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Occupational rehabilitation

Elizabeth Taylor, Fiona Jones, Christopher McKevitt
OBJECTIVES: Occupational therapy, physiotherapy and speech and language therapy are central to rehabilitation after a stroke. The UK has introduced an audited performance target: that 45 min of each therapy should be provided to patients deemed appropriate. We sought to understand how this has influenced delivery of stroke unit therapy. DESIGN: Ethnographic study, including observation and interviews. The theoretical framework drew on the work of Lipsky and Power, framing therapists as 'street level bureaucrats' in an 'audit society'...
December 14, 2018: BMJ Open
Karin Törnbom, Anna Danielsson
OBJECTIVES: It is well known that physical activity levels for persons after stroke or acquired brain injuries do not reach existing recommendations. Walking training is highly important since the ability to walk is considered to be a meaningful occupation for most people, and is often reduced after a brain injury. This suggests a need to innovate stroke rehabilitation, so that forms of walking training that are user-friendly and enjoyable can be provided. METHOD: An interview study was carried out with persons after stroke (n = 8), or acquired brain injury (n = 2) at a rehabilitation unit at Sahlgrenska University Hospital...
2018: PloS One
Han Gil Seo, Sang Jun Park, Jiah Seo, Seong Jun Byun, Byung-Mo Oh
Objective: Although evidence and guidelines recommend appropriate rehabilitation from the beginning of diagnosis in patients with Parkinson's disease (PD), there is a lack of data addressing the utilization of rehabilitation therapies for these patients in practice. The aim of this study is to investigate the rate of rehabilitation therapy utilization over time in patients with PD using a nationwide cohort in Korea. Methods: Patients were identified using the registration code for PD in the program for rare, intractable disease from the National Health Insurance Service-National Sample Cohort database, which consists of 979,390 Korean residents...
2018: Parkinson's Disease
Veit Zebralla, Karin Kaminski, Gunnar Wichmann, Andreas Dietz, Susanne Wiegand
OBJECTIVE: Reintegration of cancer patients into occupational life is an important social and economic factor. Data for the "return to work" in Head and Neck Cancer (HNC) patients are sparse, especially compared with other tumor entities. MATERIAL AND METHODS: In a selective literature research, original articles dealing with the theme complex "return to work in patients with HNC", between 1997 and 2018 were included and analyzed. RESULTS: 18 relevant articles were identified...
December 2018: Laryngo- Rhino- Otologie
Ippei Yoshida, Kazuki Hirao, Ryuji Kobayashi
INTRODUCTION: Occupational therapy (OT) is defined as the promotion of client health and well-being through a client-centred practice. However, there is a tendency to rely on the therapist's experiences and values, and there is a difference between the client's and therapist's perceptions regarding the current activity that the client is engaged in. In previous studies that have applied 'flow', activities supported by OT in elderly people were analysed, indicating a difference in recognition...
December 9, 2018: BMJ Open
Katsuhiro Mizuno, Takayuki Abe, Junichi Ushiba, Michiyuki Kawakami, Tomomi Ohwa, Kazuto Hagimura, Miho Ogura, Kohei Okuyama, Toshiyuki Fujiwara, Meigen Liu
BACKGROUND: We developed a brain-machine interface (BMI) system for poststroke patients with severe hemiplegia to detect event-related desynchronization (ERD) on scalp electroencephalogram (EEG) and to operate a motor-driven hand orthosis combined with neuromuscular electrical stimulation. ERD arises when the excitability of the ipsi-lesional sensorimotor cortex increases. OBJECTIVE: The aim of this study was to evaluate our hypothesis that motor training using this BMI system could improve severe hemiparesis that is resistant to improvement by conventional rehabilitation...
December 6, 2018: JMIR Research Protocols
Kaat Goorts, Sofie Vandenbroeck, Tinne Vander Elst, Dorina Rusu, Marc Du Bois, Lode Godderis
OBJECTIVE: Increasing long-term sickness absence in many countries asks for specific measures regarding return-to work. METHODS: The risk of long-term sickness absence was assessed using a questionnaire containing work-related, function-related, stressful life-events -related and person-related factors. Additionally, workers' occupational health physician estimated the worker's chances for work resumption. Reliability, construct and criterion validity of the questionnaire were measured...
