Systematic Review and Consensus Guidelines on Occupational Therapy Program for Post-Stroke Driver Rehabilitation-An Indian Perspective
NS Krishna1* and Sugi2
1Senior Occupational Therapist/Assistant Professor, Department and College of Occupational Therapy-KMCH, Coimbatore, India
2Professor and Vice Principal, KMCH College of Occupational Therapy, Coimbatore, India
*Corresponding Author: NS Krishna, Senior Occupational Therapist/Assistant Professor, Department and College of Occupational Therapy-KMCH,
Coimbatore, India.
Received:
October 09, 2024; Published: October 30, 2024
Abstract
This comprehensive study addresses the critical need for evidence-based interventions and Driver Rehabilitation guidelines in Occupational Therapy (OT) programs aimed at post-stroke driver rehabilitation, specifically within the context of India. The research comprises two integral phases: a systematic review of relevant literature and the formulation of consensus guidelines.
In the first phase, a systematic review was conducted, spanning the years 2005 to 2020, focusing on driver rehabilitation after stroke. This extensive review identified eight studies, emphasizing the effectiveness of various interventions, with a notable emphasis on driving simulator training. The systematic review elucidated the multifaceted impact of these interventions on key components such as visual, cognitive, and motor skills.
The second phase involved the development of consensus guidelines tailored to the Indian perspective for OT programs in post-stroke driver rehabilitation. These guidelines were subjected to a thorough analysis and validation process by a panel of nine experts. The content validity indices for relevance demonstrated robust scores, with S-CVI/Avg = 0.949 and S-CVI/UA = 0.578. Similarly, for feasibility, the scores were S-CVI/Avg = 0.9177, S-CVI/UA = 0.555, and K = 0.91, highlighting the appropriateness and practicality of the guidelines. The identified interventions, particularly the prominence of simulator training, underscore their relevance in enhancing the driving skills of post-stroke individuals.
The formulated guidelines have been submitted for official recognition and have successfully been assigned an ISBN 978-93-6013-545-4
In conclusion, the Systematic Review and Consensus Guidelines on OT Program for Post-Stroke Driver Rehabilitation provide a holistic and context-specific approach to the challenges faced by individuals in India post-stroke. The guidelines, validated by experts, serve as a crucial tool for occupational therapists, paving the way for more effective and tailored interventions in post-stroke driver rehabilitation within the Indian Context.
Keywords: Driver Rehabilitation; Occupational Therapy; Driving Simulator; Guidelines
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