Ergotherapy methods in the structure of the neurorehabilitation department

Background. Currently, domestic neurorehabilitation is going through the stage of introducing an occupational therapist into wide clinical practice. Occupational therapy is a relatively new focus and therefore there are challenges associated with educating and retraining occupational therapists. Initially, occupational therapy involves helping patients regain lost skills for everyday activities, and subsequently promotes social and occupational integration. The goals of the intervention are determined by the patient together with the occupational therapist, who assesses the likelihood of achieving the goals and helps the patient accomplish the tasks set. Occupational therapy training involves helping the patient set and achieve goals, identify potential obstacles, and identify factors that contribute to self-efficacy. Stroke currently remains one of the main causes of mortality, long-term disability and disability of the population, restrictions on daily activity, and, as a result, the need for outside care. The dynamics of the restoration of neurological disorders does not always correlate with the restoration of lost functions of self-care and independence in everyday life. This determines the importance of the occupational therapist working with patients after a stroke. The author presented a brief review highlighting the relevance of the problem, the main part of the article is devoted to ergotherapy methods in the structure of the neurorehabilitation department abroad and in our country.

Objective. The article systematizes the available data on the ergotherapy intervention and its effectiveness for rehabilitation after stroke.

Methods. The search for literary sources was carried out using Russian and foreign databases (elibrary, CyberLeninka, PubMed, Cochrain) by keywords.

Conclusion. Occupational therapy can become an important component of comprehensive rehabilitation aimed at achieving maximum independence and improving the quality of life of people with disabilities. As the results of Russian and foreign studies show, the use of occupational therapy is extremely effective in the rehabilitation of patients: restoring the ability to self-serve and perform household and professional duties. Therefore, the introduction of occupational therapy in the department of neurorehabilitation is an urgent healthcare problem.

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