The influences of client-centered therapy on the level of performance, the level of satisfaction of activity of daily living, and the quality of life of the chronic stroke patients.
JuHyung Park
PMID 29545711WHAT IT FOUND
Two chronic stroke patients had improved COPM performance and satisfaction and higher SS-QOL after 4 weeks of client-centered occupational therapy.
With only two participants and no control group, this cannot show the therapy caused the improvement.
Key findings
01Both participants showed higher COPM performance and satisfaction scores and higher SS-QOL scores after the intervention.
02Several COPM task ratings changed by 2 points or more, which the paper treats as clinically meaningful.
03SS-QOL scores increased by 11 points for participant 1 and 22 points for participant 2.
STILL TO COME
How it was doneWhat they foundWhat it means for OTs
Read the rest of this summary
You get three full summaries a month, free, and we do not ask for a card. Search, the TL;DRs and your library stay unlimited either way.
What it does not show
Only 2 patients were studied, so the results cannot be generalised to other stroke patients. There was no control group, so improvement could reflect usual recovery or hospital care rather than the client-centered therapy. The intervention lasted 4 weeks, and the paper does not report longer-term follow-up. The paper does not describe all other treatments the patients received while hospitalized, so the contribution of client-centered task therapy cannot be separated.
Declared interests
The authors declared no conflicts of interest.
The easy way to misread this
Do not conclude that client-centered therapy caused the improvements. Only two hospitalized stroke patients were treated, and there was no control group, so recovery or other hospital care could explain the score changes.