Current Evidence and Opportunities for Expanding the Role of Occupational Therapy for Adults With Musculoskeletal Conditions. / Shawn C. ROLL in American Journal of Occupational Therapy, Vol. 71/1 (2017)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 71/1 (2017) . - pp.1-5 Titre : Current Evidence and Opportunities for Expanding the Role of Occupational Therapy for Adults With Musculoskeletal Conditions. Type de document : texte imprimé Auteurs : Shawn C. ROLL, Auteur Année de publication : 2017 Article en page(s) : pp.1-5 Langues : Américain (ame) Mots-clés : Maladies ostéomusculaires  Rôle professionnel  ergothérapie Résumé : Musculoskeletal conditions are the second greatest cause of disability worldwide, and chronic musculoskeletal conditions affect nearly the same percentage of the general population as chronic circulatory and respiratory conditions combined. Moreover, people with musculoskeletal conditions experience a significant decline in independence with daily activities and occupational performance, key areas targeted by occupational therapy interventions. This special issue of the American Journal of Occupational Therapy provides comprehensive summaries of evidence for the care of common musculoskeletal conditions, highlights important implications that support evidence-informed practice, and proposes ways to advance the practice of occupational therapy to improve the lives of people with musculoskeletal conditions. Permalink : ./index.php?lvl=notice_display&id=49256 [article] Current Evidence and Opportunities for Expanding the Role of Occupational Therapy for Adults With Musculoskeletal Conditions. [texte imprimé] / Shawn C. ROLL, Auteur . - 2017 . - pp.1-5. Langues : Américain (ame) in American Journal of Occupational Therapy > Vol. 71/1 (2017) . - pp.1-5 Mots-clés : Maladies ostéomusculaires  Rôle professionnel  ergothérapie Résumé : Musculoskeletal conditions are the second greatest cause of disability worldwide, and chronic musculoskeletal conditions affect nearly the same percentage of the general population as chronic circulatory and respiratory conditions combined. Moreover, people with musculoskeletal conditions experience a significant decline in independence with daily activities and occupational performance, key areas targeted by occupational therapy interventions. This special issue of the American Journal of Occupational Therapy provides comprehensive summaries of evidence for the care of common musculoskeletal conditions, highlights important implications that support evidence-informed practice, and proposes ways to advance the practice of occupational therapy to improve the lives of people with musculoskeletal conditions. Permalink : ./index.php?lvl=notice_display&id=49256

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Effectiveness of Occupational Therapy Interventions for Musculoskeletal Shoulder Conditions: A Systematic Review. / Tambra L Marik in American Journal of Occupational Therapy, Vol. 71/1 (2017)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 71/1 (2017) . - pp.1-11 Titre : Effectiveness of Occupational Therapy Interventions for Musculoskeletal Shoulder Conditions: A Systematic Review. Type de document : texte imprimé Auteurs : Tambra L Marik, Auteur ; Shawn C. ROLL, Auteur Année de publication : 2017 Article en page(s) : pp.1-11 Langues : Américain (ame) Mots-clés : Maladies ostéomusculaires  ergothérapie  épaule Résumé : People with musculoskeletal disorders of the shoulder commonly experience pain, decreased strength, and restricted range of motion (ROM) that limit participation in meaningful occupational activities. The purpose of this systematic review was to evaluate the current evidence for interventions within the occupational therapy scope of practice that address pain reduction and increase participation in functional activities. Seventy-six studies were reviewed for this study--67 of Level I evidence, 7 of Level II evidence, and 2 of Level III evidence. Strong evidence was found that ROM, strengthening exercises, and joint mobilizations can improve function and decrease pain. The evidence to support physical modalities is moderate to mixed, depending on the shoulder disorder. Occupational therapy practitioners can use this evidence to guide daily clinical decision making. Permalink : ./index.php?lvl=notice_display&id=49258 [article] Effectiveness of Occupational Therapy Interventions for Musculoskeletal Shoulder Conditions: A Systematic Review. [texte imprimé] / Tambra L Marik, Auteur ; Shawn C. ROLL, Auteur . - 2017 . - pp.1-11. Langues : Américain (ame) in American Journal of Occupational Therapy > Vol. 71/1 (2017) . - pp.1-11 Mots-clés : Maladies ostéomusculaires  ergothérapie  épaule Résumé : People with musculoskeletal disorders of the shoulder commonly experience pain, decreased strength, and restricted range of motion (ROM) that limit participation in meaningful occupational activities. The purpose of this systematic review was to evaluate the current evidence for interventions within the occupational therapy scope of practice that address pain reduction and increase participation in functional activities. Seventy-six studies were reviewed for this study--67 of Level I evidence, 7 of Level II evidence, and 2 of Level III evidence. Strong evidence was found that ROM, strengthening exercises, and joint mobilizations can improve function and decrease pain. The evidence to support physical modalities is moderate to mixed, depending on the shoulder disorder. Occupational therapy practitioners can use this evidence to guide daily clinical decision making. Permalink : ./index.php?lvl=notice_display&id=49258

