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Dissertations / Theses on the topic 'Rehabilitation and Therapy: Occupational and Physical'

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Published: 4 June 2021
Last updated: 19 February 2022

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1

Bellner, Anna-Lena. "Professionalization and rehabilitation : the case of Swedish occupational and physical therapists /." Linköping : Tema, Univ, 1997. http://www.bibl.liu.se/liupubl/disp/disp97/arts166s.htm.

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2

Andersson, Vilma, and Alma Tidblom. "Being involved in the community: A qualitative study of social inclusion for people with physical disabilities in Mexico." Thesis, Hälsohögskolan, Jönköping University, HHJ, Avd. för rehabilitering, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-49147.

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The purpose of this study was to describe participant experiences of how a rehabilitation centre can facilitate social inclusion for people with physical disabilities in Mexico. This research was a qualitative interview study with a semi-structured interview approach. Ten participants were recruited using purposive sampling. The participants were individuals with physical disabilities, including both mobility and visual impairments, who had a connection with the rehabilitation centre. Content analysis was used while examining the collected data. The result consisted of one main category ‘individual experiences of achieving social inclusion’, four categories; ‘being supported by a community’, ‘acceptance of disability’, ‘the centre's work and its effect in the society’ and ‘the importance of work’. Each category contained several sub-categories. In conclusion, the rehabilitation centre facilitates inclusion through work opportunities and the sense of belonging to a community which has a positive impact on persons with a disability. Changing attitudes in the society by raising awareness about disability and generating an acceptance of one’s disabilities were important facilitating factors.
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3

Larsson, Lund Maria. "Living with physical disability : experiences of the rehabilitation process, occupations and participation in everyday life." Doctoral thesis, Umeå : Univ, 2004. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-317.

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4

Saleh, Maysoun. "Actual versus best practices for young children with cerebral palsy : a survey of pediatric occupational therapists and physical therapists in Quebec, Canada." Thesis, McGill University, 2007. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=103179.

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Background and rationale. Cerebral palsy (CP) is one of the most common disabling disorders of childhood and constitutes a substantial portion of pediatric rehabilitation. This condition demands comprehensive rehabilitation using age-appropriate tasks and activities and encompassing aspects of body function and structure, activity and participation, and personal and environmental factors. Yet little is known regarding actual occupational therapy (OT) and physical therapy (PT) practices.
Objective. The primary objective of this doctoral thesis was to describe OT and PT practices for young children with CP in the Province of Quebec, Canada.
Methods. This was a cross-sectional, multi-centered survey. All eligible and consenting pediatric occupational therapists (OTs) and physical therapists (PTs) were interviewed using a structured telephone interview based on vignettes of two typical children with CP at two age points---18 months and 4 years. Reported practices were grouped according to the International Classification of Functioning, Disability, and Health (ICF). Literature review of pediatric assessments and interventions potentially used for CP was done to determine their level of evidence of effectiveness. In addition, two expert groups provided, for each vignette, a best practice problem identification list and a best practice intervention list.
Results. A total of 62 PTs (83.8% participation rate) and 85 OTs (91.4% participation rate) participated in the study. Overall, 91.9% of PTs and 67.1% of OTs reported using at least one standardized pediatric assessment for at least one vignette. OT and PT interventions focused primarily on impairments and primary function, with less attention to interventions related to play and recreation/leisure. Clinicians reported the need for more training and education specific to CP and to the use of research findings in clinical practice. Wide variations and gaps were identified in therapists' responses suggesting the need for a basic standard of PT and OT management as well as strategies to encourage knowledge dissemination regarding current best practice. Further, implementation of evidence-based practice necessitates more collaboration between researchers, clinicians and administrators.
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5

Wressle, Ewa. "Client participation in the rehabilitation process." Doctoral thesis, Linköping : Univ, 2002. http://www.bibl.liu.se/liupubl/disp/disp2002/med722s.pdf.

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6

ADINARAYANAN, DEEPA. "REAL-TIME ASSESSMENT AND VISUAL FEEDBACK FOR PATIENT REHABILITATION USING INERTIAL SENSORS." Cleveland State University / OhioLINK, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=csu1534995115586692.

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7

Grant, Weltha Jane. "An investigation of the potential of mindfulness to promote expert performance in clinical decision making in occupational and physical therapists." Diss., Temple University Libraries, 2010. http://cdm16002.contentdm.oclc.org/cdm/ref/collection/p245801coll10/id/70599.

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Educational Psychology
Ph.D.
Background: In today's health care environment, developing expertise and making good decisions can be challenging when confronted with demands for high performance, high productivity, and low cost. Mindfulness may be a practice that can promote expertise and improve decision making, despite the pressures faced by occupational and physical therapists. Purpose: The purpose of this study was to explore and examine the potential relationships between expertise, mindfulness, and decision making. Methods: Occupational and physical therapists participated in a two-part study that included both quantitative and qualitative methodology. Seventy-five therapists completed a demographic questionnaire, a modified version of the Kentucky Inventory of Mindfulness Skills (KIMS-M), and the Peer-Rated Expertise in Occupational and Physical Therapy Scale (PREOPT). In the second part of the study, four therapists completed a case study using a think aloud protocol. Their verbalizations were analyzed, using verbal protocol, for trends and patterns that would reveal differences in the therapists' decision making processes. Results: Results of the first part of the study did not reveal a significant relationship between mindfulness, measure by the KIMS-M and expertise, measured by the PREOPT. Qualitative analysis suggests that mindfulness may affect therapists' approaches to decision making but does not indicate that these approaches result in better decision making. Further, the differences were surprising, as they were not consistent with current arguments about the effects of mindfulness. Conclusion: These preliminary results suggest a relationship between mindfulness and decision making approaches. However, further research is needed to confirm these observations and explore the nature of this relationship.
Temple University--Theses
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8

De, Klerk Susanna Magdalena. "Occupational therapy assessment of the upper limb : trends in South Africa." Thesis, Stellenbosch : Stellenbosch University, 2014. http://hdl.handle.net/10019.1/86347.

