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Occupational rehabilitation

Martha Leticia Sámano-Ríos
Occupational Health is a transdisciplinary activity relatively less known and under-developed in Mexico. Its objective is the well-being of workers: physical, mental and social spheres. Hygiene, safety, ergonomics, psychology, medicine, physiotherapy, rehabilitation, sociology, anthropology, law and economics, are some examples of the disciplines involved in the field of Occupational Health. Child labour is all productive activity carried out by persons under 18 years old, with or without compensation, which is harmful to their physical, mental and social development...
March 15, 2019: Revista Médica del Instituto Mexicano del Seguro Social
Felipe Szabzon, Julian Perelman, Sónia Dias
In Portugal, a mental health reform process is in place aiming to redefine the model of service provision. In 2008, a National Mental Health Plan (NMHP) was approved to provide policy guidance over the transition period. The NMHP intended, among others, to develop community-based services, with a specific focus on rehabilitation and deinstitutionalization. This study aims to explore the perspectives of service managers of psychosocial rehabilitation services regarding the main challenges to support the community living of persons with severe mental illnesses (PWSMI) in the Lisbon Metropolitan Area (LMA)...
March 19, 2019: Health & Social Care in the Community
Jose Maria Pereira de Godoy, Henrique Jose Pereira de Godoy, Ana Carolina Pereira de Godoy, Maria de Fátima Guerreiro Godoy
The aim of the present study was to demonstrate the cure of elephantiasis over a ten-year follow-up period and novel discoveries with directed occupational rehabilitation. A 66-year-old female patient with a history of bilateral lower limb lymphedema reported the aggravation of the condition over the years, reaching stage III (elephantiasis). The physical examination confirmed elephantiasis. The circumference of the left lower limb was 106 cm. Her body weight was 106 kilograms, height was 160 cm, and the body mass index (BMI) was 41...
2019: Case Reports in Vascular Medicine
Tina Dalager, Anne Højmark, Pernille Tine Jensen, Karen Søgaard, Lotte Nygaard Andersen
BACKGROUND: The aim of the present study was to describe the development of strategies to prevent and rehabilitate musculoskeletal pain among surgeons. Musculoskeletal pain affects surgeons' life, and evidence on interventions for effective prevention and rehabilitation is lacking for this occupational group. METHODS: An Intervention Mapping approach was used to develop intervention strategies specifically tailored to surgeons. This approach entailed conducting a systematic scoping literature search and semi-structured interviews with six surgeons...
March 18, 2019: BMC Public Health
Hadi Akbarzadeh Khorshidi, Miriam Marembo, Uwe Aickelin
Purpose This study evaluates the Occupational Rehabilitation (OR) initiatives regarding return to work (RTW) and sustaining at work following work-related injuries. This study also identifies the predictors and predicts the likelihoods of RTW and sustainability for OR users. Methods The study is conducted on the compensation claim data for people who are injured at work in the state of Victoria, Australia. The claims which commenced OR services between the first of July 2012 and the end of June 2015 are included...
March 14, 2019: Journal of Occupational Rehabilitation
DongWon Yun, JiSun Choi
BACKGROUND: Despite growing recognition of person-centered care as an essential component of quality care, little is known about how person-centered care can be implemented in the provision of care services and how it is empirically related to outcomes in the rehabilitation settings. OBJECTIVES: To investigate the extent of implementation of the person-centered care in rehabilitation practices, as well as its effects on relevant outcomes. DESIGN: Systematic literature review...
February 26, 2019: International Journal of Nursing Studies
Elizabeth Mirek, Deirdre Logan, Kimberly Boullard, Amber M Hall, Steven J Staffa, Navil Sethna
PURPOSE: To assess the clinical utility of 5 physical therapy (PT) outcome measures in quantifying functional changes in pediatric lower extremity chronic pain treated at a hospital-based interdisciplinary rehabilitation center. DESIGN: This was a cross-sectional study with retrospective review of 173 individuals, 8 to 18 years old, treated from June 2008 to 2013. METHODS: The measures used were the Timed Up and Go, Timed Up and Down Stairs, Bruininks-Oseretsky Test of Motor Proficiency, Second Edition, 6-minute walk test, and Lower Extremity Functional Scale...
