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Occupational rehabilitation

Li Ding, Xu Wang, Xiaoli Guo, Shugeng Chen, Hewei Wang, Ning Jiang, Jie Jia
Mirror visual feedback (MVF) is used widely for motor recovery after stroke, but an optimal training setup and systematic procedure are lacking. New optimization strategies have been proposed, one of which is a camera technique. We investigated the effects of a camera-based MVF setup on motor function and motor processes upstream for upper-limb rehabilitation. Seventy-nine stroke patients were assigned randomly to the MVF group (MG; N = 38) or conventional group (CG; N = 41), which respectively received camera-based MVF and dosage-equivalent physiotherapy or/and occupational therapy for 1 h/day and 5 days/week for 4 weeks...
August 13, 2018: IEEE Transactions on Neural Systems and Rehabilitation Engineering
S Amoretti, B Cabrera, C Torrent, G Mezquida, A Lobo, A González-Pinto, M Parellada, I Corripio, E Vieta, E de la Serna, A Butjosa, F Contreras, S Sarró, R Penadés, A M Sánchez-Torres, M Cuesta, M Bernardo
OBJECTIVE: Cognitive reserve (CR) refers to the brain's capacity to cope with pathology in order to minimize the symptoms. CR is associated with different outcomes in severe mental illness. This study aimed to analyze the impact of CR according to the diagnosis of first-episode affective or non-affective psychosis (FEP). METHOD: A total of 247 FEP patients (211 non-affective and 36 affective) and 205 healthy controls were enrolled. To assess CR, common proxies have been integrated (premorbid IQ; education-occupation; leisure activities)...
August 14, 2018: Acta Psychiatrica Scandinavica
Margaret Black, Lynda R Matthews, Michael J Millington
BACKGROUND: No research has been undertaken about employability assessment (EA) of total and permanent disability (TPD) insurance claims. EA provides vocational information to life insurers to help decide claims. To determine how helpful EA is, a new measure was needed to survey insurers. OBJECTIVE: To generate survey items by harnessing the knowledge and agreement of rehabilitation advisors with expertise in EA. METHODS: A panel of 10 (89% of eligible Australian rehabilitation advisors) participated in an adapted three-round Delphi process...
August 7, 2018: Work: a Journal of Prevention, Assessment, and Rehabilitation
Li-Fang Huang, Si-Jie Gui, Yan-Ping Wan, Fang-Hua Gong, Dian Wang, Wen-Jing Yan, Ru-Lei Ding, Li Zhou, Gu-Qing Zeng
BACKGROUND Symptom distress is very common in patients with nasopharyngeal carcinoma (NPC) during radiotherapy, seriously affecting their quality of life and impeding the process of rehabilitation. Resourcefulness training can enhance the level of resourcefulness and benefit-finding, palliate symptom distress, and promote disease rehabilitation. However, the effects of resourcefulness training on local complications and benefit-finding in NPC patients during radiotherapy remains poorly understood. MATERIAL AND METHODS Questionnaires and resourcefulness training intervention were used in this study...
August 13, 2018: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
Nicole H Korman, Shelukumar Shah, Shuichi Suetani, Karen Kendall, Simon Rosenbaum, Frances Dark, Ketevan Nadareishvili, Dan Siskind
Purpose: People with severe mental illness are sedentary, have high cardio-metabolic risks and significantly reduced life expectancy. Despite considerable data regarding positive physical and mental health outcomes following exercise interventions, implementation and evaluation of real-world programs is lacking. The primary aim of this study was to assess the feasibility of an exercise intervention implemented by exercise physiology (EP) students within a residential rehabilitation unit for residents with severe mental illness, together with assessment of a range of secondary physical and mental health outcomes pre- and post- the intervention...
2018: Frontiers in Psychiatry
Yann Morère, Guy Bourhis, Kévin Cosnuau, Georges Guilmois, Emilie Rumilly, Emmanuelle Blangy
The powered wheelchair (PW) has become an essential mobility assistive technology for people with motor disabilities. A critical step involved in maximizing the end-user experience is evaluating individual functional abilities to identify driving difficulties PW users experience during their daily activities. There are certain limitations, however, associated with on-road driving assessments, such as the practical concern of safety. And while extracting quantitative parameters such as joystick control or trajectory tracking from real wheelchairs is feasible, it requires modifications to the PW hardware architecture and, in some cases, to the physical test environment...
August 7, 2018: Assistive Technology: the Official Journal of RESNA
Malin Tistad, Maria Flink, Charlotte Ytterberg, Gunilla Eriksson, Susanne Guidetti, Kerstin Tham, Lena von Koch
OBJECTIVE: The objective of the study was to compare the total use of healthcare services in the course of the first year after a stroke between participants who, after the acute care, had received occupational therapy as a client-centred activities of daily living (ADL) intervention (CADL) and participants who had received usual ADL intervention (UADL). DESIGN: A secondary analysis of a multicentre cluster-randomised controlled trial (RCT). SETTING: Primary and secondary care in Sweden...
