The usefulness of a new occupational therapy approach to intervention was explored with three individuals who had sustained a cerebral vascular accident (CVA). This new approach, the Occupational Adaptation Frame of Reference (OA), was used to guide the occupational therapist in the treatment of mobility problems associated with the CVA. Participants were assessed and treated by an occupational therapist in their home environment. Three case studies were compiled from qualitative and quantitative data. Data were gathered through observation, videotaping, narrative stories, and the Movement Rating Scale. Results revealed that intervention based on OA was associated with improved mobility skills.
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