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https://www.readbyqxmd.com/read/29763510/trihexyphenidyl-for-dystonia-in-cerebral-palsy
#1
REVIEW
Adrienne R Harvey, Louise B Baker, Dinah Susan Reddihough, Adam Scheinberg, Katrina Williams
BACKGROUND: Cerebral palsy occurs in up to 2.1 of every 1000 live births and encompasses a range of motor problems and movement disorders. One commonly occurring movement disorder amongst those with cerebral palsy is dystonia: sustained or intermittent involuntary muscle spasms and contractions that cause twisting, repetitive movements and abnormal postures. The involuntary contractions are often very painful and distressing and cause significant limitations to activity and participation...
May 15, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29752028/the-cognitive-orientation-to-daily-occupational-performance-co-op-approach-best-responders-in-children-with-cerebral-palsy-and-brain-injury
#2
Michelle Jackman, Iona Novak, Natasha A Lannin, Claire Galea, Elspeth Froude
BACKGROUND: Identifying the characteristics of individuals who are most likely to respond to a certain rehabilitation intervention is advantageous for the child, family, clinicians and the healthcare system. AIM: To investigate the individual characteristics of children with cerebral palsy or brain injury who responded best to the Cognitive Orientation to daily Occupational Performance (CO-OP) Approach. METHODS: Post hoc analyses were conducted on 30 participants who participated in CO-OP within a larger randomized controlled trial...
May 8, 2018: Research in Developmental Disabilities
https://www.readbyqxmd.com/read/29689185/implementation-intentions-for-self-selected-occupational-therapy-goals-two-case-reports
#3
Mary Vining Radomski, Gordon Giles, Marsha Finkelstein, Jenny Owens, Mark Showers, Joette Zola
OBJECTIVE: We evaluated the feasibility of an intervention combining metacognitive strategy instruction (MSI) with training in implementation intentions for adults with mild traumatic brain injury (mTBI). Implementation intentions are written premade decision statements specifying when, where, and how goal behaviors are to be enacted. METHOD: Two participants with mTBI received a six-session intervention that included setting a daily implementation intention for an occupational therapy goal...
May 2018: American Journal of Occupational Therapy: Official Publication of the American Occupational Therapy Association
https://www.readbyqxmd.com/read/29665842/sensory-re-learning-of-the-upper-limb-after-stroke-sensupp-study-protocol-for-a-pilot-randomized-controlled-trial
#4
Håkan Carlsson, Birgitta Rosén, Hélène Pessah-Rasmussen, Anders Björkman, Christina Brogårdh
BACKGROUND: Many stroke survivors suffer from sensory impairments of their affected upper limb (UL). Although such impairments can affect the ability to use the UL in everyday activities, very little attention is paid to sensory impairments in stroke rehabilitation. The purpose of this trial is to investigate if sensory re-learning in combination with task-specific training may prove to be more effective than task-specific training alone to improve sensory function of the hand, dexterity, the ability to use the hand in daily activities, perceived participation, and life satisfaction...
April 17, 2018: Trials
https://www.readbyqxmd.com/read/29578811/the-validity-of-the-canadian-occupational-performance-measure-copm-when-used-in-a-sub-acute-rehabilitation-setting-with-older-adults
#5
Laura Thyer, Ted Brown, Debbie Roe
This study investigated the validity of the Canadian Occupational Performance Measure (COPM) when included as one of the scales used by therapists with older adults on an inpatient sub-acute rehabilitation setting. Quantitative data from 36 participants in a sub-acute rehabilitation setting was obtained via the COPM, the Functional Independence Measure (FIM) and the Short Form 36 Health Survey (SF-36) using a pre-post methodology. Pearson's r correlations and linear regression analyses were computed. The COPM Performance admission score was significantly correlated with the FIM Total and FIM Physical admission scores (p <...