August 5, 2018: BMJ Open
Antonio Cerasa, Loris Pignolo, Vera Gramigna, Sebastiano Serra, Giuseppe Olivadese, Federico Rocca, Paolo Perrotta, Giuliano Dolce, Aldo Quattrone, Paolo Tonin
Background : Technology-supported rehabilitation is emerging as a solution to support therapists in providing a high-intensity, repetitive and task-specific treatment, aimed at improving stroke recovery. End-effector robotic devices are known to positively affect the recovery of arm functions, however there is a lack of evidence regarding exoskeletons. This paper evaluates the impact of cerebral lesion load on the response to a validated robotic-assisted rehabilitation protocol. Methods : Fourteen hemiparetic patients were assessed in a within-subject design (age 66...
2018: Frontiers in Neuroinformatics
Caitlin Denzer-Weiler, Kimberly Hreha
BACKGROUND: Animal-assisted therapy (AAT) is a growing form of intervention in the field of rehabilitation often with the goals of decreasing pain, anxiety, and depression. There is a lack of literature on the use of AAT in inpatient rehabilitation facilities (IRF). PURPOSE: This intrinsic case report describes the use of AAT in combination with physical therapy (PT) in the treatment of a middle-aged female status-post spinal surgery. MATERIALS AND METHODS: This patient was treated with standard of care physical and occupational therapy in an IRF with the addition of AAT within 32% of the therapy sessions...
August 2018: Complementary Therapies in Clinical Practice
A Enemark Larsen, B Rasmussen, J R Christensen
Background: The active participation of clients is an important aspect of rehabilitation quality as conceptualized in client-centred practice (CCP). A recommended outcome measure for enhancing CCP is the Canadian Occupational Performance Measure (COPM). However, the relationship between COPM use and CCP enhancement has not been documented. Aim: The aim of this study was to examine whether the use of the COPM enhanced CCP. Methods: We performed a scoping review in five steps: (1) identifying a search strategy with inclusion and exclusion criteria; (2) screening relevant databases for published and unpublished studies by using selected keywords and by manually scrutinizing reference lists; (3) agreeing on eligible papers between authors in terms of inclusion and exclusion criteria; (4) charting included data; and (5) analysing data using qualitative content analysis...
2018: Occupational Therapy International
Raquel Conceição Ferreira, Marco Tulio de Freitas Ribeiro, Fabiana Vargas-Ferreira, Aline Araujo Sampaio, Ana Cristina Marinho Pereira, Andrea Maria Duarte Vargas, Rafaella Mendes de Jesus, Efigênia Ferreira E Ferreira
BACKGROUND: This study deals with management of a group of elderly patients with a history of leprosy and hand deformities by a multidisciplinary team of dentists and occupational therapists. Assistive technology devices have been developed to allow such patients to obtain independence in oral self-care and can be a cost-effective approach to improving oral care in this population. The objective of this study was to describe the development of assistive devices to facilitate daily oral hygiene in older people with enduring leprosy-related impairments...
2018: PloS One
Sajay Arthanat, Kerryellen G Vroman, Catherine Lysack, Joseph Grizzetti
OBJECTIVES: The objective of this research was to identify and conceptualize barriers and strategies for effective implementation of information communication technology (ICT) training for older adults. METHODS: A grounded theory approach was used to collect and analyze qualitative data from 61 participants in three stakeholder groups: older-adult ICT trainees, care providers and ICT trainers. RESULTS: Care providers expressed older adults' reluctance, lack of affinity, fears and socio-contextual attributes as barriers to overcome with ICT training...
July 25, 2018: Disability and Rehabilitation. Assistive Technology
Greesh Kumar Singh, Sanjay Srivastava, Mukesh Kumar, Shellyka Ratnakar
BACKGROUND: Masonry workers engaged in occupational work-activities have high risk of shoulder injury that often develops to functional loss and disability. Rehabilitative exercises (REs) have potential for slowing this development. OBJECTIVE: The objective is to study the effects of three selected REs on integrated electromyography activations of the external rotator muscles and trapezius muscles of masonry workers. METHODS: Ten subjects, masonry workers having shoulder pain, have volunteered for this study...
