Publication Date


Clinical Question

Can quality of life improve by increasing a person’s independence in activities of daily living (ADL) after stroke through occupational therapy intervention?

Clinical Bottom Line

Preliminary data suggests that occupational therapy intervention using ADL is effective to improve functional performance and independence after stroke. Quality of life and independence in ADL are associated. Depression should be included as a measure of quality of life. Although there are risk factors that contribute to depression after stroke (being female, history of depression and severity of disability), increased independence in ADL, and participation in community activities and activities that increase self-efficacy may counteract the symptoms of depression and provide a means for intervention in OT following a stroke. All of which address quality of life issues. Overall, this is an area that needs further research to provide conclusive evidence.