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Thesis (MOccTher)--Stellenbosch University, 2014.
ENGLISH ABSTRACT: Introduction: This research was conducted to establish the assessment practices of occupational therapists working with clients with upper limb injuries and/or conditions. This was done to get an updated account of frequency and variation in the use of various assessment tools as well as reasons offered for infrequent use. Methodology: A quantitative cross-sectional survey design was used. A convenience sample of therapists attending courses was recruited for the study. A questionnaire was developed for the study and face and content validity established through pilot testing. The questionnaire consisted of three sections containing demographic information and questions about upper limb assessment practices. Descriptive statistics were calculated for numerical and categorical data to describe the demographic characteristics and to identify the measurement tools that were used most frequently. The Chi-Square test of associations was used to determine whether there were any associations between frequency of use and demographic factors. Results: Questionnaires were completed by 81 (71%) respondents. Twenty-two (27.2%) of the respondents had more than five years’ experience in the field of hand therapy while the remainder (n=52, 64.2%) had less than five years. The more experienced therapists worked in the private sector (n=49, 60.5%) with two (0.03%) experienced therapists being employed in the public sector. The diagnoses that were seen most commonly were nerve injuries (90.1%), fractures (88.8%) and tendon injuries (85.1%). Of the 81 respondents 15 (18.5%) held post graduate qualifications in the field of hand therapy. Goniometry (68 of 81, 84.0%), manual muscle testing (62 of 81, 76.5%) and testing for flexor digitorum profundus and superficialis function (61 of 81, 76.3%) were used most frequently. Performance tests were used infrequently or not at all. The most common reasons for non-use of performance tests were that they were not available in the practice setting or respondents were not familiar with them. Significant associations were found between frequency of using measurement tools and practice setting, years of experience and holding a post graduate qualification in the field of hand therapy. There was a significant association between working in the private sector and using a dynamometer (p < 0.001), and working in government settings and frequent use of the test for localisation (p = 0.021). Therapists with more than five years’ experience in the field of hand therapy were significantly more likely to use Semmes Weinstein monofilaments (p = 0.034) as were those holding a post graduate qualification in hand therapy (p <0.001). Conclusion: The results of this study have serious implications in terms of the upper limb assessment practices of occupational therapists, especially in the context of evidence-based practice which has become crucial not only for the credibility of the profession, but also for its survival. Information obtained through this research could aid to guide education and training at an undergraduate and post graduate level and assist to direct a research focus for hand therapy in the South African context.
AFRIKAANSE OPSOMMING: Inleiding: Hierdie navorsing is uitgevoer om die bepalingspraktyke van arbeidsterapeute wat werk met kliënte met boonste ledemaat beserings en/of toestande vas te stel om sodoende ‘n beeld te verkry van die frekwensie en variasie van die gebruik van bepalingsinstrumente. Redes aangebied vir ongereelde gebruik hiervan is ook ondersoek. Metode: 'n Kwantitatiewe deursnee-opname-ontwerp is gebruik. ’n Gerieflikheidssteekproef van terapeute wat kursusse bygewoon het, is gewerf vir die studie. ‘n Vraelys is ontwikkel vir die studie, en voorkoms- en inhoudsgeldigheid is bepaal deur ‘n loodstudie. Die vraelys het bestaan uit drie afdelings met demografiese inligting en vrae oor boonste ledemaat bepalingspraktyke. Beskrywende statistiek is bereken vir numeriese en kategoriese data ten einde die demografiese eienskappe te beskryf en die bepalingsmetodes wat die meeste gebruik is, te identifiseer. Die Chi-kwadraat toets is gebruik om te bepaal of daar enige assosiasies tussen die frekwensie van gebruik en demografiese faktore bestaan. Resultate: Vraelyste is deur 81 (71%) respondente voltooi. Twee-en-twintig (27,2%) van die respondente het meer as vyf jaar ondervinding in die veld van handterapie gehad, terwyl die res (n = 52, 64.2%) minder as vyf jaar gehad het. Die meer ervare terapeute het gewerk in die privaatsektor (n = 49, 60.5%) met twee (0,03%) ervare terapeute in diens van die staat. Senuweebeserings (90.1%), frakture (88,8%) en tendonbeserings (85.1%) was die meeste gesien. Van die 81 respondente het 15 (18,5%) ‘n nagraadse kwalifikasie in die veld van handterapie gehad. Goniometer (68 van 81, 84.0%), spiertoetsing (62 van 81, 76,5%) en die toetse vir fleksor digitorum profundus en superficialis funksie (61 van 81, 76,3%) is die meeste gebruik. Vaardigheidstoetse is selde of glad nie gebruik nie. Die mees algemene redes aangevoer vir die feit dat vaardigheidstoetse nie gebruik is nie, was dat dit óf nie beskikbaar is in die respondent se werksarea nie, óf dat respondente nie vertroud is met die toetse nie. Beduidende assosiasies is gevind tussen die frekwensie van die gebruik van bepalingsmetodes en werksarea, jare ervaring in handterapie en 'n nagraadse kwalifikasie in die veld van die handterapie. Daar was 'n beduidende assosiasie tussen terapeute werksaam in privaatpraktyk en die gebruik van 'n dinamometer (p < 0,001) en terapeute werksaam in die staat en gereelde gebruik van die lokalisasie toets (p = 0.021). Terapeute met meer as vyf jaar ondervinding, sowel as diegene met ’n nagraadse kwalifikasie in handterapie was beduidend meer geneig om Semmes Weinstein monofilaments te gebruik (p = 0,034 en p < 0,001 respektiewelik). Gevolgtrekking : Die bevindinge van hierdie studie het ernstige implikasies in terme van die arbeidsterapie bepalingspraktyke van die boonste ledemaat, veral in die konteks van bewys-gebaseerde praktykvoering (evidence based practice) wat noodsaaklik geword het nie net vir die geloofwaardigheid van die beroep nie, maar ook vir die oorlewing daarvan. Inligting wat verkry is deur middel van hierdie navorsing kan help met onderrig en opleiding op 'n voor-en nagraadse vlak. Dit kan ook help om navorsing in handterapie te rig binne die Suid- Afrikaanse konteks.
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9

Smith-Forbes, Enrique V. "EXPLORATION OF FACTORS ASSOCIATED WITH PATIENT ADHERENCE IN UPPER EXTREMITY REHABILITATION: A MIXED-METHODS EMBEDDED DESIGN." UKnowledge, 2015. http://uknowledge.uky.edu/rehabsci_etds/27.

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Adherence is considered a prerequisite for the success of exercise programs for musculoskeletal disorders. The negative effects of non-adherence to exercise recommendations impact the cost of care, and also treatment effectiveness, treatment duration, the therapeutic relationship, waiting times, the efficiency of personnel and use of equipment. Adherence to therapeutic exercise intervention is a multifaceted problem. The World Health Organization (WHO) established the multidimensional adherence model (MAM). The MAM describes five interactive dimensions (socioeconomic, healthcare team and system, condition-related, therapy-related, and patient-related factors) that have an effect on patient adherence. The first purpose of this dissertation was to explore the MAM dimension of condition-related factors to determine the Quick Disabilities of the Arm Shoulder and Hand (QDASH) minimal clinical important difference (MCID) for three distal upper extremity conditions. The second purpose was to explore the MAM dimension of personal factors to learn from individuals who expressed incongruence between their QDASH and GROC scores; how they described their perceived change in therapy. The third purpose was to explore the MAM dimension of therapy-related factors to examine the effect of patient-therapist collaborative goal setting on patient adherence to treatment and QDASH outcomes. Results demonstrated in the first study that diagnosis specific MCID’s differed from the global MCID using multiple diagnoses. In the second study results demonstrated that patients expect to have a dedicated therapist who they can trust to work collaboratively with them to establish goals and spend time with them to achieve these goals. In the third study, our first hypothesis was not supported for all three measures of adherence. The median for home exercise program diary adherence was found to trend towards significance by 8.7 percent favoring the experimental group Mann-Whitney U (p < .100). Our second hypothesis was not supported. The experimental group receiving collaborative goal setting intervention had similar QDASH mean change scores 45.9±27.6 compared to the control group 46.1±23.8, Mann-Whitney U (p < .859).
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10

Regelski, Chyrsten. "Kinesio Tape has a positive effect on facilitation of the tibialis posterior muscle during walking gait." Marietta College Honors Theses / OhioLINK, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=marhonors1367091777.

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11

Skubik-Peplaski, Camille L. "ENVIRONMENTAL INFLUENCES ON OCCUPATIONAL THERAPY PRACTICE." UKnowledge, 2012. http://uknowledge.uky.edu/rehabsci_etds/23.

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Rehabilitation hospitals serve to foster a client’s independence in preparation to return home after an injury or insult. Having space in rehabilitation environments that is home-like and supportive for each client can facilitate participation in occupations and assist in learning and practicing the skills needed to transition to home. Yet, typically occupational therapists provide interventions to clients in therapy gyms with exercise and impairment based equipment. Currently the stroke population is changing and identifying the optimal rehabilitation environment is imperative to guide occupational therapy practice. This dissertation contains three studies relating to the rehabilitation environment and occupational therapy interventions. The first study focused on the perceptions of occupational therapists regarding their optimal rehabilitation environment, identifying that they would prefer to offer their clients a variety of rehabilitation environments and that there is a relationship between the environment and the type of intervention provided. A second study examined the effects of occupation-based interventions provided in a home-like environment to an individual recovering from chronic stroke with the results indicating enhanced occupational performance, resumed competence in desired roles, improvement in affected upper extremity function, and notable neuroplastic change. The final study investigated how the rehabilitation environment influenced the interventions used by the occupational therapists. The findings supported the relationship between the therapy environment and a specific intervention; working in the therapy gym with preparatory methods and being in a home-like space using occupation-based interventions. The environment influenced occupational therapy interventions and it is recommended that the occupational therapist match the client’s goals to the ideal environment for optimal intervention.
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12

Gallagher, Joanne M. "Compliance of Pressure Garments in Burn Rehabilitation." FIU Digital Commons, 1990. http://digitalcommons.fiu.edu/etd/3620.

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This study examined the pressure volumetric characteristics (compliance) of Jobst, Barton-Carey, and Tubigrip pressure garments for arms following repeated saturation with lubricating substances and repeated washing/drying cycles. The three treatment groups were each composed of one sleeve from each of the manufacturers. Each treatment group was subjected to 20 washing/drying cycles. In addition the sleeves in treatment groups 2 and 3 were saturated with cocoa butter and Lubiderm moisturizer respectively prior to each cycle. Circumferential measurements were taken on the proximal forearm of the sleeve at varying degrees of pressure (mmHg) using a Grafco Standard Sphygomanometer and a Gulick anthropometric tape measure. Measurements were taken initially and following every fifth washing/drying cycle. An analysis of variance (ANOVA) revealed significant results for the main effects and some interactions at the ,01 level. Results showed that the Jobst garments stretched with moisturisers but overall were smaller than the Barton-Carey garments which showed no change with moisturizers. The Tubigrip garments stretched more than the other garments with moisturizers but showed an overall inconsistent pattern,
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13

Gisladottir, Gunnhildur. "Occupational therapy in Iceland attitude, knowledge and cooperation." FIU Digital Commons, 1998. https://digitalcommons.fiu.edu/etd/3942.

