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Begin with the end in mind! In the third of a multi-part series on stroke, Dr. Michael Powers advocates for starting the examination with collaborative goal setting focused on participation. He outlines how working backward from participation to activity and then body function and structure optimizes therapeutic alliance and helps drive neuroplasticity by emphasizing what is salient to the patient. He then discusses the importance of the review of systems and systems review (and how to distinguish these potentially confusing terms!), before concluding with an evidence-based framework for movement and task analysis.

Key Takeaways

• Importance of collaborative goal setting with emphasis on participation
• Biopsychosocial model and impact on salience and neuroplasticity
• Stroke Impact Scale
• Key factors impacting Quality of Life after stroke
• Prevalence and impact of depression after stroke
• Evidence-based screening for depression
• Review of systems and systems review
• Using the Movement Continuum to analyze tasks
• Standardizing terminology - glossary of terms for movement analysis

References

• O'Sullivan & Schmitz's Physical Rehabilitation, 8th ed.
• ICF Health-Based Rehabilitation Program Promotes Activity and Participation
• Goal Setting with ICF and Multidisciplinary Team Approach in Stroke Rehabilitation
• Therapeutic Alliance in Physical Rehabilitation
• Stroke Part II: Examination and Evaluation
• Stroke Impact Scale
• Diagnostic and Clinical Utility of the PHQ-2
• Prevalence and Natural History of Depression After Stroke
• Impact of Depression on Stroke Outcomes Among Stroke Survivors
• A Framework for Movement Analysis of Tasks: Recommendations from the Academy of Neurologic Physical Therapy's Movement System Task Force

All music courtesy of Free Music Archive and used via attribution 4.0 international license.

• Intro and Outro: Stylin' by JMHBM
• Transitional: Our Reality by Ketsa

Connect

• email: neuropowerhour@drmichaelpowers.com
• LinkedIn