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Tiffany K Kobbero, Catherine H Lynch, Giovanna Boniface, Susan J Forwell
BACKGROUND: The number of occupational therapists working in the private sector in British Columbia (BC) has risen steadily since 2008, employing approximately 25.7% of occupational therapists by 2012. Processes used to determine workforce needs for occupational therapists in BC have previously overlooked this growing sector. PURPOSE: This study aims to describe the supply, demand, and workforce needs for occupational therapists in BC's private sector. METHOD: This exploratory study used a sample of occupational therapists and employers of occupational therapists in BC's private sector...
January 1, 2017: Canadian Journal of Occupational Therapy. Revue Canadienne D'ergothérapie
Rainer Spiegel, Heiko Rust, Thomas Baumann, Hergen Friedrich, Raoul Sutter, Martina Göldlin, Christiane Rosin, René Müri, Georgios Mantokoudis, Roland Bingisser, Michael Strupp, Roger Kalla
This review provides an update on interdisciplinary treatment for dizziness. Dizziness can have various causes and the treatment offered should depend on the cause. After reading this article, the clinician will have an overview of current treatment recommendations. Recommendations are made for the most prevalent causes of dizziness including acute and chronic vestibular syndromes, vestibular neuritis, benign paroxysmal positional vertigo, endolymphatic hydrops and Menière's disease, vestibular paroxysmia and vestibular migraine, cardiac causes, transient ischaemic attacks and strokes, episodic ataxia type 2, persistent postural-perceptual dizziness, bilateral vestibulopathy, degenerative, autoimmune and neoplastic diseases, upbeat- and downbeat nystagmus...
December 28, 2017: Swiss Medical Weekly
Vinzenz Oji, Marie-Luise Preil, Barbara Kleinow, Geske Wehr, Judith Fischer, Hans Christian Hennies, Ingrid Hausser, Dirk Breitkreutz, Karin Aufenvenne, Karola Stieler, Illiana Tantcheva-Poór, Stefan Weidinger, Steffen Emmert, Henning Hamm, Ana Maria Perusquia-Ortiz, Irina Zaraeva, Anja Diem, Kathrin Giehl, Regina Fölster-Holst, Kirstin Kiekbusch, Peter Höger, Hagen Ott, Heiko Traupe
Ichthyoses are a group of rare genetic skin disorders that pose numerous clinical challenges, in particular with respect to the correct diagnosis and appropriate management. The present update of the German ichthyosis guidelines addresses recent diagnostic advances that have resulted in the Sorèze consensus classification. In this context, we provide an updated diagnostic algorithm, taking into account clinical features as well as the molecular genetic basis of these disorders. Moreover, we highlight current therapeutic approaches such as psychosocial support, balneotherapy, mechanical scale removal, topical therapy, and systemic retinoid therapy...
October 2017: Journal der Deutschen Dermatologischen Gesellschaft, Journal of the German Society of Dermatology: JDDG
József Horváth, Zsófia Bálint, Erika Szép, Aletta Deiszinger, Tünde Minier, Nelli Farkas, Enikő Török, Éva Horváthné Papp, Dalma Komjáti, Zsuzsanna Mándó, László Czirják, Cecilia Varjú
OBJECTIVES: To evaluate the efficacy of a three-week period of complex and intensive hand physical therapy on hand function in patients with systemic sclerosis (SSc). METHODS: Thirty-one patients with SSc were treated. Hand stretching exercises, ergotherapy supplemented with thermal and mud baths, whirlpool therapy and soft tissue massage were daily used during a three-week period. The control SSc group (n=22) received similar management for their large joints leaving out their hands...
September 2017: Clinical and Experimental Rheumatology
Torsten Kratz
BACKGROUND: Behavioral disorders such as aggressiveness, agitation, delusions, disinhibition, affect lability, and apathy arise in more than 90% of patients with dementia. Behavioral disorders are a major challenge and the greatest stress factor in everyday life for nursing personnel and for family members caring for the patient. METHODS: This review is based on relevant publications retrieved by a selective literature search in the PubMed, Cochrane Library, and German S3 guideline databases with the search terms "behavioral disorders," "non-cognitive disorders," and "challenging behavior," in conjunction with "dementia" and "behavioral and psychological symptoms of dementia...