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The purpose of this study was to discover attitudes and knowledge of four healthcare student groups toward occupational therapy in Iceland. A fact-sheet identifying philosophy, theoretical background, skills roles and occupational therapy working areas was developed. Pre-test and post-test questionnaires were used to measure any attitude and knowledge changes which might have occurred after reading the fact-sheet. The results demonstrated that the four student groups had obtained knowledge about occupational therapy during their university experiences; either from in class information or from field trips to occupational therapy departments. The questionnaire results indicated that students' attitudes toward cooperation with occupational therapists was positive. The overall outcome indicated that as a result of information gained from the fact-sheet, significant attitude and knowledge changes were demonstrated among the four student groups about occupational therapy in Iceland.
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14

Tham, Kerstin. "Unilateral neglect : aspects of rehabilitation from an occupational therapy perspective /." Stockholm, 1998. http://diss.kib.ki.se/1998/91-628-3236-0/.

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15

Eide-Corazon, Neva. "Variables which predict positive functional outcomes of rehabilitation in patients recovering from stroke." FIU Digital Commons, 2002. http://digitalcommons.fiu.edu/etd/3122.

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The purpose of this study was to identify which variables predict positive functional outcomes in rehabilitation of patients after a stroke. This study was a retrospective cohort study utilizing the Uniform Data Set from the social service records, the patient information sheet, and the quality assurance records to provide medical and demographic information. Sixty-nine patient records were included in the study. Multiple regression analysis predicting total Functional Independence Measure (FIM) at discharge was significant, (p < .001). Significant predictors included total FIM at admission, length of stay, cognitive status and average hours of therapy. Higher total FIM admission scores, longer lengths of stay, higher cognitive status and more hours of therapy resulted in higher total discharge FIM scores. Mobility sub-scale FIM at discharge was significantly predicted by total FIM at admission and average hours of therapy, (p
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16

Beukes, Susanna. "n Standaardstelling en metingskriteria vir arbeidsterapie-werkbepalingsareas." Thesis, Stellenbosch : Stellenbosch University, 2002. http://hdl.handle.net/10019.1/70264.

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Thesis (MOccTher)--Stellenbosch University, 2000.
ENGLISH ABSTRACT: The rights of people with disabilities to equal opportunities for employment is acknowledged on a national and international level. A key area whereby this can be addressed is through effective vocational rehabilitation programmes in occupational therapy. The delivery of high quality health care services is an important issue for the consumer and government within the health arena. This implies that standards have to be developed for the various services. The standards will serve the purpose of activating quality assurance and quality improvement processes in all health care services. Vocational rehabilitation of people with disabilities and the emphasis that is placed on good quality care, resulted in the question: "How can occupational therapists ensure that they will deliver a good quality service in a vocational assessment area?". The question is posed specifically in terms of the assessment of a person's work abilities, as this step is viewed as most important in the vocational rehabilitation process. The step(s) that follow will be determined by the results obtained from the assessment. The purpose of the study is to identify a standard statement and generic measurement criteria that will be used to set the standards for Structure, Process and Outcome for vocational assessment areas. The establishment of measurement criteria is viewed as a starting point in the quality assurance cycle. The results of the study will initiate quality assurance and quality improvement in vocational assessment areas. Although the role of the occupational therapist is clearly delineated regarding vocational rehabilitation and the importance of the occupational therapy contribution recognised in this regard, could no information pertaining to standards and measurement criteria for work assessment areas be identified through a literature study. It was therefore decided to develop a standard statement and measurement criteria according to the Donabedian Model of Structure, Process and Outcome for vocational assessment areas in South Africa. Occupational therapists with at least one year experience of vocational rehabilitation of patients were requested to rate the proposed standard statements and measurement criteria. A survey method (adapted Delphi method) was used whereby the participants had to rate the proposed standard statements and measurement criteria on a four-point scale. The results obtained were used to draw up a standard statement and measurement criteria to ensure that quality assurance and quality improvement will become a reality in vocational assessment areas in South Africa.
AFRIKAANSE OPSOMMING: Die regte van persone met gestremdhede tot gelyke indiensneming word op nasionale en internasionale vlak erken. Die aanbieding van effektiewe werkrehabilitasieprogramme deur arbeidsterapeute is een van die belangrikste wyses waarop die situasie aangespreek kan word. Die lewering van hoë gehalte gesondheidsdienste word toenemend deur die verbruikers en die staat vereis. Dit impliseer dat standaarde vir die dienste vasgestel moet word om gehalteverbetering en gehalteversekering in gesondheidsdienste te vestig. Werkrehabilitasie van persone met gestremdhede en die kwessie van hoë gehalte dienste het die volgende vraag laat ontstaan: "Hoe kan die arbeidsterapeut verseker dat 'n hoë gehalte diens in 'n werkbepalingsarea gelewer word?". Die vraag handel spesifiek oor die bepaling van 'n persoon se werkvermoëns aangesien dié stap as baie belangrik binne die werkrehabilitasieprogram beskou word. Die stap(pe) wat hierna sal volg, salop besluit word na aanleiding van die resultate van die bepaling. Die doel van die studie is om 'n standaardstelling en generiese metingskriteria volgens Donabedian se model te identifiseer om die standaarde vir die Struktuur, Proses en Uitkoms van werkbepalingsareas in Suid-Afrika daar te stel. Die bogenoemde metingskriteria sal dit moontlik maak om die gehalteversekeringsiklus te inisieër. Gehalteversekering en gehalteverbeteringsaksies sal as gevolg hiervan in werkbepalingsareas kan plaasvind. Ten spyte van die feit dat die rol van die arbeidsterapeut in werkrehabilitasie duidelik uiteengesit is en die belang daarvan erken word, kon geen inligting oor 'n standaardstelling en metingskriteria vir werkbepalingsareas in die literatuur gevind word nie. Arbeidsterapeute met minstens een jaar ondervinding van werkrehabilitasie van pasiënte het hulle menings ten opsigte van 'n standaardstelling en metingskriteria uitgespreek. 'n Opname metode (gewysigde Delphi metode) is gebruik en deelnemers het op 'n vierpuntskaal hul voorkeure ten opsigte van 'n standaardstelling en metingskriteria aangedui. Die resultate wat op dié wyse bekom is, is gebruik om 'n finale standaardstelling en voorkeur metingskriteria voor te stel. Die gebruik hiervan in werkbepalingsareas sal daartoe lei dat gehalteversekering en gehalteverbetering in dié areas in Suid-Afrika tot uitvoer gebring sal word.
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17

Binett, Nivia Liz. "The relationship between Common Language and Length of Treatment in Occupational Therapy." FIU Digital Commons, 1995. http://digitalcommons.fiu.edu/etd/1679.

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The diversity of ethnic and cultural groups and the effects of language in the therapeutic relationship are timely professional issues of concern to occupational therapy practitioners. The tri-ethnic, tri-cultural South Florida area offers a natural environment where one can study how patient-therapist interactions are influenced by language barriers in a diverse society. This study examines the effects of language on the adequacy of occupational therapy services, specifically how language affects the length of the treatment program. The nature of diagnosis therapists' ethnicity, and how they impact treatment outcomes are also addressed. A sample was drawn from the occupational therapy outpatient department of a large county hospital. Data taken from patients' charts examined race, sex, age, diagnosis, and language. Number of treatment sessions and length of treatment were viewed as proxy measures for adequacy. Findings indicate that the effect of language cannot be understood aside from ethnicity. Implications for occupational therapy practice are discussed.
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18

Hall, Courtney D., Dara Meldrum, Gary P. Jacobson, and Neil T. T. Shephard. "The Aging Vestibular System: Implications for Rehabilitation." Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/etsu-works/476.

