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Occupational therapy for patients with problems in personal activities of daily living after stroke
 — systematic review of randomised trials
Author(s)Lyn Legg, Avril Drummond, Jo Leonardi-Bee
Journal titleBritish Medical Journal, vol 335 no 7626, 3 November 2007
Pagespp 922-925
Sourcehttp://www.bmj.com
KeywordsStroke ; Occupational therapy ; Self care capacity ; Rehabilitation ; Clinical surveys ; Literature reviews.
AnnotationA systematic review was conducted to test the hypothesis that occupational therapy aimed at encouraging people to participate in personal activities of daily living (ADLs) after stroke will improve the recovery of ability to perform such activities. The search strategy developed for the stroke group of the Cochrane collaboration was followed. Trials were included if they evaluated the effect of occupational therapy focused on practice of personal activities of daily living or where performance in such activities was the target of the occupational therapy intervention in a stroke population. Original data were sought from trialists. Two reviewers independently reviewed each trial for methodological quality. Nine randomised controlled trials including 1258 participants met the inclusion criteria. Occupational therapy delivered to patients after stroke and targeted towards personal ADLs increased performance scores and reduced the risk of poor outcome (death, deterioration or dependency in personal ADLs). For every 100 people who received occupational therapy focused on personal ADLs, 11 would be spared a poor outcome. For these reasons, focused occupational therapy should be available to everyone who has had a stroke. (RH).
Accession NumberCPA-071126202 A
ClassmarkCQA: LOH: CA: LM: 3G: 64A *

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