Multiple Errands Test–Revised (MET–R) PDF
Added on 2020-05-16
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Running head: CEREBRAL VASCULAR ACCIDENTCerebral Vascular AccidentName of the StudentName of the UniversityAuthor Note
1CEREBRAL VASCULAR ACCIDENTCerebral Vascular Accidentis a medical term used to define stroke. A stroke is a medical condition, which occurs when the flow of blood to certain parts of the brain is hampered due to rupture or blockage in the blood vessels (Singh et al., 2014). According The American Occupational Therapy Association, one of the leading causes of adult disability in United States (U.S) is stroke. US have 7-million estimated stroke survivors. Stroke survivors experience numerous challenges like paralysis at one side of the body, inability to walk, decline in emotional functioning and cognitive thinking along with decrease in community participation. The role of occupational therapy is ornamental in stroke as it helps in addressing these challenges resulting out of strokes and thereby promoting health and well-being among the strokes survivors. Article 1Title: Multiple Errands Test–Revised (MET–R): A Performance-Based Measure of ExecutiveFunction in People With Mild Cerebrovascular AccidentSummary: Executive function (EF) is a cluster of critical thinking abilities that defines cognitive ability of a person and differs from attentional and memory capacities. People who have sustained stroke suffer from poor EF and thereby affecting ADLs. Howevermoderate deficits in EF are difficult to identify via traditional occupational therapy or neurophysiological therapy. Performance-based tests (PBTs) in association with Multiple Errands Test (MET) employ functional tasks and help in proper assessment of EF.Such assessment helps in discrimination between healthy individual and person who has sustained cardiovascular accident (CVA) and thereby framing occupational therapy accordingly. Interpretation: At present, fewer people are dying out of stroke, as CVA is less severe butCVA is affectingyounger population at large. Mild to severe brain injury resulting out of stroke hamper the quality of life along with ADLs. In order to help this younger
2CEREBRAL VASCULAR ACCIDENTpopulation to resume the normal community life, it important for the occupational therapists to access the EF level and then design the occupational therapeutic intervention accordingly. The MET-PBTs help in the proper detection of the EF level among the patients of CVA via performing a comparative study among the healthy individual and thereby framing the occupational therapy accordingly.Article 2Title: A multi-center study on low-frequency rTMS combined with intensive occupational therapy for upper limb hemiparesis in post-stroke patients.Summary: Intensive occupational therapy (OT) (for about 120 minutes per day) alongwith low-frequency repetitive transcranial magnetic stimulation (rTMS) (20 minutes) is clinically beneficial for the patients who have suffered cardio vascular accident with upper limb hemiparesis. It leads to the increase in the Fugl-Meyer Assessment (FMA) score along with decrease in the Wolf Motor Function Test (WMFT). All these attribute to positive neurorehabilitive intervention among post stroke patients. 120 minutes intensive OT is composed of 60 minutes individual training then another 60 minutes of exercise after rTMS. Moreover, the efficacy of the treatment is not affected with the age or time of CVA onset.Interpretation:Post stroke condition with upper limb hemiparesis hampers the self-care skils and basic mode of adaption with the external environment post rehab. OT along with rTMS helps to maximize the ability to perform the ADLs in safe manner like dressing, bathing and other functional mobility. It also helps in addressing sensory, cognitive impairments like lifting groceries bag, maintain balance while walking, setting direction while walking etc. Such combinational therapy also promotes community reintegration via modifying tasks or surrounding environment.Article 3
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