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Change in Functional Arm Use Is Associated With Somatosensory Skills After Sensory Retraining Poststroke. / Megan Turville in American Journal of Occupational Therapy, Vol. 71/3 (2017)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 71/3 (2017) . - pp.1-9 Titre : Change in Functional Arm Use Is Associated With Somatosensory Skills After Sensory Retraining Poststroke. Type de document : texte imprimé Auteurs : Megan Turville, Auteur ; Leeanne M. Carey, Auteur ; Thomas A. Matyas, Auteur Année de publication : 2017 Article en page(s) : pp.1-9 Langues : Américain (ame) Mots-clés : Réadaptation après un accident vasculaire cérébral  Os du membre supérieur  Troubles de la perception  Réadaptation  ergothérapie Résumé : OBJECTIVE. We investigated changes in functional arm use after retraining for stroke-related somatosensory loss and identified whether such changes are associated with somatosensory discrimination skills. METHOD. Data were pooled (N = 80) from two randomized controlled trials of somatosensory retraining. We used the Motor Activity Log to measure perceived amount of arm use in daily activities and the Action Research Arm Test to measure performance capacity. Somatosensory discrimination skills were measured using standardized modality-specific measures. RESULTS. Participants' arm use improved after somatosensory retraining (z = -6.80, p < .01). Change in arm use was weakly associated with somatosensation (tactile, β = 0.31, p < .01; proprioception, β = -0.17, p > .05; object recognition, β = 0.13, p < .05). CONCLUSION. Change in daily arm use was related to a small amount of variance in somatosensory outcomes. Stroke survivors' functional arm use can increase after somatosensory retraining, with change varying among survivors. Permalink : ./index.php?lvl=notice_display&id=49284 [article] Change in Functional Arm Use Is Associated With Somatosensory Skills After Sensory Retraining Poststroke. [texte imprimé] / Megan Turville, Auteur ; Leeanne M. Carey, Auteur ; Thomas A. Matyas, Auteur . - 2017 . - pp.1-9. Langues : Américain (ame) in American Journal of Occupational Therapy > Vol. 71/3 (2017) . - pp.1-9 Mots-clés : Réadaptation après un accident vasculaire cérébral  Os du membre supérieur  Troubles de la perception  Réadaptation  ergothérapie Résumé : OBJECTIVE. We investigated changes in functional arm use after retraining for stroke-related somatosensory loss and identified whether such changes are associated with somatosensory discrimination skills. METHOD. Data were pooled (N = 80) from two randomized controlled trials of somatosensory retraining. We used the Motor Activity Log to measure perceived amount of arm use in daily activities and the Action Research Arm Test to measure performance capacity. Somatosensory discrimination skills were measured using standardized modality-specific measures. RESULTS. Participants' arm use improved after somatosensory retraining (z = -6.80, p < .01). Change in arm use was weakly associated with somatosensation (tactile, β = 0.31, p < .01; proprioception, β = -0.17, p > .05; object recognition, β = 0.13, p < .05). CONCLUSION. Change in daily arm use was related to a small amount of variance in somatosensory outcomes. Stroke survivors' functional arm use can increase after somatosensory retraining, with change varying among survivors. Permalink : ./index.php?lvl=notice_display&id=49284

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Characteristics of Students Receiving Occupational Therapy Services in Transition and Factors Related to Postsecondary Success. / Maria M. Eismann in American Journal of Occupational Therapy, Vol. 71/3 (2017)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 71/3 (2017) . - pp.1-9 Titre : Characteristics of Students Receiving Occupational Therapy Services in Transition and Factors Related to Postsecondary Success. Type de document : texte imprimé Auteurs : Maria M. Eismann, Auteur ; R. Weisshaar, Auteur ; Cristina Capretta, Auteur Année de publication : 2017 Article en page(s) : pp.1-9 Langues : Américain (ame) Mots-clés : Ergothérapie  Éducation Résumé : OBJECTIVE. This study had a twofold purpose: (1) identify the characteristics of people with disabilities who received occupational therapy services during their transition to adulthood and (2) determine factors associated with their successful postsecondary transition. METHOD. This study was a secondary analysis of National Longitudinal Study-2 data. Data analyses include