March 26, 2018: Occupational Therapy in Health Care
https://www.readbyqxmd.com/read/29545711/the-influences-of-client-centered-therapy-on-the-level-of-performance-the-level-of-satisfaction-of-activity-of-daily-living-and-the-quality-of-life-of-the-chronic-stroke-patients
#6
JuHyung Park
[Purpose] The purpose of this research is to take a look at the influences of client-centered therapy on the level of everyday life performance, the level of satisfaction, and the quality of life of the chronic stroke patients. [Subjects and Methods] This research used client-centered therapy with two chronic stroke and hemiplegia patients as subjects. The therapy was carried out once a day, five times a week, for thirty minutes at a time for four weeks. Also, five kinds of training were included in the medical treatment programs which were organized after the initial Canadian occupational performance measure (COPM) evaluations...
February 2018: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/29526860/rehabilitation-of-stroke-patients-with-plegic-hands-randomized-controlled-trial-of-expanded-constraint-induced-movement-therapy
#7
Gitendra Uswatte, Edward Taub, Mary H Bowman, Adriana Delgado, Camille Bryson, David M Morris, Staci Mckay, Joydip Barman, Victor W Mark
PURPOSE: To evaluate the efficacy of an expanded form of Constraint-Induced Movement Therapy (eCIMT) that renders CIMT, originally designed for treating mild-to-moderate upper-extremity hemiparesis, suitable for treating severe hemiparesis. METHODS: Twenty-one adults ≥1 year after stroke with severe upper-extremity hemiparesis (with little or no capacity to make movements with the more-affected hand) were randomly assigned to eCIMT (n = 10), a placebo-control procedure (n = 4), or usual care (n = 7)...
2018: Restorative Neurology and Neuroscience
https://www.readbyqxmd.com/read/29479211/goal-setting-within-a-tertiary-level-early-developmental-intervention-program
#8
Charlene M T Robertson, Shannon M DeForge, Cara F Dosman
Objectives: To determine the domains of parent-therapist collaboratively set goals for intervention within a family-centered, tertiary-level early developmental intervention (EDI) program. To report changes in ratings for performance and satisfaction of performance pre- and postintervention for the set goals. Methods: This study includes all children with complex developmental disabilities (30 ± 3 months of age, 61% boys) registered in a tertiary-level EDI program from 2009 to 2012 whose parents completed the Canadian Occupational Performance Measure (COPM) to evaluate goal setting...
July 2017: Paediatrics & Child Health
https://www.readbyqxmd.com/read/29426382/impact-of-an-activity-based-program-on-health-quality-of-life-and-occupational-performance-of-women-diagnosed-with-cancer
#9
Colleen Maher, Rochelle J Mendonca
OBJECTIVE: We evaluated the impact of a 1-wk activity program on the health, quality of life (QOL), and occupational performance of community-living women diagnosed with cancer. METHOD: A one-group pretest-posttest repeated-measures design was used. Participants completed a functional health measure (36-Item Short Form Health Survey [SF-36]), a QOL measure (World Health Organization Quality of Life-Brief version [WHOQOL-BREF]), and an occupational performance and satisfaction measure (Canadian Occupational Performance Measure [COPM]) before and 6 wk after program completion...
March 2018: American Journal of Occupational Therapy: Official Publication of the American Occupational Therapy Association
https://www.readbyqxmd.com/read/29405282/the-effectiveness-of-the-pathways-and-resources-for-engagement-and-participation-prep-intervention-improving-participation-of-adolescents-with-physical-disabilities
#10
Dana R Anaby, Mary Law, Debbie Feldman, Annette Majnemer, Lisa Avery
AIM: This study examined the effectiveness of the Pathways and Resources for Engagement and Participation (PREP) intervention in improving the participation of adolescents in community-based activities. METHOD: Twenty-eight adolescents (14 males, 14 females), aged 12 to 18 years (mean 14y 6mo, SD 21.6mo) with moderate physical disabilities participated in a 12-week PREP intervention. An interrupted time series design with multiple baselines was employed, replicating the intervention effect across three chosen activities and all participants...