March 8, 2019: Pediatric Physical Therapy
Valerie Metcalfe, Mary Egan, Katrine Sauvé-Schenk
BACKGROUND.: Late stroke rehabilitation interventions often target impairment with limited carryover to daily occupation. PURPOSE.: This study explored whether the LSVT BIG program could lead to improved performance in client-identified occupations and decreased impairment late poststroke. METHOD.: A single-case experimental design with one repetition was completed. Participants were two adults who had experienced a stroke 3 and 12 years previously...
March 12, 2019: Canadian Journal of Occupational Therapy. Revue Canadienne D'ergothérapie
Frank H Y Lai, Elaine W H Yan, Lynette Mackenzie, Kenneth N K Fong, Georg S Kranz, Eric C W Ho, Silvia H U Fan, Alice T K Lee
BACKGROUND: The Chinese HomeFAST self-reported screening tool was developed to measure the number of hazards and the risk of home falls and other accidents for community-living older adults. METHODS: This reliability, validity, and clinical utility study consisted of three phases. The tool's linguistic validity was established in the first phase of study, with a panel of domiciliary healthcare experts. In the second phase, the instrument yielded inter-rater reliability between community-living older adults and a group of experienced occupational therapists...
March 12, 2019: Disability and Rehabilitation
Wendy Young, Mahendra Daya, Pragashnie Govender
STUDY DESIGN: Case report. INTRODUCTION: This case report details the postsurgical rehabilitation and outcome of a young maintenance man who sustained a complete amputation of his dominant upper limb at the level of the distal forearm. The patient underwent replantation surgery with 2-centimeter bone shortening, followed by early controlled active motion commencing on day 6. PURPOSE OF THE STUDY: To illustrate the use of early motion after replantation...
March 8, 2019: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
Sara E McEwen, Michelle Donald, Katelyn Jutzi, Kay-Ann Allen, Lisa Avery, Deirdre R Dawson, Mary Egan, Katherine Dittmann, Anne Hunt, Jennifer Hutter, Sylvia Quant, Jorge Rios, Elizabeth Linkewich
BACKGROUND: The Cognitive Orientation to daily Occupational Performance (CO-OP) approach is a complex rehabilitation intervention in which clients are taught to use problem-solving cognitive strategies to acquire personally-meaningful functional skills, and health care providers are required to shift control regarding treatment goals and intervention strategies to their clients. A multi-faceted, supported, knowledge translation (KT) initiative was targeted at the implementation of CO-OP in inpatient stroke rehabilitation teams at five freestanding rehabilitation hospitals...
2019: PloS One
Tingting Zhang, Bianca Jambhekar, Amit Kumar, Syed A Rizvi, Linda Resnik, Theresa I Shireman
BACKGROUND: The impact of post-acute rehabilitative services provided in skilled nursing facilities (SNF) on a particularly vulnerable, disabled subgroup, namely persons with multiple sclerosis (PwMS), is unknown. OBJECTIVE: The objectives of this study were to (1) describe the use of post-acute rehabilitative services in SNFs, and (2) examine the association between the use of physical and occupational therapy (PT/OT) and (a) successful community discharge and (b) functional improvement for PwMS...
March 5, 2019: Multiple Sclerosis and related Disorders
Joyce A Kootker, Caroline M van Heugten, Bart Kral, Sascha Mc Rasquin, Alexander C Geurts, Luciano Fasotti
OBJECTIVE: To investigate the concomitant effects of two patient-directed interventions for post-stroke depressive symptoms on caregivers' well-being. DESIGN: Secondary analyses of the results of a randomized controlled trial. SUBJECTS: Fifty caregivers of stroke patients receiving outpatient rehabilitation. INTERVENTIONS: Stroke patients and their caregivers were randomly allocated to either cognitive-behavioural therapy augmented with movement or occupational therapy ( n = 23) or computerized cognitive training ( n = 27) to alleviate depressive symptoms in patients...
