Assistive technology to enable sleep function in patients with acquired brain injury: Issues and opportunities / Anmol Biajar in The British Journal of Occupational Therapy, Vol.80 Issue 4 (April 2017)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Vol.80 Issue 4 (April 2017) . - p. 225-249 Titre : Assistive technology to enable sleep function in patients with acquired brain injury: Issues and opportunities Type de document : texte imprimé Auteurs : Anmol Biajar ; Tatyana Mollayeva ; Sandra Sokoloff ; Angela Colantonio Année de publication : 2017 Article en page(s) : p. 225-249 Langues : Anglais (eng) Mots-clés : traumatisme cérébral  trouble du sommeil  assistance par la technologie  ergothérapie  plan de soins Résumé : Introduction Sleep disorders in patients with acquired brain injury are highly burdensome and associated with disability. An assistive technology framework emphasises the need to develop and apply a broad range of devices, strategies, and practices to ameliorate disabilities. We aimed to summarise scientific evidence regarding the utility of assistive technology in managing sleep disorders in patients with various causes of acquired brain injury. Method We retrieved articles before January 2016, through database searches of Medline, Embase, PsycINFO, CINAHL, and various bibliographies. The person–environment–occupation framework was used to analyse complex data pertaining to technology application and utility. Results We found 21 studies that described seven assistive technologies (continuous positive airway pressure, adaptive servo ventilator, nasotracheal suction mechanical ventilation, positioning devices, cognitive behavioural therapy, light therapy, and acupuncture) utilised in patients with acquired brain injury to manage sleep disorders. Conclusion Assistive technologies demonstrated effectiveness in alleviating and/or managing sleep disorders after acquired brain injury. Adherence to using the technology is limited by the level of injury-induced cognitive and physical impairment, technological regime, and environmental support. Development of user-friendly sleep-assistive technologies that take into consideration functional limitations and practice guidelines on structural communication between the occupational therapist, patient, and caregiver may facilitate patients’ self-determination in managing sleep disorders. Permalink : ./index.php?lvl=notice_display&id=48407 [article] Assistive technology to enable sleep function in patients with acquired brain injury: Issues and opportunities [texte imprimé] / Anmol Biajar ; Tatyana Mollayeva ; Sandra Sokoloff ; Angela Colantonio . - 2017 . - p. 225-249. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Vol.80 Issue 4 (April 2017) . - p. 225-249 Mots-clés : traumatisme cérébral  trouble du sommeil  assistance par la technologie  ergothérapie  plan de soins Résumé : Introduction Sleep disorders in patients with acquired brain injury are highly burdensome and associated with disability. An assistive technology framework emphasises the need to develop and apply a broad range of devices, strategies, and practices to ameliorate disabilities. We aimed to summarise scientific evidence regarding the utility of assistive technology in managing sleep disorders in patients with various causes of acquired brain injury. Method We retrieved articles before January 2016, through database searches of Medline, Embase, PsycINFO, CINAHL, and various bibliographies. The person–environment–occupation framework was used to analyse complex data pertaining to technology application and utility. Results We found 21 studies that described seven assistive technologies (continuous positive airway pressure, adaptive servo ventilator, nasotracheal suction mechanical ventilation, positioning devices, cognitive behavioural therapy, light therapy, and acupuncture) utilised in patients with acquired brain injury to manage sleep disorders. Conclusion Assistive technologies demonstrated effectiveness in alleviating and/or managing sleep disorders after acquired brain injury. Adherence to using the technology is limited by the level of injury-induced cognitive and physical impairment, technological regime, and environmental support. Development of user-friendly sleep-assistive technologies that take into consideration functional limitations and practice guidelines on structural communication between the occupational therapist, patient, and caregiver may facilitate patients’ self-determination in managing sleep disorders. Permalink : ./index.php?lvl=notice_display&id=48407

