Importance: Improving functional recovery and supporting safe discharge pathways after stroke are key priorities in acute care, yet the delivery of rehabilitation services during hospitalization remains poorly understood.
Objective: To examine the associations between rehabilitation service delivery factors and two outcomes, functional status at discharge and community discharge.
Design: Retrospective observational study using electronic medical record (EMR) data (2018-2021). Regression analyses were stratified by occupational therapy (OT) and physical therapy (PT) cohorts.
Setting: Thirteen-hospital health system in Colorado.
Participants: Adults hospitalized with ischemic stroke who received occupational therapy (n = 713) or physical therapy (n = 979).
Outcomes and measures: Primary outcomes were (1) discharge function using Activity Measure for Post-Acute Care "6-Clicks" scores and (2) community discharge (yes or no). Independent variables included time to evaluation, time to treatment, and daily therapy intensity.
Results: Among OT recipients, each additional day of delay between evaluation and the first therapy session was associated with lower odds of community discharge (odds ratio [OR] = 0.927, p = .032) whereas greater therapy intensity was associated with higher odds (OR = 1.396, p = .034). These same factors were also associated with higher discharge function (p < .05). In the PT model, earlier evaluation was significantly associated with improved discharge mobility (p = .006), although no other therapy factors were significant.
Conclusions and relevance: Findings suggest that timely and intensive OT services during acute hospitalization may improve functional outcomes and increase community discharge rates. EMR-derived therapy metrics provide clinically relevant insight and may inform hospital-based rehabilitation strategies. Plain-Language Summary: This study looked at how early and intensive occupational therapy during a hospital stay for stroke affects a person's ability to function and return home. Using hospital records from more than 1,600 patients, the study found that patients who received earlier and more intense OT were more likely to regain independence and go home rather than to a facility. These results suggest that not just receiving therapy but how and when it is delivered plays a big role in recovery. This could help hospitals better support patients during stroke recovery.
Importance: Constraint-induced movement therapy (CIMT) is an intervention for hemiplegic cerebral palsy (CP) that has a strong evidence base. CIMT has been shown to be effective in improving functional use of the more impaired upper extremity, yet has not become standard practice. Toolkits have been effectively used in various settings to increase intervention implementation; however, no guide currently exists to support clinical decision-making related to CIMT.
Objective: To provide an overview of the development of a practical guide for pediatric CIMT (pCIMT) that will aid therapists, other health care professionals, and families with children who may be eligible for pCIMT.
Design: Model development research.
Setting: Virtual communication secured in accordance with the Health Insurance Portability and Accountability Act of 1996 (Pub. L. 104-191).
Participants: Content experts (N = 12) with expertise related to pCIMT, hemiplegic CP, and occupational therapy who were recruited via purposive sampling to develop the practical guide.
Outcomes and measures: Development of the practical guide followed a toolkit developmental model. Field notes were used to record all verbal and written feedback provided by content experts.
Results: The participants provided recommendations to include in the guide during the developmental phase. In two rounds of the expert review phase, they recommended revisions related to readability, content, and visuals. The final practical guide included six sections.
Conclusions and relevance: A practical guide was developed to support occupational therapists, health care professionals, and caregivers in making an informed decision about whether pCIMT is the right intervention for a particular child. Plain-Language Summary: Hemiplegic cerebral palsy is the most common motor disability that affects children, and it often causes difficulty moving one side of the body. Pediatric constraint-induced movement therapy (pCIMT) is an evidence-based intervention to help children use their more affected side. However, pCIMT is not widely available. With guidance from key informants, we designed a practical guide to support health care professionals and families in determining whether pCIMT could be an appropriate intervention. A three-phase toolkit development model was followed to design the practical guide. In this article, we report on Stages 1 and 2 (the development and expert review phases). Twelve experts and caregivers informed the development of the six sections of the practical guide. Future research should proceed to Stage 3 (the evaluation phase) to evaluate the effectiveness of the practical guide and identify implementation strategies for the guide to support pCIMT usage.
This special section of the American Journal of Occupational Therapy presents important international developments in occupational therapy research related to sensory processing and participation across a range of contexts and occupations. Taken as a whole, this collection of articles provides evidence that sensory processing differences affect children across the developmental continuum, transcending specific diagnostic criteria and significantly influencing participation in diverse occupational environments. Although this may not seem like a novel insight to experienced occupational therapy practitioners, its significance lies in strengthening the empirical support underlying these practice-based "commonsense" claims.
This AOTA Position Statement defines the role of occupational therapy practitioners and describes their distinct approaches and value in the delivery of occupational therapy services for people with feeding, eating, and swallowing impairments and performance limitations.
The 2025 AOTA Annual Business Meeting was held as a virtual event on August 20, 2025. More than 340 members registered from over 46 states and territories.
This Occupational Therapy Education Research Agenda identifies seven major research goals and priorities and is intended to complement the 2011 Occupational Therapy Research Agenda, which identified five research priorities of the profession.