May 2018: Developmental Medicine and Child Neurology
https://www.readbyqxmd.com/read/29390161/working-health-services-scotland-a-4-year-evaluation
#11
E Demou, M Hanson, A Bakhshi, M Kennedy, E B Macdonald
Background: Working Health Service Scotland (WHSS) supports the self-employed and employees of small and medium-sized enterprises (SMEs) in Scotland with a health condition affecting their ability to work, who are either absent or at risk of becoming absent due to it. Aims: To evaluate the impact on health and work outcomes of WHSS clients over a 4-year period. Methods: Data were collected at enrolment, entry, discharge and follow-up at 3 and 6 months after discharge...
February 16, 2018: Occupational Medicine
https://www.readbyqxmd.com/read/29325839/the-effect-of-low-load-exercise-on-joint-pain-function-and-activities-of-daily-living-in-patients-with-knee-osteoarthritis
#12
Jason Peeler, Jacquie Ripat
BACKGROUND: Knee osteoarthritis has a lifetime risk of nearly one in two, with obese individuals being most susceptible. While exercise is universally recognized as a critical component for management, unsafe or ineffective exercise frequently leads to exacerbation of joint symptoms. AIM: Evaluate the effect of a 12week lower body positive pressure (LBPP) supported low-load treadmill walking program on knee pain, joint function, and performance of daily activities in patients with knee osteoarthritis (OA)...
January 2018: Knee
https://www.readbyqxmd.com/read/29325486/intensive-client-centred-occupational-therapy-in-the-home-improves-older-adults-occupational-performance-results-from-a-danish-randomized-controlled-trial
#13
Tove Lise Nielsen, Niels Trolle Andersen, Kirsten Schultz Petersen, Helene Polatajko, Claus Vinther Nielsen
BACKGROUND: There is growing interest in enabling older adults' occupational performance. We tested whether 11 weeks of intensive client-centred occupational therapy (ICC-OT) was superior to usual practice in improving the occupational performance of home-dwelling older adults. METHODS: An assessor-masked randomized controlled trial among adults 60 + with chronic health issues, who received or applied for homecare services. Recruitment took place September 2012 to April 2014...
January 12, 2018: Scandinavian Journal of Occupational Therapy
https://www.readbyqxmd.com/read/29300211/air-pollution-in-india-and-related-adverse-respiratory-health-effects-past-present-and-future-directions
#14
Gopi C Khilnani, Pawan Tiwari
PURPOSE OF REVIEW: The review describes current status of air pollution in India, summarizes recent research on adverse health effects of ambient and household air pollution, and outlines the ongoing efforts and future actions required to improve air quality and reduce morbidity and mortality because of air pollution in India. RECENT FINDINGS: Global burden of disease data analysis reveals more than one million premature deaths attributable to ambient air pollution in 2015 in India...
March 2018: Current Opinion in Pulmonary Medicine
https://www.readbyqxmd.com/read/29224946/revision-arthroplasty-of-the-wrist-in-patients-with-rheumatoid-arthritis-mean-follow-up-6-6-years
#15
Per Fischer, Marcus Sagerfors, Ole Brus, Kurt Pettersson
PURPOSE: Management of failed total wrist arthroplasty (TWA) can be challenging; surgical treatment options include salvage arthrodesis, revision arthroplasty, and resection arthroplasty. There are few studies regarding salvage arthrodesis, and revision arthroplasty has been infrequently investigated. The aim of the study was to report the outcome after revision arthroplasty of the wrist. METHODS: A retrospective cohort of 16 revision TWAs was evaluated between 2003 and 2016...
