Home- and occupation-based interventions in stroke rehabilitation: a scoping review

Sammanfattning: Introduction: Stroke puts a burden on the society as half of the stroke survivors have long term care needs. After six months many stroke survivors cannot independently perform basic daily life activities, which makes living independently at home challenging. Stroke survivors who received occupational therapy are more independent for those activities. As more and more stroke survivors are discharged home faster, having an insight into the continued rehabilitation in the home environment is of great importance for the future. Aim: The aim of this review was to map which occupation-based interventions occupational therapists use in home-based stroke rehabilitation with the goal to improve basic activities of daily life. Methods: A scoping review was chosen to map and to summarize the research content and to identify possible research gaps. Data for this study was systematically collected by following Arksey and O’Malley’s framework. In total, six studies were obtained that met the inclusion criteria. Results: The results show that a combination of intervention strategies is used and besides Control Induced Movement Therapy the usage of activities as treatment came to the fore. Conclusion: The results lead to the conclusion that occupation-based activities are used to improve basic activities of daily life. The lack of detailed explanation of the interventions makes it difficult to implement those in daily life practice and therefore more descriptive interventions should be published to encourage evidence-based practice.