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An Evidence Based Occupational Therapy Toolkit for ...

Pa ge 1 of 69 An Evidence Based Occupational Therapy Toolkit for Assessment and Treatment of the Upper Extremity Post Stroke Brenda Semenko, Leyda Thalman, Emily Ewert, Renee Delorme, Suzanne Hui, Heather Flett, Nicole Lavoie (Winnipeg Health Region Occupational Therapy Upper Extremity Working Group) April 2015 Updated February 2017 and August 2021 Pa ge 2 of 69 Table of Contents: Section Number Section Name Page Number Acknowledgements 4 Introduction 5 A Model for Upper Extremity Assessment and Treatment Post Stroke 6 Screening Guidelines Screening Questions 7 8 Determining Upper Extremity Level Guidelines 9 Assessment Guidelines Assessment Matrix Motor Function Coordination Strength Range of Motion Tone Pain Sensation Edema 10 11 12 12 12 13 13 13 14 14 Goal Setting Guidelines 15 Treatment Guidelines Treatment Matrix Task Specific Training Guidelines Arm Activity List A Arm Activity List B Homework A Homework

Incompletely selective movements* (small amplitude, non-functional) Primarily used for stabilization tasks Biomechanical and muscle imbalances with incompletely selective movements* Transitioning from stabilization to manipulation tasks Selective movements but lacks strength, dexterity, or coordination necessary

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