Abstract

As acute stroke treatments advance, more people survive the initial stroke event and live with long-term neurological impairments that impact functional outcomes and quality of life. In accordance with International Classification of Functioning (ICF), living with long-term neurological impairments can limit survivors' activity performance and restrict participation in valued life roles and routines. Research focused on longitudinal analysis of functional measures and outcomes after stroke are critical for determining early indicators of long-term participation and quality of life and guiding rehabilitation resource allocation. As core members of the interdisciplinary stroke recovery treatment team throughout the post-acute care continuum, occupational therapists (OTs) directly address stroke survivors' ability to participate in meaningful daily activities to promote function and quality of life. Just as in clinical care in which multidisciplinary, team-based perspectives are vital, OTs provide invaluable perspectives for stroke recovery research. Here we describe OTs' role in a collaborative, interdisciplinary research study aimed at comprehensively understanding upper extremity motor recovery after stroke and its impact on individuals across the post-acute care continuum. This article discusses the importance of the OTs' perspectives in conducting interdisciplinary, longitudinal stroke recovery research. The challenges, strategies and recommendations for future directions of advancing the role of OTs in multidisciplinary stroke recovery research are highlighted. We use this perspective as a call to action to the stroke recovery field to incorporate OTs as members of the research team and for OTs to provide their perspectives on ongoing stroke recovery research.

Highlights

  • Despite continuous advances in acute interventions, stroke remains the leading cause of disability worldwide [1]

  • Perspectives on Stroke Recovery Research limitations and participation restrictions as components of functioning and disability in the setting of a health condition, much of stroke recovery research occurs in silos [2, 3]

  • Occupational therapists (OTs) are essential members of the interdisciplinary team who address all domains of the International Classification of Functioning (ICF) after stroke across the continuum of care

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Summary

INTRODUCTION

Despite continuous advances in acute interventions, stroke remains the leading cause of disability worldwide [1]. Perspectives on Stroke Recovery Research limitations and participation restrictions as components of functioning and disability in the setting of a health condition, much of stroke recovery research occurs in silos [2, 3]. Occupational therapists (OTs) are essential members of the interdisciplinary team who address all domains of the ICF after stroke across the continuum of care. We discuss the role of OTs in interprofessional stroke recovery research with a focus on the acute care setting. This perspective discusses the feasibility of conducting stroke recovery research through the lens of an inpatient occupational therapy department. The context of this research, challenges, strategies, and recommendations for future directions are highlighted

Stroke Motor Rehabilitation and Recovery Study
Comprehensive Stroke Center
Interdisciplinary Approach to Research
Research Test Selection
Upper extremity impairment
Contributions of Occupational Therapists to Stroke Recovery Research
Shared Value of Research
Client Factors
RECOMMENDATIONS FOR FUTURE INTERDISCIPLINARY STROKE RESEARCH
Findings
AUTHOR CONTRIBUTIONS
Full Text
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