June 30, 2017: Deutsches Ärzteblatt International
Karoline Parth, Ania Rosar, Kurt Stastka, Timo Storck, Henriette Löffler-Stastka
The field of psychosomatics has gained increasing significance; it has been struggling to establish its position as either an independent discipline or a subdomain of specific areas such as internal medicine or psychiatry. However, the rise of psychosomatic syndromes and disease patterns as well as an increase of specific integrated psychosomatic wards is a clear indication for the growing importance of interdisciplinary approaches to psychosomatic disorders. The study presents data from an 8-week inpatient treatment at a psychosomatic facility and investigates whether patients improved in their subjective symptom experience...
2016: Bulletin of the Menninger Clinic
Isabelle Gélinas
Les partenariats en ergothérapie entre les praticiens et les chercheurs sont importants pour produire des connaissances pertinentes pour la pratique clinique et pour favoriser la pratique fondée sur les données probantes au sein de la profession. BUT: Dans ce discours Muriel Driver, l'auteure discute des raisons pour lesquelles nous devons favoriser la participation des praticiens à la recherche et elle examine les conditions essentielles à la réussite des partenariats de recherche en collaboration. QUESTIONS CLÉS: Les partenariats de collaboration peuvent réduire les obstacles empêchant les praticiens de participer à la recherche et permettre de veiller à ce que les initiatives de recherche soient plus pertinentes pour la pratique clinique...
October 2016: Canadian Journal of Occupational Therapy. Revue Canadienne D'ergothérapie
D V Pokhabov, V G Abramov, D D Pokhabov
In this article, non-drug methods of treatment of Parkinson's disease are reviewed. Particular attention is given to the motor symptoms of disease, specifically to gait disorders. Information about objective methods of gait impairment is presented. Own results that confirm the effect of a method of tempo-rhythmical correction of walk in patients with Parkinson's disease (PD) and vascular parkinsonism as well as a device for assessment of gait parameters developed by the authors are analyzed. The efficacy of other methods of gait correction using external cues, study design and level of evidence are analyzed as well...
2016: Zhurnal Nevrologii i Psikhiatrii Imeni S.S. Korsakova
Nathalie Dieudonné, Rita De Micheli, Andreas Hottinger
Patients with glioblastoma have a limited life expectancy and an impaired quality of life and they should be offered palliative care soon after the diagnosis is established. Still, only a quarter of patients aged over 65 return home or medical institution after completing treatments. Home care must be promoted by coordinating assistance and care, combining disciplines such as physiotherapy and ergotherapy, medical and nursing care and psychosocial support. Patients are at risk of mood, personality and behavioural disorders...
April 27, 2016: Revue Médicale Suisse
Marie Blanchet, Tammy Huynh, Dominique Giroux, Carolina Bottari
DESCRIPTION: Plusieurs ergothérapeutes contribuent à l'évaluation de l'aptitude à prendre soin de sa personne et à gérer ses biens, mais peu de balises encadrent cette pratique auprès d'adultes ayant subi un traumatisme craniocérébral (TCC). BUT: Cette étude explorait la contribution du Profil des activités instrumentales (PAI) à la documentation de l'aptitude suite à un TCC. MÉTHODOLOGIE: La réalisation des tâches du PAI par un homme de 46 ans (ML) ayant été déclaré inapte suite à un TCC sévère a été comparée à celle de huit participants témoins (âge moyen 49,3 ± 4,2 ans)...
June 2016: Canadian Journal of Occupational Therapy. Revue Canadienne D'ergothérapie
C Boulay, G Finidori
Although the clinical picture and the natural progression of Duchenne muscular dystrophy (DMD) and Becker muscular dystrophy (BMD) differ, borderline forms exist. Classical orthopaedic treatment is based on self-rehabilitation (by the parents and the patient), physical therapy, posture alignment with orthotics, ergotherapy to set up technical aides, notably positioning in an electric wheelchair to provide more satisfactory autonomy. The functional aspect predominates over pure orthopaedics. Although surgical indications have evolved for the lower limbs, pelvic-spinal arthrodesis for treatment of scoliosis remains the reference treatment, but the methods have evolved since the advent of corticotherapy for DMD...
December 2015: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
M-V Corniola, E Tessitore, K Schaller, O P Gautschi
A lumbar disc herniation (LDH) is a condition frequently encountered in primary care medicine. It may give rise to a compression of one or more nerve roots, which can lead to a nerve root irritation, a so-called radiculopathy, with or without a sensorimotor deficit. The majority of LDHs can be supported by means of a conservative treatment consisting of physical therapy, ergotherapy, analgetics, anti-inflammatory therapy or corticosteroids, which may be eventually administered by infiltrations. If a clinico-radiological correlation is present and moderate neurological deficit appears suddenly, if it is progressive under conservative treatment or if pain is poorly controlled by well-conducted conservative treatment performed during four to six months, surgery is then recommended...
