Occupation-focused practice for a stroke-induced hemiplegic patient with chronic rheumatoid arthritis: A case report

• Published in: Japanese Occupational Therapy Research Vol. 43; no. 3; pp. 446 - 452
• Main Authors: Hirose, Takuya, Maruyama, Sho, Yoshida, Joe
• Format: Journal Article
• Language: Japanese
• Published: Japanese Association of Occupational Therapists 15.06.2024; 一般社団法人 日本作業療法士協会
• Subjects: EBP; Evidence-BASED Practice (EBP); Occupation-focused; Rheumatoid arthritis; Stroke; 作業に焦点を当てた実践; 脳卒中; 関節リウマチ
• ISSN: 0289-4920; 2434-4419
• DOI: 10.32178/jotr.43.3_446

The purpose of this report is to describe the usefulness of an occupation-focused practice for a stroke-induced hemiplegic patient with pre-existing rheumatoid arthritis. We conducted occupation-focused practice while referring to disease-specific assessments and interventions related to stroke and rheumatoid arthritis. Consequently, there was a discernible amelioration in upper limb functionality and quality of life, alongside an enhancement in occupational performance. Furthermore, there was an observable increase in the patient's degree of independence in ADLs. We posit that these improvements underscore the potential usefulness of occupation-focused practice for patients with multiple disabilities, such as rheumatoid arthritis and stroke.