The use of standardized assessments by occupational therapists in the management of the upper extremity after stroke in South Africa

Abstract

Occupational therapists worldwide are under pressure to provide evidence for the effectiveness of their intervention in managing stroke; with South African therapists facing additional challenges. In managing stroke, one of the most significant aspects the occupational therapists must focus on is the effects of the lesion on the upper extremity and how this has an influence on participation in occupations. The use of standardized upper extremity assessments can provide objective information and can guide the most effective intervention. The extent to which these are used in stroke rehabilitation in South Africa has not been explored until now. The results of this study depict how occupational therapists working in the neurological field are not making use of the available standardized upper extremity assessments. Their described barriers or limitations include: lack of time, resources and familiarity. There is a need for improved education and training regarding all aspects of standardized upper extremity assessments. Occupational therapists in all settings must start using standardized upper extremity assessments in practice to ensure they are joining the evidence based practice movement.