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Exploring Occupational Therapists’ Perceptions of the Usefulness of Musculoskeletal Sonography in Upper-Extremity Rehabilitationf / Shawn C. ROLL in American Journal of Occupational Therapy, Vol. 69/4 (Juillet-Août 2015)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 69/4 (Juillet-Août 2015) . - 6904350020p1-6904350020p6 Titre : Exploring Occupational Therapists’ Perceptions of the Usefulness of Musculoskeletal Sonography in Upper-Extremity Rehabilitationf Type de document : texte imprimé Auteurs : Shawn C. ROLL, Auteur ; Julie McLaughlin Gray, Auteur ; Gelya Frank, Auteur Année de publication : 2015 Article en page(s) : 6904350020p1-6904350020p6 Langues : Anglais (eng) Mots-clés : Arm  clients  rehabilitation  ultrasonography  occupational therapist  diagnostic imaging  pathology  perception Résumé : OBJECTIVE. To identify the potential utility of musculoskeletal sonographic imaging in upper-extremity rehabilitation. METHOD. Two occupational therapists in an outpatient hand rehabilitation clinic were recruited by convenience, were trained in the use of sonography, and implemented sonographic imaging in their clinical practice. Qualitative data were obtained during and after the implementation period by means of questionnaires and interviews. Data collection, analysis, and interpretation were completed in an iterative process that culminated in a thematic analysis of the therapists’ perceptions. RESULTS. The data indicate four potential areas of utility for musculoskeletal sonography in upper-extremity rehabilitation: (1) mastering anatomy and pathology, (2) augmenting clinical reasoning, (3) supplementing intervention, and (4) building evidence. CONCLUSION. Numerous potential uses were identified that would benefit both therapist and client. Further exploration of complexities and efficacy for increasing patient outcomes is recommended to determine best practices for the use of musculoskeletal sonography in upper-extremity rehabilitation. Permalink : ./index.php?lvl=notice_display&id=40424 [article] Exploring Occupational Therapists’ Perceptions of the Usefulness of Musculoskeletal Sonography in Upper-Extremity Rehabilitationf [texte imprimé] / Shawn C. ROLL, Auteur ; Julie McLaughlin Gray, Auteur ; Gelya Frank, Auteur . - 2015 . - 6904350020p1-6904350020p6. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 69/4 (Juillet-Août 2015) . - 6904350020p1-6904350020p6 Mots-clés : Arm  clients  rehabilitation  ultrasonography  occupational therapist  diagnostic imaging  pathology  perception Résumé : OBJECTIVE. To identify the potential utility of musculoskeletal sonographic imaging in upper-extremity rehabilitation. METHOD. Two occupational therapists in an outpatient hand rehabilitation clinic were recruited by convenience, were trained in the use of sonography, and implemented sonographic imaging in their clinical practice. Qualitative data were obtained during and after the implementation period by means of questionnaires and interviews. Data collection, analysis, and interpretation were completed in an iterative process that culminated in a thematic analysis of the therapists’ perceptions. RESULTS. The data indicate four potential areas of utility for musculoskeletal sonography in upper-extremity rehabilitation: (1) mastering anatomy and pathology, (2) augmenting clinical reasoning, (3) supplementing intervention, and (4) building evidence. CONCLUSION. Numerous potential uses were identified that would benefit both therapist and client. Further exploration of complexities and efficacy for increasing patient outcomes is recommended to determine best practices for the use of musculoskeletal sonography in upper-extremity rehabilitation. Permalink : ./index.php?lvl=notice_display&id=40424