March 7, 2019: Clinical Rehabilitation
Anne W Hunt, Melissa Paniccia, Katie Mah, Deirdre Dawson, Nick Reed
OBJECTIVE: We determined the feasibility and effects of the Cognitive Orientation to daily Occupational Performance (CO-OP) ApproachTM on activity performance and satisfaction, symptoms, and mood of adolescents with persistent postconcussion symptoms. METHOD: In a prospective case series, 3 participants with persistent symptoms 3 mo after concussion and difficulties resuming activities were taught to use a metacognitive strategy (Goal-Plan-Do-Check) to work toward occupation-based goals in a 7-wk intervention (10 sessions, 30-60 min each)...
January 2019: American Journal of Occupational Therapy: Official Publication of the American Occupational Therapy Association
Marilyn Di Stefano, Rwth Stuckey, Natasha Kinsman
Little is known about characteristics and driving patterns of drivers with physical disabilities who use vehicle modifications (VMs). We gathered information about, and from, drivers with disabilities who use VMs to better understand their needs and to inform current occupational therapy driver rehabilitation practice. A prospective descriptive cross-sectional analysis of 97 drivers with physical disabilities who used VMs identified that most participants were dependent on wheelchairs for personal mobility and that access to key destinations without independent driver mobility was difficult or impossible...
January 2019: American Journal of Occupational Therapy: Official Publication of the American Occupational Therapy Association
Ghazala T Saleem, Glen Gillen
BACKGROUND.: Handwriting dysfunction contributes to 40% of all school-based referrals to occupational therapy. Empirically based handwriting interventions are needed to remediate the negative effects of handwriting dysfunction on a child's occupational performance. PURPOSE.: This study examined the effectiveness of mental practice (MP) combined with repetitive task practice (RTP) to rehabilitate handwriting in children. METHOD.: Twenty typically developing first and second graders with impaired handwriting received RTP twice a week for 4 weeks, then engaged in MP combined with RTP for the same duration...
February 28, 2019: Canadian Journal of Occupational Therapy. Revue Canadienne D'ergothérapie
Martha Gustavsson, Susanne Guidetti, Gunilla Eriksson, Lena von Koch, Charlotte Ytterberg
OBJECTIVE: To explore the importance of client characteristics (age, sex, stroke severity and participation before stroke), rehabilitation context (in-patient or client's home) and approach (enhanced client-centeredness or not) on participation in every-day life after stroke. METHODS: A secondary analysis of data on 237 participants from a previous randomized controlled trial evaluating an enhanced client-centred intervention after stroke. Plausible associations between client characteristics, context and rehabilitation approach, and a positive outcome regarding participation were explored...
March 13, 2019: Journal of Rehabilitation Medicine
Aristela de Freitas Zanona, Raphael Fabricio de Souza, Felipe J Aidar, Dihogo Gama de Matos, Karine Morgana Batista Santos, Max da Conceição Paixão, Priscila Yukari Sewo Sampaio, Heleno Almeida Junior, Katia Karina Monte-Silva
Background: Stroke rehabilitation that is based on the patients' needs, experiences, and priorities requires extensive knowledge and skills to capture and integrate the perspectives of the subject. Purpose: The objective of this study was to evaluate the acute effect of an occupational therapy protocol associated with virtual reality (VR) on the symmetry of body temperature (BTP), balance, and functionality of patients with stroke sequelae. Methods: Ten patients (69...
January 2019: Annals of Neurosciences
Samuel Pouplin, Djamel Bensmail, Isabelle Vaugier, Axelle Gelineau, Sandra Pottier, Nicolas Roche
STUDY DESIGN: Randomised controlled trial. OBJECTIVES: To evaluate the impact of two different word prediction software (WPS) training protocols on text input speed (TIS) in people with tetraplegia and to determine which was the most effective. SETTING: Rehabilitation department, Garches, France. METHODS: Participants with neurological levels between C6 and C8 were allocated to one of three different groups. The REHAB group underwent training with an occupational therapist...
February 27, 2019: Spinal Cord
Vita Hagelskjær, Mette Krohn, Pia Susanne Christensen, Jeanette Reffstrup Christensen
Background: Some clients with cognitive and communicative impairments after a brain injury are unable to participate in the Canadian Occupational Performance Measure (COPM) without support. The study originates from an assumption that some of these clients are able to participate independently in the COPM interview by using a visual material. Aim: The aim was to investigate the clinical utility of COPM supported by Talking Mats (TM) for community-based clients with cognitive and communicative impairments...
2019: Occupational Therapy International
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