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Doody's Review ServiceReviewer: Retta P Johnson, B.S, OT, MA, Allied Health Sci(University of Alabama at Birmingham)
Description: This is a useful guide to occupational therapy (OT) practice in the treatment of stroke produced by members of the National Association of Neurological Occupational Therapists in the United Kingdom. It covers basic background information on stroke and discusses assessment, management of specific deficits, and specific techniques utilized within the scope of our practice.
Purpose: The book adequately meets the objectives intended by the authors, to provide entry-level occupational therapists and those new to the field of neurological rehabilitation with a guide to background information and current practice techniques in the management of clients who have sustained a stroke.
Audience: It is an excellent but basic tool for those with minimal experience in the field of neurological OT practice. The editors are members of the stroke clinical forum of the NANOT in the United Kingdom and have many years of experience in the treatment of clients who have sustained a stroke.
Features: The introduction provides the reader with useful information about the causes of stroke, presentation based upon the region(s) of the brain that have been damaged, WHO classification of impairments, and medical management. The remainder of the book reviews OT frames of reference, treatment approaches currently used in the OT profession, and useful assessment tools that help to identify specific problem areas related to functional loss after stroke. The book also details treatment approaches related to specific deficits addressed in an OT setting, including motor and sensory deficits, cognitive and perceptual deficits, ADL problems related to stroke, and behavioral style and resettlement issues noted after a client sustains this disorder. Other treatment interventions covered include management of fatigue, return to work, driving, leisure skills, and sexual activity. This book is also an excellent resource for references, assessments, publications, and addresses of facilities and experts in the area of stroke rehabilitation in our profession. Although this is a useful text for new therapists, greater detail and depth would make the book a more important resource for those who practice in the field of occupational therapy.
Assessment: This is a unique tool for those who have minimal experience in treating clients who have sustained a stroke. It is well written and well organized, but reference is made in numerous areas of the book to standards for OT practice in the United Kingdom, which may distract readers from other regions. My overall impression is that it is a significant resource for those who are just entering this field of practice. Illustrations and photographs as well as improved graphics would help to sustain the interest level of the reader.