Occupational Therapy Goal Achievement for People with Stroke: A Retrospective Study.

Hashem Abu Tariah,Dana Yasser Alenazi,Dona Abdularhman Alturaif,Malak Nabit Alsarhani,Amal Saud Aljehani

doi:10.1155/2020/8587908

Abstract

Methods A cross-sectional retrospective study design was used. People with stroke receiving rehabilitation services at King Abdulaziz Medical City (KAMC) were the target of this study. Data about the extent of achieving occupational therapy goals were collected using the Goal Attainment Scaling (GAS). Results Of the 100 medical records of people with stroke included in this study, only 30% of the goals were functional. Only 54% of the goals were achieved. No association was found between the number of achieved goals and variables such as age, gender, type of stroke, and stroke hemisphere/side. Conclusion People with stroke included in this study have not shown significant progress toward achieving their therapy goals. As for clinical practice, this study could guide therapists in the future to improve the process of achieving their patients' goals.

Highlights

The American Stroke Association (ASA) described stroke as a disease that affects the blood supply to the brain due to a blockage by a clot or a hemorrhage, this means that parts of the brain cannot get the oxygen and the nutrients it needs [1]
Stroke is considered the fifth cause of mortality in the United States of America (USA); approximately 130,000 persons a year die as a result of stroke [1]
We aimed to investigate if there is a relationship between age, gender, side of stroke, and type of stroke with the number of achieved goals

Summary

Introduction

The American Stroke Association (ASA) described stroke as a disease that affects the blood supply to the brain due to a blockage by a clot or a hemorrhage, this means that parts of the brain cannot get the oxygen and the nutrients it needs [1]. It is reported that every 40 seconds, someone in the United States will have a stroke [1, 2]. Depending on the extent of the stroke, occupational therapy practitioners in collaboration with the patient can set realistic functional goals and provide a variety of activities to achieve those goals. Occupational therapy interventions incorporate training on a variety of activities, such as activities of daily living (ADLs), instrumental activities of daily living (IADLs), and work, and/or compensating for lost functions by using adaptive equipment [3, 4]. Therapists use other rehabilitation approaches with people with stroke such as the constraint-induced movement therapy (CIMT), which is an intervention that includes restraining the unaffected upper extremity in the interest of compelling the use of the affected limb, slowly regaining strength and function [5]

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Conclusion