Morrison M Tracy, Edwards Dorothy F, Giles Gordon Muir
M. Tracy Morrison, OTD, is Manager of Clinical Programs and Services, Courage Kenny Rehabilitation Institute, Allina Health, Minneapolis, MN; Clinical Scientist, Courage Kenny Research Center, Minneapolis, MN; and Adjunct Assistant Professor, Department of Occupational Therapy, University of Kansas Medical Center, Kansas City, KS;
Dorothy F. Edwards, PhD, is Professor, Department of Kinesiology-Occupational Therapy, University of Wisconsin-Madison.
Am J Occup Ther. 2015 Jan-Feb;69(1):6901360010p1-5. doi: 10.5014/ajot.2015.011528.
Age at first stroke is decreasing, and most strokes are mild to moderate in severity. Executive function (EF) deficits are increasingly recognized in the stroke population, but occupational therapists have not altered their evaluation methods to fully accommodate changing patient needs. We present a hierarchical performance-based testing (PBT) pathway using data to illustrate how PBT could identify patients with mild stroke-related EF deficits in need of occupational therapy intervention. Data suggest that a substantial number of patients with EF deficits after mild stroke could benefit from occupational therapy services.
首次中风的年龄在降低，且大多数中风的严重程度为轻度至中度。执行功能（EF）缺陷在中风人群中越来越受到认可，但职业治疗师尚未改变其评估方法以充分适应不断变化的患者需求。我们提出了一种基于分层表现的测试（PBT）途径，并使用数据来说明PBT如何识别需要职业治疗干预的轻度中风相关EF缺陷患者。数据表明，大量轻度中风后出现EF缺陷的患者可从职业治疗服务中受益。