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Effectiveness of rehabilitation in enhancing community integration after acute traumatic brain injury / Hwan KIM in American Journal of Occupational Therapy, Vol. 64/5 (septembre-octobre 2010)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 64/5 (septembre-octobre 2010) . - p. 709-719 Titre : Effectiveness of rehabilitation in enhancing community integration after acute traumatic brain injury : a systematic review Type de document : texte imprimé Auteurs : Hwan KIM ; Angela Colantonio Année de publication : 2010 Article en page(s) : p. 709-719 Langues : Anglais (eng) Mots-clés : Pathologie  Traumatisme crânien  Ergothérapie  Réadaptation Résumé : Objectives We assessed evidence for post--acute traumatic brain injury (TBI) rehabilitation interventions used to enhance community integration (CI) relevant to occupational therapy. Method We conducted a systematic review of intervention studies on TBI rehabilitation from 1990 to 2007. Results We analyzed and summarized 10 studies that met the inclusion criteria. Of 10 studies, 7 found that post--acute TBI rehabilitation benefits CI; all effective studies involved occupational therapy or involved interventions occupational therapists can do. Conclusion Many CI programs show positive results and should be studied more rigorously. Such promising programs should also be considered when decisions about post--acute TBI rehabilitation services for clients are being made. To further establish that post--acute TBI rehabilitation interventions improve CI, future studies should include intervention strategies based on injury severity, a control group, and longer term follow-up. The role of occupational therapy in these effective programs should be further explored. Permalink : ./index.php?lvl=notice_display&id=14079 [article] Effectiveness of rehabilitation in enhancing community integration after acute traumatic brain injury : a systematic review [texte imprimé] / Hwan KIM ; Angela Colantonio . - 2010 . - p. 709-719. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 64/5 (septembre-octobre 2010) . - p. 709-719 Mots-clés : Pathologie  Traumatisme crânien  Ergothérapie  Réadaptation Résumé : Objectives We assessed evidence for post--acute traumatic brain injury (TBI) rehabilitation interventions used to enhance community integration (CI) relevant to occupational therapy. Method We conducted a systematic review of intervention studies on TBI rehabilitation from 1990 to 2007. Results We analyzed and summarized 10 studies that met the inclusion criteria. Of 10 studies, 7 found that post--acute TBI rehabilitation benefits CI; all effective studies involved occupational therapy or involved interventions occupational therapists can do. Conclusion Many CI programs show positive results and should be studied more rigorously. Such promising programs should also be considered when decisions about post--acute TBI rehabilitation services for clients are being made. To further establish that post--acute TBI rehabilitation interventions improve CI, future studies should include intervention strategies based on injury severity, a control group, and longer term follow-up. The role of occupational therapy in these effective programs should be further explored. Permalink : ./index.php?lvl=notice_display&id=14079

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Investigating a theatre-based intervention for Indigenous youth with fetal alcohol spectrum disorder / Michelle Keightley in Canadian Journal of Occupational Therapy, 85(2) (Avril 2018)

Public ISBD [article]  inCanadian Journal of Occupational Therapy > 85(2) (Avril 2018) . - p. 128-136 Titre : Investigating a theatre-based intervention for Indigenous youth with fetal alcohol spectrum disorder Titre original : Exploration d’une intervention basée sur le théâtre auprès de jeunes Autochtones atteints du syndrome d’alcoolisme fœtal Type de document : texte imprimé Auteurs : Michelle Keightley ; Sabrina Agnihotri ; Sivaniya Subramaniapillai ; Julia Gray ; Jennifer Keresztesi ; Angela Colantonio ; Helene J. Polatajko ; Debra Cameron ; Catherine Wiseman-Hakes Année de publication : 2018 Article en page(s) : p. 128-136 Langues : Anglais (eng) Mots-clés : Habiletés sociales  Habiletés théâtrales  Intégration communautaire  Syndrome d’alcoolisme fœtal Résumé : Les interventions basées sur le théâtre font usage de moyens d’expression artistiques pour favoriser la conscience sociale et émotionnelle et elles ont des effets thérapeutiques positifs pour les personnes ayant des troubles du développement et des problèmes de santé mentale. Le rôle de ces interventions auprès des jeunes autochtones ayant des séquelles émotives, cognitives et comportementales associées au syndrome d’alcoolisme fœtal (SAF) n’a pas été exploré. But. Le but de cette étude était d’explorer l’acceptabilité et les expériences vécues face à une intervention basée sur le théâtre visant à faciliter la communication et la participation sociales chez des jeunes atteints du SAF. Méthodologie. Les participants étaient trois jeunes autochtones atteints du SAF. Une exploration qualitative des expériences vécues et de l’acceptabilité de l’intervention a été effectuée par l’intermédiaire de groupes de réflexion ayant eu lieu deux semaines après la participation des jeunes à un