December 3, 2018: Journal of Occupational and Environmental Medicine
Olga A Klein, Roshan das Nair, Joanne Ablewhite, Avril Drummond
BACKGROUND: People diagnosed with Multiple Sclerosis often have cognitive problems. However, it is unclear how cognitive impairment is currently assessed and managed in the UK. AIMS: To understand current clinical practice of assessment and management of cognitive impairment in people with MS and to highlight any national variation. METHODS: A survey was posted to 150 MS centres and large hospitals and an online version was shared via e-mail and on social media...
December 3, 2018: International Journal of Clinical Practice
T Blanco, R Casas, A Marco, I Martínez
OBJECTIVE: To contribute the design, development, and assessment of a new concept: Micro ad hoc Health Social Networks (uHSN), to create a social-based solution for supporting patients with chronic disease. DESIGN: After in-depth fieldwork and intensive co-design over a 4-year project following Community-Based Participatory Research (CBPR), this paper contributes a new paradigm of uHSN, defining two interaction areas (the "backstage", the sphere invisible to the final user, where processes that build services take place; and the "onstage", the visible part that includes the patients and relatives), and describes a new transversal concept, i...
November 29, 2018: Journal of Biomedical Informatics
Anouk W Vaes, Jeannet M L Delbressine, Rafael Mesquita, Yvonne M J Goertz, Daisy J A Janssen, Nienke Nakken, Frits M E Franssen, Lowie E G W Vanfleteren, Emiel F M Wouters, Martijn A Spruit
Introduction A high proportion of patients with COPD experience problems during the performance of activities of daily living (ADLs). We aimed to determine the effects of a comprehensive eight-week pulmonary rehabilitation program on the physiologic response to and performance of ADLs in patients with COPD. Methods Before and after pulmonary rehabilitation, 31 patients with COPD (71% men; mean age: 64.2±8.4 years; mean FEV1 : 54.6±19.9% predicted) performed physical function tests, the Canadian Occupational Performance Measure (COPM) and an ADL-test consisting of putting on socks, shoes and vest; stair climbing; washing up four dishes, cups and saucers; doing groceries and putting away groceries in a cupboard; folding eight towels; and vacuum cleaning for four minutes...
November 29, 2018: Journal of Applied Physiology
B Steiger, K Welsch, N Niederstrasser, S Hartmann, P Nilges, A Ljutow, D Ettlin
INTRODUCTION: Occupational and social rehabilitation can be influenced by perceived injustice that results from pain. Currently, the Injustice Experience Questionnaire (IEQ), the tool most commonly used to assess perceived injustice, is not available in German. The aim of this study was the validation of the German-language version of the IEQ. MATERIALS AND METHODS: The validation of the IEQ was carried out via a web-based survey. For this purpose, participants completed the IEQ and construct-related scales analogous to the original study Tampa Scale of Kinesiophobia (TSK), Depression scale of the Depression Anxiety and Stress Scales (D-DASS), Pain Disability Index (PDI), and McGill Pain Questionnaire (MPQ)...
November 28, 2018: Der Schmerz
Nancy M Salbach, Patricia Solomon, Kelly K O'Brien, Catherine Worthington, Larry Baxter, Georgina Blanchard, Alan Casey, Will Chegwidden, Le-Ann Dolan, Sarah Eby, Nicole Gervais
RATIONALE, AIMS, AND OBJECTIVES: A comprehensive electronic guide (e-module) describing an interprofessional, evidence-informed approach to HIV rehabilitation was developed as an education resource for rehabilitation professionals. We developed a guideline implementation tool, consisting of a 10-week, case-based education intervention delivered by email, that was perceived to increase rehabilitation professionals' (occupational therapists (OTs), physical therapists (PTs), and speech language pathologists (SLPs)) knowledge and confidence to apply best practices in HIV rehabilitation...
November 26, 2018: Journal of Evaluation in Clinical Practice
Danielle Levac, Helene M Dumas, Waleed Meleis
BACKGROUND: Motivating interactive tools may increase adherence to repetitive practice for children with disabilities, but many virtual reality and active video gaming systems are too challenging for children with significant needs. OBJECTIVE: The objective of this study was to develop and conduct a usability evaluation of the Fun, Interactive Therapy Board (FITBoard), a movement toy bridging digital and physical interactions for children with disabilities. METHODS: The FITBoard is a tablet app involving games controlled by hand, head, or foot touch of configurable, wired surfaces...