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Factors Associated With Success in an Occupational Rehabilitation Program for Work-Related Musculoskeletal Disorders. / Mark E. HARDISON in American Journal of Occupational Therapy, Vol. 71/1 (2017)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 71/1 (2017) . - pp.1-8 Titre : Factors Associated With Success in an Occupational Rehabilitation Program for Work-Related Musculoskeletal Disorders. Type de document : texte imprimé Auteurs : Mark E. HARDISON, Auteur ; Shawn C. ROLL, Auteur Année de publication : 2017 Article en page(s) : pp.1-8 Langues : Américain (ame) Mots-clés : Maladies ostéomusculaires  ergothérapie Résumé : Work-related musculoskeletal disorders are a significant burden; however, no consensus has been reached on how to maximize occupational rehabilitation programs for people with these disorders, and the impact of simulating work tasks as a mode of intervention has not been well examined. In this retrospective cohort study, the authors used logistic regression to identify client and program factors predicting success for 95 clients in a general occupational rehabilitation program and 71 clients in a comprehensive occupational rehabilitation program. The final predictive model for general rehabilitation included gender, number of sessions completed, and performance of work simulation activities. Maximum hours per session was the only significant predictor of success in the comprehensive rehabilitation program. This study identifies new factors associated with success in occupational rehabilitation, specifically highlighting the importance of intensity (i.e., session length and number of sessions) of therapy and occupation-based activities for this population. Permalink : ./index.php?lvl=notice_display&id=49260 [article] Factors Associated With Success in an Occupational Rehabilitation Program for Work-Related Musculoskeletal Disorders. [texte imprimé] / Mark E. HARDISON, Auteur ; Shawn C. ROLL, Auteur . - 2017 . - pp.1-8. Langues : Américain (ame) in American Journal of Occupational Therapy > Vol. 71/1 (2017) . - pp.1-8 Mots-clés : Maladies ostéomusculaires  ergothérapie Résumé : Work-related musculoskeletal disorders are a significant burden; however, no consensus has been reached on how to maximize occupational rehabilitation programs for people with these disorders, and the impact of simulating work tasks as a mode of intervention has not been well examined. In this retrospective cohort study, the authors used logistic regression to identify client and program factors predicting success for 95 clients in a general occupational rehabilitation program and 71 clients in a comprehensive occupational rehabilitation program. The final predictive model for general rehabilitation included gender, number of sessions completed, and performance of work simulation activities. Maximum hours per session was the only significant predictor of success in the comprehensive rehabilitation program. This study identifies new factors associated with success in occupational rehabilitation, specifically highlighting the importance of intensity (i.e., session length and number of sessions) of therapy and occupation-based activities for this population. Permalink : ./index.php?lvl=notice_display&id=49260

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Importance of Tissue Morphology Relative to Patient Reports of Symptoms and Functional Limitations Resulting From Median Nerve Pathology / Shawn C. ROLL in American Journal of Occupational Therapy, Vol. 67/1 (janvier-février 2013)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 67/1 (janvier-février 2013) . - p. 64-72 Titre : Importance of Tissue Morphology Relative to Patient Reports of Symptoms and Functional Limitations Resulting From Median Nerve Pathology Type de document : texte imprimé Auteurs : Shawn C. ROLL ; Kevin D. EVANS ; et al. ; Xiaobai LI Année de publication : 2013 Article en page(s) : p. 64-72 Langues : Anglais (eng) Mots-clés : Canal carpien  Facteur risque  Tissu Résumé : Significant data exist for the personal, environmental, and occupational risk factors for carpal tunnel syndrome. Few data, however, explain the interrelationship of tissue morphology to these factors among patients with clinical presentation of median nerve pathology. Therefore, our primary objective was to examine the relationship of various risk factors that may be predictive of subjective reports of symptoms or functional deficits accounting for median nerve morphology. Using diagnostic ultrasonography, we observed real-time median nerve morphology among 88 participants with varying reports of symptoms or functional limitations resulting from median nerve pathology. Body mass index, educational level, and nerve morphology were the primary predictive factors. Monitoring median nerve morphology with ultrasonography may provide valuable information for clinicians treating patients with symptoms of median nerve pathology. Sonographic measurements may be a useful clinical tool for improving treatment planning and provision, documenting patient status, or measuring clinical outcomes of prevention and rehabilitation interventions. Permalink : ./index.php?lvl=notice_display&id=14122 [article] Importance of Tissue Morphology Relative to Patient Reports of Symptoms and Functional Limitations Resulting From Median Nerve Pathology [texte imprimé] / Shawn C. ROLL ; Kevin D. EVANS ; et al. ; Xiaobai LI . - 2013 . - p. 64-72. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 67/1 (janvier-février 2013) . - p. 64-72 Mots-clés : Canal carpien  Facteur risque  Tissu Résumé : Significant data exist for the personal, environmental, and occupational risk factors for carpal tunnel syndrome. Few data, however, explain the interrelationship of tissue morphology to these factors among patients with clinical presentation of median nerve pathology. Therefore, our primary objective was to examine the relationship of various risk factors that may be predictive of subjective reports of symptoms or functional deficits accounting for median nerve morphology. Using diagnostic ultrasonography, we observed real-time median nerve morphology among 88 participants with varying reports of symptoms or functional limitations resulting from median nerve pathology. Body mass index, educational level, and nerve morphology were the primary predictive factors. Monitoring median nerve morphology with ultrasonography may provide valuable information for clinicians treating patients with symptoms of median nerve pathology. Sonographic measurements may be a useful clinical tool for improving treatment planning and provision, documenting patient status, or measuring clinical outcomes of prevention and rehabilitation interventions. Permalink : ./index.php?lvl=notice_display&id=14122

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Mindfulness Interventions in Physical Rehabilitation / Mark E. HARDISON in American Journal of Occupational Therapy, Vol. 70/3 (mai - juin 2016)

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Role of Sonographic Imaging in Occupational Therapy Practice / Shawn C. ROLL in American Journal of Occupational Therapy, Vol. 69/3 (mai -juin 2015)

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