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Book Summary: Balance Function Assessment and Management, now in its second edition, continues to comprehensively address the assessment and treatment of balance system impairments through contributions from top experts in the areas of dizziness and vertigo. Designed for use in graduate audiology programs and by practicing audiologists, this is also a valuable text for those in the fields of physical therapy, otolaryngology, and neurology. Assessment chapters focus on ocular motility testing, positional/positioning testing, caloric testing, rotational testing, computerized dynamic posturography, and vestibular evoked potentials. Treatment chapters examine nonmedical, medical, and surgical treatments of dizziness and vertigo, vestibular rehabilitation, and assessment of and intervention for risk of falls. Additionally, this text provides background information on the vestibular and ocular motor systems with corresponding sample cases. New topics addressed in this edition include: Development of the vestibular system Central compensation following peripheral vestibular system impairment Video head impulse test (vHIT) Biomechanics and physiology of balance Electrocochleography (ECochG) Pediatric vestibular system and balance assessment Effects of age on the vestibular and balance systems An added bonus to the second edition is the companion website that offers additional reference materials, such as video clips, associated with the text.
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19

Hall, Courtney D., Dara Meldrum, and Susan L. Whitney. "The Role of Emerging Technologies in Vestibular Rehabilitation." Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/etsu-works/480.

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Book Summary: Recognized as two of the world's leading authorities on the subject, Susan Herdman and Richard Clendaniel, joined by a team of expert contributors, deliver the 4th Edition of the field's definitive text on the management of vestibular diseases and disorders. From assessment through therapy, they present the scientific and clinical knowledge you need to distinguish between vestibular and non-vestibular dizziness and to plan and implement the appropriate treatments.
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Hall, Courtney D. "The Role of Emerging Technologies in Rehabilitation." Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/etsu-works/583.

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21

Toal-Sullivan, Darene. "A sociocultural perspective of professional transition in occupational therapy." Thesis, University of Ottawa (Canada), 2003. http://hdl.handle.net/10393/26404.

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This qualitative study explored the experience of professional transition from student to practitioner among six Canadian occupational therapists in the first year of their career, with a focus on how beginning practitioners learn about doing practice. A sociocultural theory of learning provided the framework to understand the role of context and activity in learning. Data collection consisted of two semi-structured interviews and a series of journal entries. An initial interview was conducted with each participant beginning in their third to fifth month of practice to discover their perception of transition, their learning needs, and the role of collaborative interactions in supporting their learning. Each participant then maintained a journal of their experience of transition and their learning experiences for one month A second interview was held with the participants in their eighth to tenth month of practice, which focussed on their change in knowledge and skills. The transitional experiences of the research participants revealed that the support of colleagues and peers was critical to their learning and eased their adjustment to practice. They preferred to learn from an experienced occupational therapist, and the availability of this support influenced the new practitioners' choice of their first job. In their initial months of practice they struggled with their lack of practical experience, responsibilities of client care, challenges to client-centred practice and competing work demands. Their relationship with clients was particularly valuable to the participants' learning and professional identity. Mentoring and implementing practical learning experiences in the university curriculum were suggested as strategies for easing the transition from student to therapist. The role of client interaction as a valuable source of learning was also recognized.
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Scheiman, Nicole Renee. "Comprehensive Occupational Therapy in a Breast Cancer Program." NSUWorks, 2018. https://nsuworks.nova.edu/hpd_ot_student_dissertations/63.

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The purpose of this capstone project is to develop an evidenced-based, innovative, and comprehensive occupational therapy evaluation and intervention protocol for breast cancer care. The contents of this paper will include an introduction into the current care provided to survivors, literature review on best practice in breast cancer care, outline of the procedures completed to discover what best practice care should be, results of these procedures, discussion of the results, and conclusion with proposed program and recommendations for further investigation. The concern investigated is the inconsistencies in care provided to survivors from the time of diagnosis throughout their lifespan or survivorship. A body of growing evidence supports the important need to address functional performance from the point of diagnosis through treatment and survivorship. A model of rehabilitation-based care has been put forward by the American Cancer Society as an optimal construct, however, there are significant inconsistencies in how this model is being leveraged to support breast cancer patients. These inconsistencies occur from cancer center to cancer center and even from physician to physician within the same cancer center. Participants in this capstone project include experts from the on-site residency, interviews with subject-matter experts and survivors as part of a focus group. The essential features of the methods used to discover best practice include a literature review, onsite residency, participation in an International Cancer Summit, continuing education, and completion of a focus group. Results indicate that additional services are needed in order to have an evidenced-based, innovative, and comprehensive occupational therapy breast cancer program. Conclusions provided aim to diminish inconsistencies in the current care being provided to this population.
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Gamieldien, Fadia. "Perspectives of male mental health service users on their community integration following participation in a residential-based rehabilitation programme." Master's thesis, University of Cape Town, 2015. http://hdl.handle.net/11427/15604.

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Current re-engineering of primary mental health care in South Africa is directed towards providing a continuum of care for people with serious mental disorders in order to relieve the cost and resource burden of longterm hospitalisation. In the Western Cape, Healthcare 2030 has been adopted as the guiding vision for health system reform. Residential-based rehabilitation programmes have been introduced to assist mental health service users to improve their functioning in occupations of daily life so that they are better equipped to cope with community living. Problem: There is limited South African occupational therapy research into male mental health service users' perspectives on the contribution that residential-based rehabilitation programmes makes to their community integration, despite the high numbers of males using the service. Purpose: To inform public mental health services on the contribution of a residential-based rehabilitation programme to the community integration of men with serious mental disorders. Research question: How does participation in a residential-based rehabilitation programme contribute to the community integration of men with serious mental disorders? Objectives of the study: To identify what men with serious mental disorders consider community integration to be, and to describe the key elements within the residential-based rehabilitation programme that influenced their community integration. Research design and methodology: An instrumental case study design was used to guide the research methodology and five male participants were identified through purposive sampling. Observations, semi-structured interviews, community maps and document analysis w ere used as data collection tools. Data was audio-recorded and transcribed f or inductive and thematic cross-case analysis. Ethical principles of beneficence, autonomy and non-maleficence were upheld throughout the research process. Findings: One theme and three categories emerged in the findings. The theme, 'It's a catch-22 situation', comprises three categories, namely: 'It's not just what you call it'; 'There's no one size for all'; and 'It's tricky choosing between places to go and things to do'. Conclusion: Male mental health service users who participate in a residential-based rehabilitation programme will be better prepared for community integration if they are involved in co-constructing their recovery plan so that it is more personalised.
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Ryan, Susan Jennifer. "Instructor competencies required for effective fieldwork supervision of occupational therapy and physical therapy students." Thesis, University of British Columbia, 1987. http://hdl.handle.net/2429/26911.

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The absence of clearly defined competencies to guide the development of educational programs for occupational therapy and physical therapy fieldwork instructors provided the impetus for this research. A primary objective of the study was to identify the competency categories and the competencies which occupational therapy and physical therapy fieldwork instructors, and occupational therapy and physical therapy students perceived to be important in determining the effectiveness of a student's fieldwork experience. A review of the literature in occupational therapy, physical therapy, and related health professions identified a pool of fieldwork instructor competencies from which 105 competencies were selected for the study questionnaire. The questionnaire was administered to 34 occupational therapy and 37 physical therapy students from the University of British Columbia, and to 59 occupational therapy and 76 physical therapy fieldwork instructors in British Columbia. A response rate of 87% was obtained. Respondents' ratings of importance of the competency categories and of the most important competencies were similar to previous research findings. Communication and supervisory behaviours were rated as most important in contributing to the effectiveness of a student's fieldwork experience. The majority of the competencies which were ranked as most important belonged to these two categories. Consistent with previous research, the professional competence category and the competencies which were assigned to it were deemed least important in contributing to the effectiveness of a student's fieldwork experience. Group differences in ratings of importance were tested using a factorial design. The two-way and three-way analyses of variance, a multivariate analysis of variance and subsequent multiple comparison tests revealed only one significant main effect. Physical therapy students' ratings of importance differed significantly from the occupational therapy and physical therapy fieldwork instructors (p< .05). While this significant difference was identified from the analysis, examination of the mean ratings of the competencies showed a consistent pattern of low, moderate or high ratings among all of the groups. Participants in the study confirmed that the competencies included in the questionnaire were important in contributing to the effectiveness of a student's fieldwork experience. However, the literature suggests that the most important outcome will be the use of the competencies to guide the development of standardized educational programs for occupational therapy and physical therapy fieldwork instructors.
Education, Faculty of
Curriculum and Pedagogy (EDCP), Department of
Graduate
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25

Lidström, Holmqvist Kajsa. "Occupational therapy practice for clients with cognitive impairments following aquired brain injury : occupational therapists' perspective." Doctoral thesis, Örebro universitet, Institutionen för hälsovetenskap och medicin, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-26007.