2018: Work: a Journal of Prevention, Assessment, and Rehabilitation
Kazuki Yoshida, Keita Ogawa, Takuroh Mototani, Yuji Inagaki, Daisuke Sawamura, Katsunori Ikoma, Shinya Sakai
BACKGROUND: Flow is an optimal psychological state when people engage in a training task, and it is a theory explaining the absorbed state. OBJECTIVE: To investigate the additional effect of flow on attention deficits for chronic patients after traumatic brain injury. METHODS: Twenty patients were randomly assigned to the flow group (n = 10) or the control group. Patients performed a video game task, one inducing flow (flow group) and the other not (control group) for 4 weeks, and they were assessed with the flow state scale for occupational tasks (FSSOT) regularly and neuropsychological tests at baseline, after intervention, and at 4 weeks after intervention (follow-up)...
July 17, 2018: NeuroRehabilitation
Jeffrey Ramsey, Simon Driver, Chad Swank, Monica Bennett, Randi Dubiel
OBJECTIVE: Use actigraphy to (1) describe the intensity of physical activity completed by patients with traumatic brain injury (TBI) during inpatient rehabilitation, and (2) examine the association between physical activity intensity and demographic, injury, and programmatic characteristics. DESIGN: Observational. METHOD: Fifty individuals with TBI undergoing inpatient rehabilitation wore accelerometers for an average of 8.7 ± 1.8 days to capture physical activity intensity that was summarized using activity counts (ACs)...
July 23, 2018: Brain Injury: [BI]
Anne-Marie Dean, Mandy Matthewson, Melissa Buultjens, Gregory Murphy
Objective The aim of this scoping review was to map the literature on the lived experiences of injured workers in Australia in order to better understand the factors that inhibit the transition back to work and improved health. The ultimate aim of the study was to identify areas for further research into workers' compensation systems and practices that are associated with improved occupational rehabilitation outcomes. Methods PubMed, ProQuest, Embase and Cumulative Index to Nursing and Allied Health Literature (CINAHL) were searched for eligible articles published in English in peer-reviewed journals from 2001 to 2017...
July 23, 2018: Australian Health Review: a Publication of the Australian Hospital Association
Anneke Ullrich, Hilke Maria Rath, Ullrich Otto, Christa Kerschgens, Martin Raida, Christa Hagen-Aukamp, Corinna Bergelt
BACKGROUND: This prospective multicentre-study aimed to analyze return to work (RTW) among prostate cancer survivors 12 months after having attended a cancer rehabilitation program and to identify risk factors for no and late RTW. METHODS: Seven hundred eleven employed prostate cancer survivors treated with radical prostatectomy completed validated self-rating questionnaires at the beginning, the end, and 12 months post rehabilitation. Disease-related data was obtained from physicians and medical records...
July 20, 2018: BMC Cancer
Enav Z Zusman, Martin Dawes, Lena Fleig, Megan M McAllister, Wendy L Cook, Pierre Guy, Penelope M A Brasher, Heather A McKay, Karim M Khan, Maureen C Ashe
BACKGROUND AND PURPOSE: Prolonged sedentary time and limited physical activity can result in deleterious effects on health and mobility, especially for older adults with fall-related hip fracture. Therefore, the purpose of this study was to examine the effect of a multidisciplinary clinic on sedentary behavior and physical activity (prespecified secondary outcomes) and provide descriptions of activity patterns over 1 year for men and women. METHODS: We conducted a parallel-group, single-blinded randomized controlled trial comparing a multidisciplinary clinic and usual care (intervention) with usual care (control)...
July 18, 2018: Journal of Geriatric Physical Therapy
Gabriela Lima de Melo Ghisi, Claudia Victoria Anchique, Rosalía Fernandez, Daniel Quesada-Chaves, M Ximena Gordillo, Sheiles Acosta, Julia Fernandez, Blanca Arrieta-Loaiciga, Marco Heredia, Paul Oh
BACKGROUND: The identification of information needs is considered the first step to increase knowledge that ultimately could improve health outcomes in cardiac rehabilitation (CR). OBJECTIVE: The aim of this study was to psychometrically validate the Spanish Information Needs in Cardiac Rehabilitation (INCR). METHODS: The Spanish INCR was psychometrically tested in 184 patients undergoing CR. The internal consistency was assessed using Cronbach α, factor structure was assessed using exploratory factor analysis, and criterion validity regarding educational level, occupation, and duration in CR was assessed...
September 2018: Journal of Cardiovascular Nursing
Mae Fa Chong, Helen Hi Cho, A Jonathan Jackson, Sharon A Bentley
BACKGROUND: The number of Australians living with vision impairment or blindness is expected to increase substantially due to the ageing population and prevalence of age-related eye disease. In response, the Australian College of Optometry (ACO) commenced a low vision clinic in 2013. The ACO is a not-for-profit organisation providing eye-care services to more than 60,000 Victorians per year experiencing economic or social disadvantage. Consultation fees are bulk-billed to the Australian national health care scheme - Medicare - while spectacles and visual aids are subsidised through the state government-funded Victorian Eyecare Service...
July 18, 2018: Clinical & Experimental Optometry: Journal of the Australian Optometrical Association
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