December 10, 2014: Revue Médicale Suisse
S Senst
BACKGROUND: Approximately 33 % of spastic movement disorders are due to unilateral spastic cerebral palsy which is characterized by a one-sided motor movement disorder which has a correlative in focal contralateral brain injury. The upper extremities are more severely affected so that ambulatory movement is nearly always possible. THERAPY: The development is substantially influenced by epilepsy and perception disturbances. Therefore, an interdisciplinary team is necessary for optimal therapy...
July 2014: Der Orthopäde
Stefan Mariacher-Gehler, André Gérard Aeschlimann
From the point of view of the rheumatologist, the treatment of pain should be adjusted individually in accordance with medical principles based on the facts related to the relevant pathologies. This treatment includes conservative (medicinal and non-medicinal), interventional and surgical methods. The treatment does not just depend on the diagnosis, but also on the particular functional disability based on the ICF (International Classification of Functioning) and the level of polymorbidity. As rheumatology patients often have comorbidity, the choice of painkillers (NSAIDs, analgesics, opioids etc), immunosuppressants and physical therapy methods (physiotherapy, ergotherapy, etc) may be limited...
June 25, 2014: Revue Médicale Suisse
W Bureck, U Illgner
BACKGROUND: Human hands play an important role in overcoming routine daily life. As a consequence of limitations in the function of the hand due to rheumatic diseases, various manual activities can become an enormous challenge or even become absolutely impossible. MATERIAL AND METHODS: This review article discusses the possibilities of hand ergotherapy and explains the most important assist devices. RESULTS AND CONCLUSION: The main area of occupational and hand therapy interventions in patients with rheumatoid arthritis is the postoperative or conservative treatment of wrist and finger joints...
June 2014: Zeitschrift Für Rheumatologie
J Heisel
This article gives a current overview of non-operative procedures in cases of osteoarthritis of the knee, e.g. with special medications, local physiotherapy and gymnastic therapy including ergotherapy and aids for activities of daily living (ADL).
May 2014: Der Orthopäde
Vivien Bartling, Julia Schmidt, Esther Wendel
No abstract text is available yet for this article.
November 2013: Psychiatrische Praxis
Lisa Schilling, Raimund Forst, Jürgen Forst, Albert Fujak
BACKGROUND: Myotonic Dystrophy Type 1 (DM1) is the most common form of hereditary myopathy presenting in adults. This autosomal-dominant systemic disorder is caused by a CTG repeat, demonstrating various symptoms. A mild, classic and congenital form can be distinguished. Often the quality of life is reduced by orthopaedic problems, such as muscle weakness, contractures, foot or spinal deformities, which limit patients' mobility.The aim of our study was to gather information about the orthopaedic impairments in patients with DM1 in order to improve the medical care of patients, affected by this rare disease...
December 1, 2013: BMC Musculoskeletal Disorders
J Lamy, A-H Yassine, A Gourari, N Forme, G Zakine
INTRODUCTION: Progress in intensive care and surgery has made it possible to significantly improve the survival of victims with burns over 60% of total body surface area (TBSA). Coverage of the excised areas of these patients can be difficult when there is a shortage of skin donor sites; then the role of skin substitutes can be important. MATERIALS AND METHODS: This retrospective study included patients with burns covering more than 60% TBSA and treated at the Tours University Hospital over a period of 10 years...
April 2015: Annales de Chirurgie Plastique et Esthétique
I Poirot, V Laudy, M Rabilloud, S Roche, T Ginhoux, I Joubrel, E Porsmoguer, E Grimont, C Vuillerot, B Kassaï
AIMS: To describe the rehabilitation of non-ambulatory children with cerebral palsy and to explore adjustability on their individual needs. MATERIAL AND METHOD: Data described are extracted from an on-going national cohort study, following during 10years 385 children with cerebral palsy, aged from 4 to 10, Gross Motor Function Classification System IV and V. We analysed data from the first 190 patients (mean age 6years 10months (SD 2.0), 111 boys), focusing on physiotherapy, ergotherapy, psychomotility and speech therapy in medico-social and liberal sectors...
October 2013: Annals of Physical and Rehabilitation Medicine
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