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The overall aim of this thesis was to describe occupational therapy practice for clients with cognitive impairment following acquired brain injury (CIABI) from the perspective of practicing occupational therapists (OTs). To fulfill this aim, qualitative and quantitative approaches were used including interviews (Study I) and questionnaires (Studies II -IV). Based on the qualitative descriptions generated in Study I, a questionnaire was developed and evaluated for content validity and test-rest validity (Study II). The questionnaire was then used in a survey (Study III). The reactive Delphi technique was used to empirically define the aspects that OTs found to be consistent with the concept of therapeutic use of self (Study IV). The results showed that a predominant practice pattern was the use of ADL activities for intervention regardless of whether limitations in occupational performance or cognitive function were assessed, or whether the approach to therapy was remedial or compensatory. General ADL-instruments were used more than instruments focused on impairment level. Therapies covering a wide range of cognitive impairments, and abilities important to organizing and executing occupational performance were commonly targeted. Therapies targeting clients’ activity limitations were prioritized before remediating impairment. Therapeutic use of self was regarded as being important and the results identified clientspecific aims not earlier described in relation to therapeutic use of self. Another prominent practice pattern was the collaborative approach toward clients, relatives, and other staff. Theories used to support practice were primarily general. Occupational therapy practice for clients with CIABI was found to be complex, and the practice patterns were affected by circumstances such as the ‘hidden’ nature of the cognitive impairments, perceived lack of knowledge, and organizational issues. The results of this thesis can be used as a foundation for further research on practice patterns or the specific therapies used. It can facilitate discussions on strengths and weaknesses witcurrent practice, the need for development, and research utilization.
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Danzl, Megan M. "Developing the Rehabilitation Education for Caregivers and Patients (RECAP) Model: Application to Physical Therapy in Stroke Rehabilitation." UKnowledge, 2013. http://uknowledge.uky.edu/rehabsci_etds/12.

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Patient and caregiver education is recognized as a critical component of stroke rehabilitation and physical therapy practice yet the informational needs of stroke survivors and caregivers are largely unmet and optimal educational interventions need to be established. The objective of this dissertation was to develop a theory and model of “Rehabilitation Education for Caregivers and Patients” (RECAP) in the context of physical therapy and stroke rehabilitation, grounded in the experiences and perceptions of stroke survivors, their caregivers, and physical therapists. Qualitative research methods with a novel grounded theory approach were used. Potential constructs of RECAP were identified from existing research. Next, semi-structured interviews were conducted with 13 stroke survivors and 12 caregivers from rural Appalachian Kentucky, a region with high incidence of stroke and lower levels of educational attainment. Lastly, 13 physical therapists, representing inpatient rehabilitation, outpatient, and home health, were recruited and participated in pre-interview reflection activities and interviews. Data analysis involved predetermined and emerging coding and a constant comparative method was employed. Verification strategies included self-reflective memos, analytic memos, peer debriefing, and triangulation. The theory generated from this dissertation is: physical therapists continually assess the educational needs of stroke survivors and caregivers, to participate in dynamic educational interactions that involve the provision of comprehensive content, at a point in time, delivered through diverse teaching methods and skilled communication. This phenomenon is influenced by characteristics of the physical therapist and receiver (stroke survivor/caregiver) and occurs within the context of the physical therapist’s professional responsibility, the multidisciplinary team, a complex healthcare system, and the environmental/socio-cultural context. The RECAP theoretical model depicts the relationships between the core and encompassing constructs of the theory. The RECAP theory and model presents a significant advancement in the study of patient and caregiver education in physical therapy in stroke rehabilitation. This research provides a springboard to inform future research, guide RECAP in stroke physical therapy practice, design optimal educational interventions, develop training tools for entry-level curriculum and practicing clinicians, and to potentially translate to the practice of patient and caregiver education for other rehabilitation professionals and patient populations.
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Kammerlind, Ann-Sofi. "Vestibular rehabilitation therapy in dizziness and disequilibrium /." Linköping : Univ, 2005. http://www.bibl.liu.se/liupubl/disp/disp2005/med914s.pdf.

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28

Eklund, Elisabet, and Eva Johansson. "Arbetskravsanalyser av arbetsuppgifter i Hälsans trädgård i Linköping utifrån The Revised Handbook for Analyzing Jobs (RHAJ)." Thesis, Linköping University, Department of Neuroscience and Locomotion, 2006. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-7917.

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Hälsans Trädgård is a project which is going to start in Gamla Linköping, Sweden. The authors were commissioned by Arbetslivsresurs, a company working with work rehabilitation, to select, define and make job analyses on five work tasks at Hälsans Trädgård in Gamla Linköping. A job analysis means an analysis of the demands the job make of the individual. The job analysis used in this study is called The Revised Handbook for Analyzing Jobs (RHAJ) and is from the US Department of Labor (DOL). As RHAJ is an American instrument, the authors produced a form where the concepts are translated into Swedish to make the analysis easier. The areas that were analyzed according to the RHAJ were: worker functions, general educational development, specific vocational preparation, aptitudes, temperaments, and physical demands and environmental conditions. The five work tasks that were analyzed at Hälsans Trädgård were: “Raking”, “Planting flowers”, “Weeding”, “Shoveling snow” and “Portraying Lisa”. The result shows that the five work tasks make low demands on the individual and that none of the tasks demand mathematical development. The task “Portraying Lisa” was the task which, in most cases, made the most demands on the individual. The discussion proposes how the work tasks can be more complex. The authors suggest investigations that test the RHAJ for validity and reliability and that the RHAJ in full be translated into Swedish and tested under Swedish circumstances in future research.

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Campanile, Loredana. "Effective clinical instruction : selection of behaviours by occupational therapy clinical supervisors." Thesis, McGill University, 1992. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=56962.

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The present study surveyed occupational therapy clinical supervisors working in a number of university affiliated hospitals in the Montreal area, via a mail questionnaire. Therapists were first asked to rate the importance of behaviours in facilitating student learning during clinical instruction. Then they were asked to report their attendance at continuing education courses on clinical instruction. The relationship between attendance at these courses, number of years of clinical experience and rating of behaviours was investigated. Therapists with few years of clinical experience had a low rate of attendance and rated behaviours as important more frequently. Therapists who attended a course rated behaviours as important less frequently. Behaviours rated as most important belonged to the area of communication, followed by the areas of teaching and interpersonal relationships. The results of this study demonstrated that a workshop on clinical instruction would benefit therapists by improving their clinical supervisory skills.
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30

Bakken, Annika, and Morine Kalulanga. "Delaktighet vid rehabilitering i hemmet för personer med stroke : - en litteraturstudie." Thesis, Örebro University, School of Health and Medical Sciences, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-10787.

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Syfte: Att belysa hur faktorer inom områdena person, miljö och sysselsättning kan påverka delaktigheten hos personer med stroke vid rehabilitering i hemmet. 

Metod: Genom en litteraturstudie har tio vetenskapliga artiklar av kvalitativa och kvantitativ art analyserats utifrån Internationell klassifikation av funktionstillstånd, funktionshinder och hälsa (ICF) och Person Environment Occupation Model (PEO).

Resultat: Resultatet visade att vårdtagare som rehabiliterats i sin hemmiljö upplever mer delaktig i rehabiliteringen i jämförelse med vårdtagare som har genomgått sin rehabilitering på sjukhus. Betydelsefulla faktorer till den ökade delaktigheten är bland annat att vårdgivare får anpassa sig till vårdtagaren, som därmed får ett ökat medbestämmande. Vårdtagare upplever en trygghet när rehabiliteringen äger rum i hemmet, eftersom det är där de har sina gamla aktivitetsmönster. Vårdgivare får även större möjligheter att identifiera vilka aktiviteter som tidigare varit meningsfulla för vårdtagaren. Minskad delaktighet kopplas i flera studier till informationsbrist hos vårdtagarna angående deras nya livssituation och rehabiliteringsinsatser. The Canadian Occupational Performance Measure (COPM) är en klientcentrerad modell som visat stor användbarhet i att få vårdtagare delaktiga i rehabiliteringsprocessen, och då inte minst när det gäller information till vårdtagaren. Litteraturen visade även att det finns brister i samhällsresurser för att personer som drabbats av stroke ska uppleva delaktighet.                                                                         

Slutsats: För att kunna göra en person delaktig vid rehabilitering i hemmet krävs det att åtgärderna utformas och genomförs i samråd med vårdtagaren. Vårdtagaren ska också få individuellt anpassad information om rehabiliteringsinsatser och förvärvat hälsotillstånd. Ett sätt att främja för vårdtagares optimala delaktighet är att ta hjälp av bedömningsinstrumentet COPM i rehabiliteringsprocessen. Ett bra stöd från samhället är en förutsättning för att bidra till delaktighet hos personer som drabbats av stroke.

