Browsing by Subject "Older Adult"

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    Achieving ADL Independence Post-Stroke Through Occupational Therapy Interventions
    (2024-04-24) Wonnell, Cassie; Gulyas, Belle; DeGeorge, August; Knoy, Morgan; Warrick, Emilee; Fowler, Avery; Chase, Anthony; Lee, Chang Dae; Department of Occupational Therapy, School of Health and Human Sciences
    This rapid systematic review evaluates the current literature on occupational therapy interventions aimed at improving ADL independence in post-stroke individuals. 28 studies were evaluated and 6 categories (task-oriented training, virtual reality and video games, technology, constraint-induced movement therapy, electrical stimulation, and other) of interventions were identified. The 28 articles used in this rapid systematic review were retrieved from PubMed and CINAHL using Covidence. Literature included are publications from the past 10 years, studies with participants 60+ years of age that have experienced a stroke, and studies with interventions focused on ADL independence. Level IV and V studies were excluded. TOT, CIMT/mCIMT, technology, E-stim, VR and virtual reality, sensory interventions, ankle-foot orthoses, and strategy training are evidence-based stroke interventions that have been showing improvement in ADL participation when compared to the standard of care. Findings reveal overall moderately strong evidence for the impact of the identified occupational therapy interventions on ADL performance for adults 60+ post-stroke. The current review supports six categories of interventions that improve ADL independence, which informs occupational therapy practice for older adult stroke patients.
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    Subjective Memory Complaints Predict Decline in Memory, Instrumental Activities of Daily Living, and Social Participation in Older Adults: A Fixed-Effects Model
    (American Occupational Therapy Association, 2023-08-21) Lee, Chang Dae; Foster, Erin R
    Importance: Although subjective memory complaints (SMCs) have been suggested to be associated with future memory impairment, limitations in instrumental activities of daily living (IADLs), and social participation restriction, these associations are still inconclusive. Objective: To determine whether changes in SMCs over time predict decline in memory, IADLs, and social participation in older adults. Design: Longitudinal study. Setting: Community. Participants: Sample 1 included 2,493 community-dwelling older adults drawn from the Health and Retirement Study (HRS) data collected between 2004 and 2018. Sample 2 included 1,644 community-dwelling older adults drawn from the HRS data collected between 2008 and 2018. Outcomes and Measures: Self-reported SMCs, memory function, self-reported IADL performance, and self-reported social participation. Results: The mean age of Sample 1 at baseline was 70.16 yr; 1,468 (58.88%) were female. In Sample 1, immediate and delayed memory (all ps < .001) and IADL performance (p < .01) declined over time. Increases in SMCs over time significantly predicted future immediate and delayed memory declines (p < .01 and p < .001, respectively) and future IADL performance decline (p < .001), after controlling for depressive symptoms. The mean age of Sample 2 at baseline was 71.52 yr; 928 (56.45%) were female. In Sample 2, social participation declined over time (all ps < .001). Increases in SMCs over time significantly predicted future social participation decline (p < .05), after controlling for depressive symptoms. Conclusions and Relevance: Increases in SMCs predict future decline in memory, IADL performance, and social participation after accounting for depressive symptoms. What This Article Adds: SMCs can be used as an early indicator of future memory impairment, IADL limitations, and social participation restrictions in older adults. Furthermore, interventions that minimize SMCs may help older adults achieve successful aging.