Terapia ocupacional na reabilitação funcional de idosos após acidente vascular cerebral

Abstract

Introduction: Stroke (Cerebrovascular Accident – CVA) is one of the leading causes of functional disability among older adults, resulting in motor, cognitive, and psychosocial impairments that compromise autonomy and the performance of activities of daily living. In this context, Occupational Therapy plays a fundamental role in the rehabilitation process, promoting functional independence and social reintegration. Methodology: This study is a narrative literature review with a qualitative approach. The search initially identified 42 studies, and 26 articles were included. Results: It was observed that most of the analyzed studies addressed assessment processes in Occupational Therapy, while a significant portion described interventions focused on functional rehabilitation. The most frequent assessments involved independence in activities of daily living, cognitive functions, and occupational performance. The interventions were mainly focused on functional training, motor rehabilitation, cognitive strategies, and environmental adaptations. Discussion: The findings suggest that structured assessment supports individualized interventions and contributes to functional recovery. However, the literature still presents limitations regarding the number of studies specifically focused on older adults. Conclusion: Occupational therapy is an essential component in post-stroke rehabilitation in older adults, promoting functional independence, adaptation to limitations, and improved quality of life.