December 7, 2017: Journal of Hand Surgery
https://www.readbyqxmd.com/read/29185087/assistive-devices-an-effective-strategy-in-non-pharmacological-treatment-for-hand-osteoarthritis-randomized-clinical-trial
#16
D S Amaral, A L B P Duarte, S S Barros, S V Cavalcanti, A Ranzolin, V M M Leite, A T Dantas, A S C R C Oliveira, P S Santos, J C A Silva, C D L Marques
This study aims to evaluate the use of assistive devices as a strategy in non-pharmacological treatment for hand osteoarthritis (HOA). This is a randomized, prospective, parallel, assessor-blinded clinical trial, in which patients with a diagnosis of HOA were randomly allocated to an intervention group (IG), where they received assistive devices for daily life activities, or to a control group (CG), where they received a guideline leaflet with information on joint protection and disease features. The primary outcomes considered were occupational performance, measured by the Canadian Occupational Performance Measure (COPM), and hand function was evaluated through the Score for the Assessment and Quantification of Chronic Rheumatoid Affections of the Hands (SACRAH)...
March 2018: Rheumatology International
https://www.readbyqxmd.com/read/29157181/self-reported-assistive-technology-outcomes-and-personal-characteristics-in-college-students-with-less-apparent-disabilities
#17
Matt P Malcolm, Marla C Roll
The impact of assistive technology (AT) services for college students with less-apparent disabilities is under-reported. Using the Canadian Occupational Performance Measure (COPM), we assessed student Performance and Satisfaction ratings of common academic tasks at the start and end of a semester during which 105 student-clients with less-apparent disabilities received AT services. We examined if COPM scores related to personal characteristics of gender, class-level (e.g., Sophomore), and STEM education; if personal characteristics predicted a student's follow-through with an AT service referral (n=231); and if personal characteristics and initial COPM scores predicted dropout from AT services (n=187)...
November 20, 2017: Assistive Technology: the Official Journal of RESNA
https://www.readbyqxmd.com/read/29157032/pain-fatigue-function-and-participation-among-long-term-manual-wheelchair-users-partnered-with-a-mobility-service-dog
#18
Claude Vincent, Dany H Gagnon, Frédéric Dumont
PURPOSE: To assess the effects of a mobility service dog (MSD) on pain, fatigue, wheelchair-related functional tasks, participation and satisfaction among manual wheelchair users over a nine-month period. METHOD: A longitudinal study with repeated assessment times before and three, six and nine months after intervention was achieved. Intervention consisted in partnering each participant with a MSD. The setting is a well-established provincial service dog training school and participants homes...
November 20, 2017: Disability and Rehabilitation. Assistive Technology
https://www.readbyqxmd.com/read/29135432/canadian-occupational-performance-measure-copm-in-primary-care-a-profile-of-practice
#19
MULTICENTER STUDY
Catherine Donnelly, Colleen O'Neill, Martha Bauer, Lori Letts
OBJECTIVE: This study aimed to understand how the Canadian Occupational Performance Measure (COPM) can be used as an outcome measure in primary care and to identify the occupational performance profiles in this setting. METHOD: First, the COPM was administered to all eligible clients at two sites. Second, a focus group with participating occupational therapists explored the feasibility of using the COPM in primary care. RESULTS: A total of 161 COPMs were initially administered...
November 2017: American Journal of Occupational Therapy: Official Publication of the American Occupational Therapy Association
https://www.readbyqxmd.com/read/29059088/metabolomics-in-asthma-where-do-we-stand
#20
Helena Pité, Mário Morais-Almeida, Sílvia M Rocha
PURPOSE OF REVIEW: Metabolomics has been used to uncover the metabolic signatures of asthma, both for biomarker identification and pathophysiologic mechanisms research. We aimed to review recent advances in this field, published since 2016, and discuss these findings implications to future research and application into clinical practice. RECENT FINDINGS: Experimental asthma models and clinical studies in both children and adults supported independent metabolic signatures of asthma...
January 2018: Current Opinion in Pulmonary Medicine
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