The real role of occupational therapy in acute spinal stroke
Megan O’Meara1 1Ramsay Health, Perth, WA, Australia
Abstract
Introduction: The clinical practice standard (CPS)provides guidance on best available evidence in the management of patients with an acute spinal injury. It recommends occupational therapy (OT) input for fabrication of thermoplastic splints and provision of accessories for activities of daily living. However, the role of OT with spinal stroke patients is vastly more diverse due to the complex clinical sensorimotor, functional, positioning and pressure area needs of patients. In addition, the social-emotional impact of spinal stroke and the need for patient and carer education is significant.
Objectives: To describe the comprehensive occupational therapy interventions and outcomes for a patient presenting with complex needs following a spinal stroke injury.
Methods:
-Collaboration with state acute rehabilitation spinal service
-Collaboration with specialist stroke coordinator/NDIS/hand therapist/OT assistant
-Review CPS and national stroke foundation guidelines
Results: The CPS lacks detailed information on the OT role and impact for spinal stroke patients. This case reports demonstrates that specialised OT interventions implemented during the acute phase of a spinal stroke patient’s journey significantly improving the likelihood of positive long-term functional, sensory, motor and psychological outcomes for the patient.
Conclusion: OTs have a significant role in the management of spinal stroke patients in the acute setting. Without early intervention, the risk of hospital acquired injury and poor long-term outcomes increases. Further research should be conducted regarding the role of OT in the management of acute spinal cord injury to inform the development of future clinical practice standards.
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