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31

Hall, Courtney D. "Management of Dizzy Patient." Digital Commons @ East Tennessee State University, 2016. https://dc.etsu.edu/etsu-works/559.

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32

Wiley, Steve. "Lived experiences of physical therapists in inpatient rehabilitation facilities : an interpretive phenomenological analysis." NSUWorks, 2013. http://nsuworks.nova.edu/hpd_pt_stuetd/28.

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33

KELLEY, GEORGE. "A PATIENT-CENTERED WORKFLOW AUTOMATION SYSTEM FOR OCCUPATIONAL AND PHYSICAL THERAPY." University of Cincinnati / OhioLINK, 2007. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1178052133.

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34

Fasth, Maria, and Anna Hedberg. "Kartläggning av utredningsprocessen vid Arbetsförmedlingen Rehabilitering i Sverige : en pilotstudie." Thesis, Linköping University, Department of Neuroscience and Locomotion, 2005. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-4105.

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The Swedish National Labour Market Administration wishes to acquire further knowledge about how the evaluation process of vocational rehabilitation at the employment service operates as a part of the quality assurance of this activity. The primary task for vocational rehabilitation at the employment service is to investigate the work capacity of unemployed people, to give them increased knowledge and better understanding of their own capacity concerning work or education. The aim of this study was to survey the evaluation process of vocational rehabilitation at the employment service in Sweden. Data were collected through telephone interviews with 15 occupational therapists employed at the employment service, who were working with vocational rehabilitation. The result shows that the investigation of work capacity can take place in different environments and that the space of time for an investigation can vary. During the evaluation process, different types of data collection methods are used. Nevertheless, the result shows that the evaluation process begins and ends in similar ways. Further studies to validate the result would be interesting. These could be done through quantitative studies, for example by sending questionnaires based on the result of this study.

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35

Basobas, Brittani A. "Psychometric Properties of the National Institutes of Health Stroke Scale in Post Acute, Minimally Impaired Stroke Survivors." The Ohio State University, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=osu1460457853.

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36

Canyock, John David. "The effect of three positions of shoulder flexion on grip strength." FIU Digital Commons, 1997. http://digitalcommons.fiu.edu/etd/2032.

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This study investigated the effect of shoulder position on grip strength in 30 female students from Florida International University. A Jamar dynamometer was used to measure the grip strength in three testing positions (0,90 and 135 degrees of shoulder flexion with full elbow extension). The highest mean grip strength measurement was found at 135 degrees of shoulder flexion, followed by 0 degrees and then 90 degrees. An ANOVA indicated that there was a significant difference between at least two of the three positions. A Fisher's LSD post hoc test indicated that mean grip strength at 135 degrees of flexion was significantly higher than at 0 and 90 degrees of flexion.
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Foley, Kathleen T. "Occupational therapy professional students. Level II Fieldwork experience is it broken? /." [Bloomington, Ind.] : Indiana University, 2007. http://gateway.proquest.com/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqdiss&rft_dat=xri:pqdiss:3283103.

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Thesis (Ph.D.)--Indiana University, Dept. of Higher Education, 2007.
Source: Dissertation Abstracts International, Volume: 68-09, Section: A, page: 3756. Adviser: Nancy Chism. Title from dissertation home page (viewed May 8, 2008).
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Adams, Karen T. "Goal setting for occupational therapists and patients with spinal cord injuries." The Ohio State University, 2010. http://rave.ohiolink.edu/etdc/view?acc_num=osu1267574104.

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39

Herdman, Susan J., Courtney D. Hall, Brian Maloney, Sara Knight, Marti Ebert, and Jessica Lowe. "Variables Associated with Outcome in Patients with Bilateral Vestibular Hypofunction: Preliminary Study." Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/etsu-works/556.

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BACKGROUND: Vestibular rehabilitation (VR) improves symptoms and function in some but not all patients with bilateral vestibular hypofunction (BVH). OBJECTIVE: The purpose of this retrospective study was to examine change following vestibular rehabilitation and to identify factors associated with rehabilitation outcome in patients with BVH. METHODS: Data from 69 patients with BVH were analyzed. Factors studied included patient characteristics, subjective complaints and physical function. Outcome measures included symptom intensity, balance confidence, quality of life, gait speed, fall risk, and dynamic visual acuity. Bivariate correlations were used to examine relationships of patient characteristics and baseline measures with outcome measures. One-way ANOVAs were used to compare outcomes in patients with BVH versus unilateral vestibular hypofunction (UVH). RESULTS: As a group, patients with BVH improved in all outcome measures except disability following a course of vestibular rehabilitation (VR); however, only 38-86% demonstrated a meaningful improvement, depending on the specific outcome measure examined. Several factors measured at baseline - age, DGI score, gait speed and perceived dysequilibrium - were associated with outcomes. For example, greater age was related to higher DVA scores at discharge; lower initial DGI scores were related to higher Disability scores at discharge. Compared to patients with UVH, reported previously [9], a smaller percentage of patients with BVH improve and to a lesser extent. CONCLUSION: Consideration of baseline factors may provide guidance for setting patient goals. Further research is needed determine what factors predict outcome and to develop more effective treatment strategies for those patients who do not improve.
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MacLean, Fiona. "Framing occupational therapists' knowledge and beliefs of alcohol misuse in physical health care settings." Thesis, Queen Margaret University, 2016. https://eresearch.qmu.ac.uk/handle/20.500.12289/7401.

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Background: Research exploring occupational therapists’ knowledge, beliefs and practice associated with alcohol misuse in physical health care settings is scarce, despite the recognition that professionals are likely to work with people who misuse alcohol irrespective of practice context. Furthermore, the relationship between pre-registration occupational therapy education and practice in the area of alcohol misuse is currently poorly understood. Aims: This critical appraisal aims to (a) frame the knowledge gaps and existing knowledge of occupational therapists related to alcohol misuse in physical health care settings, through the findings of five prima facie case papers and; (b) align this framed knowledge to wider professional literature in order to extend professional understanding of the relationship between education and practice, associated with alcohol misuse in physical health care settings. Methodology: A gap analysis approach was selected and modified to provide a way of critically introspecting and occupationally classifying the gaps in, and existing knowledge of, student occupational therapists, practitioners and educators linked to physical health care settings and alcohol misuse, as reported in the five papers. The introspective data linked to gaps and existing knowledge was unified and general inductive qualitative analysis undertaken. One practitioner working in physical assessment for older people in an acute hospital, and one occupational therapy educator provided stakeholder feedback of the tentative themes generated, further refining the analysis of data. Findings: Two themes emerged from the analysis of data; delimiters of professional education and conceptual contradictions. These indicate there is a need to educate ‘educators’ concerning the value of teaching alcohol-related policy as part of educational programmes, and in raising the visibility of alcohol as a topic. Therapists valued the Person Environment Occupation Model (PEO Model), however the essence of ‘transaction’ fundamental to this model, lacks fidelity in practice. Practitioners appear to separate out the entities of person and environment, placing greater emphasis on the observable aspects of the environment rather than the person, to support timely discharge. Thus, current practice in physical health care supports a process of occupational evaporation connected to alcohol misuse. Conclusion: These findings help to inform the future direction of educational and practice developments connected to patients’ alcohol misuse in physical health care settings, and in so doing, advance and re-emphasise the importance of the centrality of occupation to service delivery.
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41

Martin, Sanford Paul Jr. "A study of the relationship between age and performance on computer -assisted rehabilitation tasks for children." W&M ScholarWorks, 2000. https://scholarworks.wm.edu/etd/1539618356.

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The purpose of this study was to investigate relationships between performance by children on computerized rehabilitation tasks, age and standardized assessment instruments. It was hypothesized that children's performance would differ by age on standardized assessment instruments and computer tasks developed for rehabilitation of attention, visual/perceptual and visual memory skills.;Two hundred five children from three schools in Chesapeake, Virginia, completed the Benton Visual Retention Test - Administration C, the Trail Making Test (B), and six computer tasks. Significant correlation was found between age, and both assessment instruments as well as five of the computer tasks. Standardized instruments correlated with one of each type of computer task for attention, visual/perceptual and visual memory skills. Additionally, correlation was found between one computer program and the Trail Making Test for visual/perceptual skills.;Further study is needed to develop standardization of these computer tasks for use rehabilitation of attention, visual/perceptual and memory skills dysfunction.
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42

Ståhl, Martinsson Malin, and Linda Ingemarsson. "Arbetsterapi för personer med HIV/AIDS : Occupational therapy for persons with HIV/AIDS." Thesis, Örebro University, Department of Health Sciences, 2006. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-747.

