This case report describes occupational therapy interventions focussed on improving the activities of daily living performance of a 73-year-old male recovering from Wallenberg syndrome, which resulted from a lateral medullary infarction. Historically, one of the most widely used approaches to physical rehabilitation in neurological populations has been the reflex-hierarchical theories, which are not supported in the literature as being effective for improving functional performance. Therefore, a contemporary task-oriented approach was used as a theoretical base for this case report. The Occupational Therapy Practice Framework was used to structure the occupational therapy evaluation, intervention, and outcome of this case.
American Occupational Therapy Association. (2008). Occupational therapy practice framework: Domain and process (2nd ed.). American Journal of Occupational Therapy, 62, 625–683.
2.
Bass HaugenJ., & MathiowetzV. (1995). Contemporary task-oriented approach. In TromblyC. A. (Ed.), Occupational Therapy for Physical Dysfunction (4th ed., pp. 510–527). Baltimore, MD: Williams & Wilkins.
3.
ChristiansenC., & BaumC. M. (Eds.). (1991). Occupational therapy: Overcoming human performance deficits.Thorofare, NJ: Slack.
4.
ChristiansenC., & BaumC. M. (1997). Person-environment occupational performance: A conceptual model for practice. In ChristiansenC., & BaumC. (Eds.), Occupational therapy: Enabling function and well-being (2nd ed.). Thorofare, NJ: Slack.
5.
DeGraceB. W. (2003). Occupation-based and family-centered care: A challenge for current practice. American Journal of Occupational Therapy, 57, 347–350.
6.
DoddsT. A., MartinD. P., StolovW. C., & DayoR. A. (1993). A validation of the Functional Independence Measure and its performance among rehabilitation in-patients. Archives of Physical Medicine and Rehabilitation, 74, 531–536.
7.
DuncanP. W., LaiS. M., BodeR. K., PereraS., & DeRosaJ. (2003). Stroke Impact Scale-16: A brief assessment of physical function. Neurology, 60, 291–296.
8.
DuncanP. W., WallaceD., StudenskiS., LaiS. M., & JohnsonD. (2001). Conceptualization of a new stroke-specific outcome measure: The stroke impact scale. Topics in Stroke Rehabilitation, 8, 19–33.
9.
GlinskyJ., HarveyL., & Van EsP. (2007). Efficacy of electrical stimulation to increase muscle strength in people with neurological conditions: A systematic review. Physiotherapy Research International, 12, 175–194.
10.
GrangerC. V. (1998). The emerging science of functional assessment: Our tool for outcomes analysis. Archives of Physical Medicine and Rehabilitation, 79, 235–240.
11.
GuyattG., & RennieD. (2004). User's guides to the medical literature: Essentials of evidence-based clinical practice.Chicago, IL: AMA Press.
12.
HallK. M. (1997). The Functional Assessment Measure (FAM). Journal of Rehabilitation Outcomes, 1, 63–65.
13.
HawleyC. A., TaylorR., HellawellD. J., & PentlandB. (1999). Use of the functional assessment measure (FIM+FAM) in head injury rehabilitation: A psychometric analysis. Journal of Neurology, Neurosurgery, and Psychiatry, 67, 749–754.
14.
HerizaC. (1991). Motor development: Traditional and contemporary theories. In ListerM. (Ed.), Contemporary management of motor control problems: Proceedings of the II STEP conference (pp. 99–126). Alexandria, VA: American Physical Therapy Association.
15.
HorakF. B. (1991). Assumptions underlying motor control for neurological rehabilitation. In ListerM. (Ed.), Contemporary management of motor control problems: Proceedings of the II STEP conference (pp. 11–28). Alexandria, VA: American Physical Therapy Association.
16.
KimJ. S., LeeJ. H., & ChoiC. G. (1998). Patterns of lateral medullary infarction: Vascular lesion–magnetic resonance imaging correlation of 34 cases. Stroke, 29, 645–652.
17.
LawM., BaptisteS., CarswellA., McCollM. A., PolatajkoH., & PollockN. (2005). Canadian Occupational Performance Measure (4th ed.). Toronto, ON: CAOT Publications ACE.
18.
LawM., BaptisteS., Carswell-OpzoomerA., McCollM.A., PolatajkoH., & PollockN. (1991). Canadian Occupational Performance Measure.Toronto, ON: CAOT Publications ACE.
19.
LawM., CooperB. A., StrongS., StewartD., RigbyP., & LettsL. (1996). The Person-Environment-Occupation Model: A transactive approach to occupational performance. Canadian Journal of Occupational Therapy, 63, 9–22.
20.
LouiseA., & AnchaleeF. (2002). Efficacy of electrical stimulation in preventing or reducing subluxation of the shoulder after stroke: A meta-analysis. Australian Journal of Physiotherapy, 48, 257–267.
21.
MathiowetzV. (2004). OT task-oriented approach to persons post-stroke. In GillenG., & BurkhardtA. (Eds.), Stroke rehabilitation: A function-based approach (2nd ed., pp. 59–74). St. Louis, MO: Mosby.
22.
MathiowetzV., & Bass HaugenJ. (1994). Motor behavior research: Implications for therapeutic approaches to central nervous system dysfunction. American Journal of Occupational Therapy, 48, 733–745.
23.
OttenbacherK. J., HsuY., GrangerC. V., & FielderR. C. (1996). The reliability of the Functional Independence Measure: A quantitative review. Archives of Physical Medicine and Rehabilitation, 77, 1226–1232.
24.
SackettD. L., RosenbergW. M., GrayJ. A., HaynesR. B., & RichardsonW. S. (1996). Evidence based medicine: What it is and what it isn't. British Medical Journal, 312, 71–72.
25.
StrausS. E., RichardsonW. S., GlasziouP., & HaynesR. B. (2005). Evidence based medicine (3rd ed.). New York: Churchill Livingstone.
26.
WoodsonA. M. (1995). Stroke. In TromblyC. A. (Ed.), Occupational therapy for physical dysfunction (pp. 677–704). Baltimore, MD: Williams & Wilkins.
27.
WuC., TromblyC. A., LinK., & Tickle-DegnenL. (1998). Effects of object affordances on reaching performance in persons with and without cerebrovascular accident. American Journal of Occupational Therapy, 52, 447–456.
28.
WuC., TromblyC. A., LinK., & Tickle-DegnenL. (2000). A kinematic study of contextual effects on reaching performance in persons with and without stroke: Influences of object availability. Archives of Physical Medicine and Rehabilitation, 81, 95–101.
