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Hi all. I found this presentation really informative and comprehensive! I'll likely review the video when treating patients with more marked cognitive deficits. The occupational therapist covers:
Cognitive and perceptual changes following stroke
The role of the OT in assessing and treating these problems
Strategies to help manage them
I hope you find it useful. Feel free to comment with other clips that have aided your practice! 🤓
Just to introduce myself. I work for an organisation which specialises in assessing a persons fitness to drive. This is usually after a period of illness (quite often stroke) or a diagnosis of some kind. I have a particular interest in Visual Inattention and ways to assess this especially if a person has aphasia. I don't have any specific questions at the moment but look forward to sharing ideas in the future!
Hi @Liz Holley - Do you mind sharing the name of your organisation and/or where in the world you're based? I work with individuals in the SW of England who've had a neurological impairment, often a stroke. I'm interested in the processes/service that centres like yours offer patients like mine.
Hello All!
I have an adult patient who suffered a stroke that has reported issues with her visual processing and visual processing speed. She has completed the MVPT with pretty fair accuracy and had nothing out of the norm in her standard vision screen. The patient also has issues with motor planning/apraxia (attempted to tie her shoes by bringing her left hand to her left shoe and right hand to her right shoe but wasn't sure why she wasn't able to tie her shoes). Prior to her injury, she was a very successful business woman who lived a full life working and traveling.
Should further visual processing testing be done? If so, what assessments would you all recommend? I'm thinking we track her visual processing speeds and try to quicken her pace with a variety of activities.
Thanks everyone!
Her attempt to tie her shoelaces reminds me of bilateral integration issues, which will impact motor planning and executive functioning. Do you know where the stroke lesion is? Bilateral integration exercises improve cross-lateral hemisphere communication - the corpus callosum is the main structure used. It may subsequently affect visual processing and visual perception - studies were done many years ago on patients post-hemispherectomy. It might be an option for a differential diagnosis or rehab strategies.
As practising occupational therapists, we'd like to understand how the wider OT workforce feels it could better deliver for those it supports. Select one or more options below, to cast your vote!
Which of the following might enhance your practice?
0%Larger library of intervention ideas
0%Access to more assessment tools or outcome measures
0%More peer support
0%Smaller caseload / patient-staff ratio
You can vote for more than one answer.
Hi all,
I am a CS student (not an OT), but I am interested in building solutions to help OTs.
Since most of you have mentioned lack of time here, what do you feel takes up most of your time in a day? How much time do you take for a session of OT in general?
I received an informative email communication recently from Anne Kintner (from The UE Ranger). She raised that the latest summary of the EBRSR (19th Edition, 1,300 RCTs) highlights various neuro-rehab treatments - and their efficacy level. Anne listed the top evidence-based treatment interventions worth trying:
Vibration
Stretching
Mirror Therapy
Mental Practice
Task-Specific Training
OT Circles Engager
this is really helpful. thanks