Date of Award


Document Type

Critically Appraised Topic

Degree Name

Doctor of Occupational Therapy (OTD)


Occupational Therapy

First Advisor

Anne Haskins

Second Advisor

Breann Lamborn

Third Advisor

Gail Bass/Devon Olson Lambert


This critically appraised topic focuses on interventions for improving hand functions in activities of daily living (ADLs) for elderly adults who have chronic upper extremity spasticity following a stroke. For the purpose of this critically appraised topic, the focus will be on the elderly population, defined as being age 55 and older; research indicates stroke is most prevalent in this population (Mayo Clinic, 2022). When considering a particular theory, the Ecology of Human Performance (EHP) is the most suitable model for our focus question (Dunn, 2017). The Ecology of Human Performance is focused on the person and environment to increase the performance range of tasks. The person is made up of the elderly population (55+) with a prior stroke. The environment includes those living at home and outpatient facilities without caregivers, and the task focus is on ADLs (Dunn, 2017). Of the various facets of stroke, the first to be addressed is upper extremity limb dysfunction following a stroke, followed by implications of this limb dysfunction on performance and occupational therapy’s role in increasing occupational engagement in ADLs.

Creative Commons License

Creative Commons Attribution 4.0 International License
This work is licensed under a Creative Commons Attribution 4.0 International License.