Award Date

5-15-2026

Degree Type

Doctoral Project

Degree Name

Occupational Therapy Doctorate

Department

Brain Health

First Committee Member

Sharon Jalene

Number of Pages

119

Abstract

Stroke remains the leading cause of long-term disability, with persistent upper extremity (UE) impairment limiting engagement in daily tasks, reducing quality of life and contributing to learned non-use in the chronic stage among stroke survivors. The Occupational Therapy Task Oriented (OTTO) approach is proposed to optimize occupational performance through the use of meaningful, functional and highly individualized tasks that enable clients to fulfill their valued roles and participate in desired daily activities. The purpose of this capstone project was to advance clinical skills by applying the OTTO approach to examine its effect on occupational performance and UE motor function in an adult with chronic post-stroke. One participant who was at least three months post-stroke and presented with UE motor impairment was recruited to participate in the six-week OTTO intervention for pre- and post-test design. The primary outcome was self-perceived occupational performance and satisfaction by the Canadian Occupational Performance Measure (COPM). Secondary outcomes included ADLs performance measured by the Arnadottir OT- ADL Neurobehavioral Evaluation (A-ONE), self-reported actual use of the affected UE by the Motor Activity Log (MAL), and UE motor function by the Wolf Motor Function Test (WMFT). Results showed improvements but no clinically important changes in COPM, A-ONE, MAL, and WMFT after 6 weeks of OTTO intervention. This case study informed how the OTTO approach can be applied in clinical practice and the need to prioritize client- centered practice in treatment.

Keywords

learned nonuse; occupational therapy; occupational therapy task oriented approach (OTTO); single case study; stroke rehabilitation; upper extremity function

Disciplines

Exercise Science | Kinesiology | Marriage and Family Therapy and Counseling | Occupational Therapy | Psychiatric and Mental Health | Sports Sciences

File Format

PDF

File Size

2000 KB

Degree Grantor

University of Nevada, Las Vegas

Language

English

Rights

IN COPYRIGHT. For more information about this rights statement, please visit http://rightsstatements.org/vocab/InC/1.0/

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