Timing and Intensity of Rehabilitation Services During Acute Stroke Hospitalization: Impacts on Functional Recovery and Community Discharge

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.

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Publication Details

Journal
American Journal of Occupational Therapy
Published
2026-02-10
DOI
https://doi.org/10.5014/ajot.2026.051362
Primary Topic
Stroke Rehabilitation and Recovery
Type
article
Field-Weighted Citation Impact
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article

Timing and Intensity of Rehabilitation Services During Acute Stroke Hospitalization: Impacts on Functional Recovery and Community Discharge

Jessica Edelstein, Darcie M. Luby, J Rosenthal, Amanda Hoffman et al.
American Journal of Occupational Therapy
Stroke Rehabilitation and Recovery
article

Timing and Intensity of Rehabilitation Services During Acute Stroke Hospitalization: Impacts on Functional Recovery and Community Discharge

Jessica Edelstein, Darcie M. Luby, J Rosenthal, Amanda Hoffman, James E. Graham
article en

Abstract

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.

American Journal of Occupational TherapyVol. 80(2)
University of Colorado Hospital (US), Shirley Ryan AbilityLab (US), University of Colorado Denver (US), Colorado State University (US)
Quality Education
Openalex Percentile: Top 60%
Stroke Rehabilitation and Recovery
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