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Bakgrund: Varje dag smittas i genomsnitt cirka 14 000 personer av HIV i världen. Ny behandling har gjort att dessa patienter idag lever längre. Sjukdomsförlopp samt komplikationer går inte att förutsäga utan är individuellt. Eftersom personer med HIV/AIDS-diagnos nu lever längre kommer behovet av arbetsterapeutiska insatser att öka. Syfte: Syftet med studien är att beskriva arbetsterapeutiska insatser för personer med HIV/AIDS samt vilken roll arbetsterapeuten har i arbetet kring dessa personer. Metod: En systematisk litteraturstudie gjordes för att få svar på syftet. Resultat: Vi har kommit fram till att arbetsterapeutiska insatser för personer med HIV/AIDS kan delas in i fem teman; Handledning, Hjälpmedel och anpassning, Undervisning, Förhållningssätt samt Existentiella frågor och andlighet. Arbetsterapeuten hjälper patienten att formulera målsättningar och att uppnå ökad självständighet genom att bland annat tillhandahålla hjälpmedel och bedriva utbildning. HIV/AIDS-patienters bakgrund är viktig att tänka på då den kan visa hur mottaglig en patient är för olika arbetsterapeutiska behandlingsmetoder. Slutsats: Arbetsterapeutiska insatser som används i arbetet med HIV/AIDS-patienter skiljer sig inte mot insatser riktade till andra patientgrupper.

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Paloniemi, Katri. "Impacts of goal setting on engagement and rehabilitation outcomes following aquired brain injury : A systematic review." Thesis, Högskolan i Jönköping, Hälsohögskolan, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-41166.

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Purpose: To appraise and synthesize the available evidence from previous systematic reviews concerning the impacts of goal setting on engagement in the rehabilitation process and on outcomes of participation and occupational performance for individuals with acquired brain injury (ABI). Material and method: Systematic review of systematic reviews. From a total of 175 hits in the search which was conducted in two parts, 16 full text articles were assessed for eligibility, from which four were selected to be included in the review. Results: Four systematic reviews of moderate quality consisting of variety of methodologies were included. The empirical evidence was limited but supportive that goal directed interventions may contribute to better engagement in rehabilitation and better outcomes of occupational performance. Limited evidence suggested that goal setting improved adherence to the treatment regimens and that patient’s active participation in goal setting had positive impact on patients and their engagement in the process. Findings suggested that goal-directed interventions, particularly in outpatient rehabilitation, may improve patients’ occupational performance. Findings related to participation outcomes were minimal. Conclusion: Goal setting is a complex and multidimensional process. Goal setting may contribute to improved engagement in rehabilitation and occupational performance outcomes for patients with ABI.

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44

Hall, Courtney D., Susan J. Herdman, Susan L. Whitney, Stephen P. Cass, Richard A. Clendaniel, and Terry D. Fife. "Vestibular Rehabilitation for Peripheral Vestibular Hypofunction: An Evidence-Based Clinical Practice Guideline." Digital Commons @ East Tennessee State University, 2016. https://dc.etsu.edu/etsu-works/543.

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Background: Uncompensated vestibular hypofunction results in postural instability, visual blurring with head movement, and subjective complaints of dizziness and/or imbalance. We sought to answer the question, “Is vestibular exercise effective at enhancing recovery of function in people with peripheral (unilateral or bilateral) vestibular hypofunction?” Methods: A systematic review of the literature was performed in 5 databases published after 1985 and 5 additional sources for relevant publications were searched. Article types included meta-analyses, systematic reviews, randomized controlled trials, cohort studies, case control series, and case series for human subjects, published in English. One hundred thirty-five articles were identified as relevant to this clinical practice guideline. Results/Discussion: Based on strong evidence and a preponderance of benefit over harm, clinicians should offer vestibular rehabilitation to persons with unilateral and bilateral vestibular hypofunction with impairments and functional limitations related to the vestibular deficit. Based on strong evidence and a preponderance of harm over benefit, clinicians should not include voluntary saccadic or smooth-pursuit eye movements in isolation (ie, without head movement) as specific exercises for gaze stability. Based on moderate evidence, clinicians may offer specific exercise techniques to target identified impairments or functional limitations. Based on moderate evidence and in consideration of patient preference, clinicians may provide supervised vestibular rehabilitation. Based on expert opinion extrapolated from the evidence, clinicians may prescribe a minimum of 3 times per day for the performance of gaze stability exercises as 1 component of a home exercise program. Based on expert opinion extrapolated from the evidence (range of supervised visits: 2-38 weeks, mean = 10 weeks), clinicians may consider providing adequate supervised vestibular rehabilitation sessions for the patient to understand the goals of the program and how to manage and progress themselves independently. As a general guide, persons without significant comorbidities that affect mobility and with acute or subacute unilateral vestibular hypofunction may need once a week supervised sessions for 2 to 3 weeks; persons with chronic unilateral vestibular hypofunction may need once a week sessions for 4 to 6 weeks; and persons with bilateral vestibular hypofunction may need once a week sessions for 8 to 12 weeks. In addition to supervised sessions, patients are provided a daily home exercise program. Disclaimer: These recommendations are intended as a guide for physical therapists and clinicians to optimize rehabilitation outcomes for persons with peripheral vestibular hypofunction undergoing vestibular rehabilitation.
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45

Bhatti, Pamela T., Susan J. Herdman, Siddarth Datta Roy, Courtney D. Hall, and Ronald J. Tusa. "A Prototype Head-Motion Monitoring System for In-Home Vestibular Rehabilitation Therapy." Digital Commons @ East Tennessee State University, 2012. https://dc.etsu.edu/etsu-works/550.

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This work reports the use of a head-motion monitoring system to record patient head movements while completing in-home exercises for vestibular rehabilitation therapy. Based upon a dual-axis gyroscope (yaw and pitch, ± 500-degrees/sec maximum), angular head rotations were measured and stored via an on-board memory card. The system enabled the clinician to document exercises at home. Several measurements were recorded in one patient with unilateral vestibular hypofunction: The total time of exercise for the week (118 minutes) was documented and compared with expected weekly exercise time (140 minutes). For gaze stabilization exercises, execution time of 60 sec was expected, and observed times ranged from 75-100 sec. An absence of rest periods between each exercise instead of the recommended one minute rest period was observed. Maximum yaw head velocities from approximately 100-350 degrees/sec were detected. A second subject provided feedback concerning the ease of use of the HAMMS device. This pilot study demonstrates, for the first time, the capability to capture the head-motion “signature” of a patient while completing vestibular rehabilitation exercises in the home and to extract exercise regime parameters and monitor patient adherence. This emerging technology has the potential to greatly improve rehabilitation outcomes for individuals completing in-home gaze stabilization exercises 1 .
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46

Hackney, Madeleine E., Courtney D. Hall, Katharina V. Echt, and Steven L. Wolf. "Application of Adapted Tango as Therapeutic Intervention for Patients With Chronic Stroke." Digital Commons @ East Tennessee State University, 2012. https://dc.etsu.edu/etsu-works/553.

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Background and Purpose: Dance has demonstrated beneficial effects on mobility in older individuals with movement disorders; yet, effects of partnered dance remain unexamined in individuals with chronic stroke. The purpose of this study was to describe the effects of adapted tango classes on balance, mobility, gait, endurance, dual-task ability, quality of life (QOL), and enjoyment in an older individual with chronic stroke and visual impairment. Case Description: D.L. was a 73-year-old African American man, 13 years poststroke with spastic hemiplegia, visual impairment, and multiple comorbidities. Intervention: D.L. attended 20 1?-hour tango classes adapted for older individuals with sensory and motor impairments over 11 weeks. Outcomes: Measures of balance, mobility, gait, endurance, dual-task ability, and QOL were evaluated before and after the intervention and at 1-month follow-up. D.L. improved on the Berg Balance Scale, 30-s chair stand, Timed Up and Go (single, manual, and cognitive conditions), 6-Minute Walk Test, and backward gait speed. Not all measures improved: balance confidence decreased, and there was no change in forward and fast gait speed or QOL, as measured by the Short Form-12 and the Visual Function Questionnaire–25. Some gains were maintained at one-month follow-up. D.L. reported enjoying the classes, noted improvement in physical well-being, and wanted to continue the program. Discussion: Thirty hours of adapted tango lessons improved balance, mobility, endurance, and dual-task ability in a participant with chronic stroke. The participant enjoyed the classes, was adherent, and wished to continue. This is the first reported use of adapted tango dance as rehabilitation for an individual with chronic stroke and low vision.
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47

Highsmith, Michael Jason. "Comparative Outcomes Assessment of the C-Leg and X2 Knee Prosthesis." Scholar Commons, 2012. http://scholarcommons.usf.edu/etd/4333.

