Cognitive and Perceptual Problems Following Stroke A Survivor's Perspective II: Stroke Reflects the current terminology and categorization used by the WHO and the new AOTA Practice Framework so students will be equipped with the latest standards when they enter the workforce. Updated medication chart presents the latest drugs used in stroke rehabilitation.

Three new chapters broaden your understanding of stroke intervention in the areas of Using Technology to Improve Limb Function, Managing Speech and Language Deficits after Stroke, and Parenting after Stroke. Learning activities and interactive references on a companion Evolve Resources website help you review textbook content and locate additional information.

This book has been produced on behalf of the National Association of Neurological Occupational Therapists (UK) and is intended to guide newly-qualified occupational therapists (and those new to the field of stroke) through the complexities of treating people following stroke. Writen and edited by practising occupational therapists, the book acknowledges the many different techniques that may be used in stroke management and the scope of the occupational therapy role in the UK. This book will provide occupational therapists with the foundations for effective occupational therapy in stroke rehabilitation.Written in a user-friendly style, the book's chapters are presented in a form that enables the therapist to review the subject prior to assessment and treatment planning. Complex problems are grouped together to avoid confusion. This book encourages therapists to use their skills in observation and problem solving, adapting and building on the techniques seen on clinical placement and taught in college.

- NEW! Revised and expanded content keeps you up to date on the latest information in all areas of stroke rehabilitation. - NEW! Updated references reflect the changes that have been made in the field. - NEW! Assessment Appendix and Pharmacological Appendix - UPDATED! Resources for Educators and Students on Evolve

Abstract: Stroke is one of the leading causes of serious long-term disability in the United States. According to statistics from 1996, the American Occupational Therapy Association reported that clients following stroke are the single largest population seen by occupational therapists in their practice. Furthermore, motor impairment of the upper extremity is one of the most common of the stroke sequelae. There is a call within the profession of occupational therapy to improve the use of evidence-based practice amongst clinicians in all areas of practice including stroke rehabilitation. In order to assure that occupational therapy services being delivered are appropriate, effective, and efficient, outcomes research related to best practice interventions need to be established. However, multiple barriers have been identified which impede effective research utilization. This doctoral project sought to identify, analyze and synthesize the current evidence related to occupational therapy interventions, which address motor impairments of the upper extremity in clients following stroke The comprehensive literature review was used to establish best practice guidelines for occupational therapists working in stroke rehabilitation. The suggested program established as part of this doctoral project consisted of a comprehensive training module for occupational therapists based on adult learning theory; implementation of a standardized motor assessment to be used to guide evaluation and treatment of clients and to later assist with program evaluation; and a decision-tree to assist therapists with identifying the most appropriate intervention to be implemented with each client. These efforts will address some of the barriers identified in establishing evidence-based practice with the primary objective being to improve client outcomes and quality of life following stroke

Clinical evidence clearly demonstrates that physical therapeutic measures begun as soon as possible after a stroke, often within 24 to 48 hours, greatly increase everyday competence and quality of life. Physical Therapy for the Stroke Patient: Early Stage Rehabilitation covers all the issues that physical therapists must deal with in this critical period: assessment of patients abilities; care during the acute phase; early mobilization; effects of medication; risk factors; ethical questions; and much more. It provides complete guidelines on how to examine and treat the patient, the dosage of physical therapy required, and the key differences between early and late stage rehabilitation after stroke. Special Features Information-packed chapter on Optimizing Functional Motor Recovery after Stroke, written by J. Carr and R. Shepherd, pioneers in the field and the first to correlate motor learning and stroke recovery Case studies throughout the book offering direct, hands-on examples of evaluation and treatment methods Nearly 150 color photographs demonstrating step-by-step physical therapy techniques used in actual practice Hundreds of references to the literature that support the evidence-based approach presented in the book For all physical and occupational therapists who must answer the question, How much therapy will help my patient?, this book provides clear, well-informed answers. Not only will it increase your therapeutic skills and confidence, but it will also expand your knowledge of the medical issues and long-term outcomes for the post-stroke patients in your care.