Effectiveness of a Task-Oriented Approach in Improving Productivity in a Community-Dwelling Post-Stroke Client: A Case Study

Abstract

Background: Stroke is a neurological disorder caused by either the rupture or blockage of cerebral blood vessels, resulting in motor impairments that reduce functional independence. Unilateral weakness, balance deficits, and decreased endurance may hinder post-stroke individuals from returning to productive work activities. Occupational  therapy plays an important role in stroke rehabilitation through various approaches aimed at restoring function and productivity, thereby improving quality of life.

Case Study: Mr. T, a 59-year-old farmer residing in Sobokerto Village, Boyolali, experienced a stroke one year ago. The client demonstrated an abnormal gait pattern and low endurance during walking and daily activities due to pain and joint stiffness, particularly in the left hip. He expressed a strong desire to recover and return to farming activities in his field. Occupational therapy intervention focused on pain management and endurance enhancement through farming-related activities using a Task-Oriented Approach (TOA). The intervention incorporated task segmentation, graded tasks, repetition and variability, and functional feedback strategies.

Results: Following eight therapy sessions, the client showed reduced pain, improved endurance, enhanced gait pattern, and better balance. He was able to perform farming activities independently for more than 60 minutes. Appropriate selection of the therapeutic approach, combined with the client's high motivation and strong family support, contributed to the success of the intervention.

Conclusion: The TOA utilizing farming activities was effective in improving productivity in this post-stroke client. This case study highlights the potential of occupation-based and task-oriented interventions in facilitating the return to productive roles among community-dwelling stroke survivors.