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Background There are more than 300,000 persons in the U.S. living with transfemoral amputation (TFA). Persons with TFA use a knee prosthesis for gait and mobility. Presently, the C-Leg microprocessor knee prosthesis is the standard of care. C-Leg has significantly improved safety and cost efficacy and has created modest gains in gait efficiency. Recently, a new prosthesis has introduced a new sensor array and processor that reportedly improves knee motion, stair function and standing stability. Early claims of the reported functional benefits of the new Genium knee (formerly X2) have not been validated in a rigorous clinical trial. Therefore, the purpose of this project was to determine if the Genium knee improves safety, function and quality of life compared to the current standard of care (C-Leg). Methods The study is a randomized AB crossover with a control group. Subjects must have used (and still be using) a C-Leg for a minimum of 1yr prior to enrollment. Inclusion criteria beyond this are unilateral transfemoral or knee disarticulation amputation for any etiology, community level ambulation (Medicare level 3 or above), independent ambulation and ability to independently provide written, informed consent. Once enrolled subjects utilize their same socket but receive a study foot (Trias or Axtion). Subjects are randomly assigned to either stay with their C-Leg or be fit with a Genium knee. Subjects accommodate and test (A phase) then crossover to the other knee condition and repeat the testing (B phase). A follow up phase of the study beyond the B phase is ongoing to study longer term preference. For AB assessment, three domains were assessed: Safety, function and quality of life. For safety, the PEQ-A survey of stumbles and falls, posturography (Biodex SD limits of stability and postural stability tests), 4 square step test and 2 minute ramp stand test were completed. For function, a series of timed walking tests, the amputee mobility predictor, kinematic gait assessment and physical functional performance-10 tests were conducted. For quality of life, the socioemotional and situational satisfaction domains of the population specific and validated PEQ (prosthesis evaluation questionnaire) were completed. Results Safety: Posturographic assessment revealed impairment between transfemoral amputees and non-amputees. Stumbles and semi-controlled falls decreased with Genium but were not significantly different. Four square step testing was significantly (p 0.05) improved from 12.2s(3.3) to 11.1s(3.4) for the C-Leg and Genium respectively. Function: Kinematic asymmetry was minimally different between knee conditions. The AMP mean(SD) scores while subjects used C-Leg was 40.8(3.6; 33-45) and 43.3(2.6) [p<0.001]. PFP scores (cumulative), upper body function and endurance scores were improved with Genium compared with C-Leg at 9.1%(p=0.03), 8.7%(0.01) and 10.3%(0.04) respectively. Quality of Life: For quality of life, situational satisfaction favored Genium (p<0.001) which included subject's satisfaction with gait, training and quality of life in general. Conclusion C-Leg and Genium promote static weight bearing beyond asymmetric values reported in the literature. In terms of limits of stability, TFA's are clearly impaired, primarily over the amputated side posteriorly however the Genium seems to enable posterior compensations that coincide with multi-directional stepping improvements. Anteriorly, the C-Leg's toe triggering requirements seem to improve limits of stability but come at the cost of discomfort on ramp ascent. With regard to safety, it seems that both knee systems represent good options for the community ambulating TFA. The largest improvements with Genium were in the activities of daily living assessment; predominantly balance and upper body function. It seems that the combination of multi-direction stepping with starts and stops and stair ascent are key areas of improvement. In conclusion, the sensor array in the Genium knee prosthesis promotes improved function in activities of daily living. Specifically improved in this context were balance, endurance, multi-directional stepping, stair ascent and upper limb function in highly active transfemoral amputees.
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48

Custer, Melba G. "DEVELOPING A MODEL OF CLIENT SATISFACTION WITH A REHABILITATION CONTINUUM OF CARE." UKnowledge, 2012. http://uknowledge.uky.edu/rehabsci_etds/7.

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Client satisfaction is an important outcome indicator because it measures multiple domains of the quality of healthcare and rehabilitation service delivery. It is especially important in occupational therapy because it is also client-centered. There are multiple domains of satisfaction and findings described in previous research; however, there is no single standard of measuring client satisfaction or any single working model describing the relationship among variables influencing satisfaction. This research was designed to apply a measure of satisfaction in rehabilitation and to develop a working model of satisfaction. This study was an exploratory and predictive study using a large existing dataset to test a working logic model of client satisfaction, determine the best predictors of satisfaction, and then to revise the model for future research. After developing the Satisfaction with a Continuum of Care (SCC) in a pilot study, the SCC was completed by 1104 clients from a large Midwest rehabilitation hospital. The SCC results were paired with administrative data with client demographics, functional status, and measures of the` rehabilitation process. Six research questions on the predictors of satisfaction with client-centeredness and clinical quality were answered using logistic regression. Significant predictors of satisfaction were having a neurological disorder, total rehabilitation hours, and admission to rehabilitation within 15 days of onset. The most robust and consistent predictors of satisfaction in this study were aspects of functional status as measured by the Functional Independence Measure especially improvement in overall and self-care functioning. The results in the study were consistent with some previous research and inconsistent with others. The finding that improvements in functional status were highly predictive of satisfaction supports the worth that clients place on rehabilitation results including the self-care improvements focused on by occupational therapy. This study was a partnership involving occupational therapy and a rehabilitation hospital. The finding that changes in self-care function were predictive of satisfaction was intended to isolate the effects of OT. There is a need to demonstrate outcomes and link these to occupational therapy and other rehabilitation disciplines to continue to identify best practices and contribute to the rehabilitation literature.
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Sandqvist, Jan. "Development and Evaluation of Validity and Utility of the Instrument Assessment of Work Performance (AWP)." Doctoral thesis, Linköping : Univ, 2007. http://www.bibl.liu.se/liupubl/disp/disp2007/med1009s.pdf.

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50

Roots, Robin Katharine. "Understanding rural rehabilitation practice : perspectives of occupational therapists and physical therapists in British Columbia." Thesis, University of British Columbia, 2011. http://hdl.handle.net/2429/33022.

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Background: Providing rehabilitation services to meet the needs of rural residents and address poor health outcomes requires overcoming the challenges of geography, limited referral options and a shortage of occupational therapists (OTs) and physical therapists (PTs). However, little is known about how rehabilitation professionals in rural areas enact their practice to meet and overcome these challenges. To address this gap and contribute to enhancing health for rural residents, this research constructed an understanding of rural rehabilitation practice from the perspectives of OTs and PTs in rural British Columbia (BC). Methods: This qualitative study employed a purposive sample of OTs and PTs in rural communities (population < 15,000) in northern BC. Potential participants were recruited through a study information mail-out to workplaces and were selected according to inclusion criteria to ensure a variety of work experiences, roles and practice settings. In semi-structured interviews, participants were asked to describe the skills and knowledge they perceived as unique to rural and strategies used to overcome challenges. Guided by interpretive description, transcripts were analysed inductively using broad-level coding and findings collapsed into interpretive categories. Interpretations and implications for education, practice and policy were reviewed with participants to ensure relevancy for rural practice. Results: From interviews with 6 OTs and 13 PTs, serving a total of 15 rural communities, rehabilitation practice and participants’ definition of health was understood to be substantially shaped by rurality, or the contextual features of geography, determinants of health and access to services. Participants considered general practice ‘a specialty’ requiring advanced skills in assessment. They described ‘stretching their role’ and ‘participating and partnerships’ as means to overcome resource shortages. Reflective practice, networking and collaboration were deemed essential to maintaining competency. Rural clinical placements, mentoring and improving access to continuing education were regarded as central to recruitment and retention. Conclusion: This research illuminates the influence of rurality on the practice of OTs and PTs in rural BC. The findings asserted the importance of incorporating rural content in professional training programs and providing accessible professional development resources to addressing health human resource shortages and meeting the rehabilitation needs of rural residents.
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