title: Occupational therapy activities and intervention techniques for clients with stroke in six rehabilitation hospitals.
abstract: OBJECTIVE
  To prospectively monitor occupational therapy activities and intervention techniques used during inpatient stroke rehabilitation in order to provide a description of current clinical practice.
  
  
  METHODS
  Data were collected prospectively from 954 clients with stroke receiving occupational therapy from six U.S. rehabilitation hospitals. Descriptive statistics summarized frequency, intensity, and duration of occupational therapy sessions; proportion of time spent in 16 therapeutic activities; and proportion of those activities that included any of 31 interventions.
  
  
  RESULTS
  Clients received on average 11.8 days (SD = 7.2) of occupational therapy, with each session lasting on average 39.4 min (SD = 16.9). Upper-extremity control (22.9% of treatment time) and dressing (14.2% of treatment time) were the most frequently provided activities. Interventions provided most frequently during upper-extremity control activities were strengthening, motor learning, and postural awareness.
  
  
  CONCLUSIONS
  Occupational therapy provided reflected an integration of treatment approaches. Upper-extremity control and basic activities of daily living were the most frequent activities. A small proportion of sessions addressed community integration.
authors.affiliation: Health and Disability Research Institute, Boston University, 53 Bay State Road, Boston, Massachusetts 02215, USA. nlatham@bu.edu
authors.forename: Nancy K
authors.initials: NK
authors.lastname: Latham
authors.forename: Diane U
authors.initials: DU
authors.lastname: Jette
authors.forename: Wendy
authors.initials: W
authors.lastname: Coster
authors.forename: Lorie
authors.initials: L
authors.lastname: Richards
authors.forename: Randall J
authors.initials: RJ
authors.lastname: Smout
authors.forename: Roberta A
authors.initials: RA
authors.lastname: James
authors.forename: Julie
authors.initials: J
authors.lastname: Gassaway
authors.forename: Susan D
authors.initials: SD
authors.lastname: Horn
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009788:Occupational Therapy / Q000379:methods*; D011446:Prospective Studies; D012047:Rehabilitation Centers; D000071939:Stroke Rehabilitation