November 26, 2018: JMIR Rehabilitation and Assistive Technologies
Daniel Tough, Jonathan Robinson, Steven Gowling, Peter Raby, John Dixon, Samantha L Harrison
BACKGROUND: Individuals with cancer have reduced quality of life, functionality, range of motion, strength, and an increase in pain and fatigue. Exergaming appears to be an effective rehabilitation tool for Parkinson's disease, multiple sclerosis and post-stroke patients to improve functionality, balance and quality of life; however, the usefulness of exergaming in individuals with cancer is unknown. The aim of this systematic review is to describe exergaming interventions delivered to adults with a current or previous cancer diagnosis and to report the feasibility, acceptability and outcomes of such interventions...
November 21, 2018: BMC Cancer
Piotr Tederko, Marek Krasuski, Beata Tarnacka
OBJECTIVES: To present a synopsis of evidence on the efficacy of rehabilitation after cervical disk surgery performed for neck pain and radiculopathy. DATA SOURCES: The databases of Medline, EMBASE, and Cochrane Central were searched for studies reporting effects of rehabilitation interventions in patients undergoing surgery due to cervical disk disease with pain and radicular syndrome, published before 31 August 2018. REVIEW METHODS: Project was registered with PROSPERO database (number CRD42018085937)...
November 21, 2018: Clinical Rehabilitation
Linda Björk Ólafsdóttir, Snaefrídur Thóra Egilson, Unnur Árnadóttir, Stefan C Hardonk
BACKGROUND: Life quality has become a widely used concept within rehabilitation and occupational therapy practice. AIM: This study explored child and parent perspectives of life quality of children with physical impairments compared with a group of non-disabled children. METHOD: Data were collected with the Icelandic self- and proxy-reported versions of the KIDSCREEN-27. For children with physical impairments, reports from 34 children and 40 parents were included in the analyses, and in control group reports from 429 children and 450 parents were included...
November 20, 2018: Scandinavian Journal of Occupational Therapy
Shiney Franz, Jürgen Muser, Ulrike Thielhorn, Claus W Wallesch, Johann Behrens
BACKGROUND: Neurological early rehabilitation aims at regaining cooperativity and acquiring rehabilitation capability with brain-injured patients, most of whom are transferred from Intensive Care Units, most of whom still require intensive care and suffer from disorders of consciousness. In neurological early rehabilitation, therapeutic nursing is an integral part of the therapeutic team. Other than the specialized therapists, nurses are present on the ward 24/7, which gives them a closer perspective on the patient...
November 20, 2018: Disability and Rehabilitation
Louise M Allan, Alison Wheatley, Elizabeth Flynn, Amy Smith, Chris Fox, Denise Howel, Robert Barber, Tara Marie Homer, Louise Robinson, Steve Wayne Parry, Lynne Corner, Jim Anthony Connolly, Lynn Rochester, Claire Bamford
Background: People with dementia (PWD) experience ten times as many incident falls as people without dementia. Little is known about how best to deliver services to people with dementia following a fall. We used an integrated, mixed-methods approach to develop a new intervention which combines theory generated via a realist synthesis and data on current provision and pathways, gathered through a prospective observational study as well as qualitative interviews, focus groups and ethnographic observation...
2018: Pilot and Feasibility Studies
Hanne Pallesen, Erhard Trillingsgaard Næss-Schmidt, Simon Svanborg Kjeldsen, Sedsel Kristine Stage Pedersen, Susanne Lillelund Sørensen, Iris Brunner, Jørgen Feldbæk Nielsen
BACKGROUND: Elderly people represent the majority of stroke cases worldwide. Post-stroke sequelae frequently lead to a more isolated life. Restricted social relations render older individuals with stroke a vulnerable group, especially in terms of social reintegration. Reintegration into the community after a stroke largely depends on support from the family. However, close relatives are at risk of becoming overburdened. The aim of this study is to investigate the effect of a novel self-management intervention to support elderly people after stroke...
November 19, 2018: Trials
Marie-Christine Hallé, Maria Mylopoulos, Annie Rochette, Brigitte Vachon, Anita Menon, Annie McCluskey, Fatima Amari, Aliki Thomas
BACKGROUND.: A better understanding of the features characterizing expert evidence-based occupational therapists in stroke rehabilitation is needed to inform the design of educational and knowledge translation interventions aimed at addressing research-practice gaps. PURPOSE.: The study aimed to identify the attributes of evidence-based occupational therapy stroke rehabilitation experts from the perspective of their peers. METHOD.: Forty-six occupational therapy clinicians and managers completed an online questionnaire asking them to nominate "outstanding" and "expert evidence-based" occupational therapists in stroke rehabilitation and to explain their choices...
November 19, 2018: Canadian Journal of Occupational Therapy. Revue Canadienne D'ergothérapie
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