programme d’intervention; ces groupes de réflexion étaient composés des participants, de leurs aidants naturels et des facilitateurs du programme. Les transcriptions ont été analysées à partir d’une approche thématique inductive. Résultats. Nos résultats nous ont permis de cibler les améliorations perçues à la suite de l’intervention auprès des participants, en ce qui a trait à l’amélioration de l’estime de soi et de la conscience émotionnelle et à l’acquisition d’habiletés sociales. Conséquences. Une intervention basée sur le théâtre est susceptible d’entraîner une amélioration des habiletés sociales chez les jeunes atteints du SAF. Permalink : ./index.php?lvl=notice_display&id=79127 [article] Investigating a theatre-based intervention for Indigenous youth with fetal alcohol spectrum disorder = Exploration d’une intervention basée sur le théâtre auprès de jeunes Autochtones atteints du syndrome d’alcoolisme fœtal [texte imprimé] / Michelle Keightley ; Sabrina Agnihotri ; Sivaniya Subramaniapillai ; Julia Gray ; Jennifer Keresztesi ; Angela Colantonio ; Helene J. Polatajko ; Debra Cameron ; Catherine Wiseman-Hakes . - 2018 . - p. 128-136. Langues : Anglais (eng) in Canadian Journal of Occupational Therapy > 85(2) (Avril 2018) . - p. 128-136 Mots-clés : Habiletés sociales  Habiletés théâtrales  Intégration communautaire  Syndrome d’alcoolisme fœtal Résumé : Les interventions basées sur le théâtre font usage de moyens d’expression artistiques pour favoriser la conscience sociale et émotionnelle et elles ont des effets thérapeutiques positifs pour les personnes ayant des troubles du développement et des problèmes de santé mentale. Le rôle de ces interventions auprès des jeunes autochtones ayant des séquelles émotives, cognitives et comportementales associées au syndrome d’alcoolisme fœtal (SAF) n’a pas été exploré. But. Le but de cette étude était d’explorer l’acceptabilité et les expériences vécues face à une intervention basée sur le théâtre visant à faciliter la communication et la participation sociales chez des jeunes atteints du SAF. Méthodologie. Les participants étaient trois jeunes autochtones atteints du SAF. Une exploration qualitative des expériences vécues et de l’acceptabilité de l’intervention a été effectuée par l’intermédiaire de groupes de réflexion ayant eu lieu deux semaines après la participation des jeunes à un programme d’intervention; ces groupes de réflexion étaient composés des participants, de leurs aidants naturels et des facilitateurs du programme. Les transcriptions ont été analysées à partir d’une approche thématique inductive. Résultats. Nos résultats nous ont permis de cibler les améliorations perçues à la suite de l’intervention auprès des participants, en ce qui a trait à l’amélioration de l’estime de soi et de la conscience émotionnelle et à l’acquisition d’habiletés sociales. Conséquences. Une intervention basée sur le théâtre est susceptible d’entraîner une amélioration des habiletés sociales chez les jeunes atteints du SAF. Permalink : ./index.php?lvl=notice_display&id=79127

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Modified constraint-induced movement therapy for elderly clients with subacute stroke / Martha MCCALL in American Journal of Occupational Therapy, Vol. 65/4 (juillet-août 2011)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 65/4 (juillet-août 2011) . - p. 409-418 Titre : Modified constraint-induced movement therapy for elderly clients with subacute stroke Type de document : texte imprimé Auteurs : Martha MCCALL ; et al. ; Angela Colantonio ; Sara McEwen Année de publication : 2011 Article en page(s) : p. 409-418 Langues : Anglais (eng) Mots-clés : Activités vie quotidienne  Personne âgée  Evaluation  Accident cérébrovasculaire  Handicap  Récupération  Thérapie par contrainte induite Résumé : A growing body of research, including evidence from numerous randomized controlled trials, suggests that constraint-induced movement therapy (CIMT) reduces impairment. The mean age of participants in most studies has been <65 yr, even though most stroke survivors are older than that. We investigated the efficacy of a modified CIMT protocol on participation, activity, and impairment in a population of older adults experiencing subacute stroke. Using an interrupted time series design, 4 older adults (mean age = 82) were assessed before and after intervention. Although none of the participants adhered to the 6-hr per day self-practice aspect of the CIMT protocol, considerable improvements were noted in participation, as measured using the Canadian Occupational Performance Measure. Some improvements were also noted at the level of impairment and activity. This work accords with previous literature on CIMT and has important implications for the evolution of stroke rehabilitation in elderly people. Permalink : ./index.php?lvl=notice_display&id=14148 [article] Modified constraint-induced movement therapy for elderly clients with subacute stroke [texte imprimé] / Martha MCCALL ; et al. ; Angela Colantonio ; Sara McEwen . - 2011 . - p. 409-418. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 65/4 (juillet-août 2011) . - p. 409-418 Mots-clés : Activités vie quotidienne  Personne âgée  Evaluation  Accident cérébrovasculaire  Handicap  Récupération  Thérapie par contrainte induite Résumé : A growing body of research, including evidence from numerous randomized controlled trials, suggests that constraint-induced movement therapy (CIMT) reduces impairment. The mean age of participants in most studies has been <65 yr, even though most stroke survivors are older than that. We investigated the efficacy of a modified CIMT protocol on participation, activity, and impairment in a population of older adults experiencing subacute stroke. Using an interrupted time series design, 4 older adults (mean age = 82) were assessed before and after intervention. Although none of the participants adhered to the 6-hr per day self-practice aspect of the CIMT protocol, considerable improvements were noted in participation, as measured using the Canadian Occupational Performance Measure. Some improvements were also noted at the level of impairment and activity. This work accords with previous literature on CIMT and has important implications for the evolution of stroke rehabilitation in elderly people. Permalink : ./index.php?lvl=notice_display&id=14148

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Patients With Brain Tumors : Who Receives Postacute Occupational Therapy Services? / Vincy Chan in American Journal of Occupational Therapy, Vol. 69/2 (Mars/Avril 2015)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 69/2 (Mars/Avril 2015) . - p.1-6 Titre : Patients With Brain Tumors : Who Receives Postacute Occupational Therapy Services? Type de document : texte imprimé Auteurs : Vincy Chan, Auteur ; Chen Xiong, Auteur ; Angela Colantonio, Auteur Année de publication : 2015 Article en page(s) : p.1-6 Langues : Anglais (eng) Mots-clés : Tumeur  Cerveau  Soins domicile  Canada  ErgothérapieBrain neoplasms  Health care surveys  Health services accessibility  Home care services  Occupational therapy  Ontario Résumé : Data on the utilization of occupational therapy among patients with brain tumors have been limited to those with malignant tumors and small samples of patients outside North America in specialized palliative care settings. We built on this research by examining the characteristics of patients with brain tumors who received postacute occupational therapy services in Ontario, Canada, using health care administrative data. Between fiscal years 2004–2005 and 2008–2009, 3,199 patients with brain tumors received occupational therapy services in the home care setting after hospital discharge; 12.4% had benign brain tumors, 78.2% had malignant brain tumors, and 9.4% had unspecified brain tumors. However, patients with benign brain tumors were older (mean age = 63.3 yr), and a higher percentage were female (65.2%). More than 90% of patients received in-home occupational therapy services. Additional research is needed to examine the significance of these differences and to identify factors that influence access to occupational therapy services in the home care setting. Permalink : ./index.php?lvl=notice_display&id=35875 [article] Patients With Brain Tumors : Who Receives Postacute Occupational Therapy Services? [texte imprimé] / Vincy Chan, Auteur ; Chen Xiong, Auteur ; Angela Colantonio, Auteur . - 2015 . - p.1-6. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 69/2 (Mars/Avril 2015) . - p.1-6 Mots-clés : Tumeur  Cerveau  Soins domicile  Canada  ErgothérapieBrain neoplasms  Health care surveys  Health services accessibility  Home care services  Occupational therapy  Ontario Résumé : Data on the utilization of occupational therapy among patients with brain tumors have been limited to those with malignant tumors and small samples of patients outside North America in specialized palliative care settings. We built on this research by examining the characteristics of patients with brain tumors who received postacute occupational therapy services in Ontario, Canada, using health care administrative data. Between fiscal years 2004–2005 and 2008–2009, 3,199 patients with brain tumors received occupational therapy services in the home care setting after hospital discharge; 12.4% had benign brain tumors, 78.2% had malignant brain tumors, and 9.4% had unspecified brain tumors. However, patients with benign brain tumors were older (mean age = 63.3 yr), and a higher percentage were female (65.2%). More than 90% of patients received in-home occupational therapy services. Additional research is needed to examine the significance of these differences and to identify factors that influence access to occupational therapy services in the home care setting. Permalink : ./index.php?lvl=notice_display&id=35875

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