descriptive statistics, binary logistic regression, and simple linear regression. RESULTS. Autism, cerebral palsy, and intellectual disability were the most commonly reported disability classifications. Participation in postsecondary education was significantly associated with functional use of arms and hands. Postsecondary employment was significantly associated with verbal comprehension. Participation in community activities was significantly related to students' health status, and participation in community service was significantly related to students' functional use of arms and hands. CONCLUSION. Providing transition services to students with disabilities remains an emerging area of practice. Occupational therapy practitioners may contribute to transition teams by intervening to improve functional abilities and health status. Permalink : ./index.php?lvl=notice_display&id=49285 [article] Characteristics of Students Receiving Occupational Therapy Services in Transition and Factors Related to Postsecondary Success. [texte imprimé] / Maria M. Eismann, Auteur ; R. Weisshaar, Auteur ; Cristina Capretta, Auteur . - 2017 . - pp.1-9. Langues : Américain (ame) in American Journal of Occupational Therapy > Vol. 71/3 (2017) . - pp.1-9 Mots-clés : Ergothérapie  Éducation Résumé : OBJECTIVE. This study had a twofold purpose: (1) identify the characteristics of people with disabilities who received occupational therapy services during their transition to adulthood and (2) determine factors associated with their successful postsecondary transition. METHOD. This study was a secondary analysis of National Longitudinal Study-2 data. Data analyses include descriptive statistics, binary logistic regression, and simple linear regression. RESULTS. Autism, cerebral palsy, and intellectual disability were the most commonly reported disability classifications. Participation in postsecondary education was significantly associated with functional use of arms and hands. Postsecondary employment was significantly associated with verbal comprehension. Participation in community activities was significantly related to students' health status, and participation in community service was significantly related to students' functional use of arms and hands. CONCLUSION. Providing transition services to students with disabilities remains an emerging area of practice. Occupational therapy practitioners may contribute to transition teams by intervening to improve functional abilities and health status. Permalink : ./index.php?lvl=notice_display&id=49285

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Detection and Treatment of Autism Spectrum Disorder by Occupational Therapy Practitioners: Addressing Racial Disparity in Diagnosis. / Varleisha D. Gibbs in American Journal of Occupational Therapy, Vol. 71/3 (2017)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 71/3 (2017) . - pp.1-4 Titre : Detection and Treatment of Autism Spectrum Disorder by Occupational Therapy Practitioners: Addressing Racial Disparity in Diagnosis. Type de document : texte imprimé Auteurs : Varleisha D. Gibbs, Auteur Année de publication : 2017 Article en page(s) : pp.1-4 Langues : Américain (ame) Mots-clés : Autisme  ergothérapie  diagnostic Résumé : As the prevalence of autism spectrum disorder (ASD) continues to rise, racial disparities remain in age of diagnosis and initiation of treatment. Therefore, occupational therapy practitioners should examine cultural perceptions related to disparities in ASD diagnosis. This article investigates the role that practitioners may play in this disparity by asking, "Are occupational therapy practitioners contributing to the late diagnosis of children with ASD who are members of particular racial or ethnic groups?" Correlations among practitioners' detection of symptoms, parents' perceptions, and evaluator influences are investigated. By examining these factors, practitioners may gain better insight into these disparities and therefore provide more effective advocacy regarding early diagnosis and treatment access. Permalink : ./index.php?lvl=notice_display&id=49286 [article] Detection and Treatment of Autism Spectrum Disorder by Occupational Therapy Practitioners: Addressing Racial Disparity in Diagnosis. [texte imprimé] / Varleisha D. Gibbs, Auteur . - 2017 . - pp.1-4. Langues : Américain (ame) in American Journal of Occupational Therapy > Vol. 71/3 (2017) . - pp.1-4 Mots-clés : Autisme  ergothérapie  diagnostic Résumé : As the prevalence of autism spectrum disorder (ASD) continues to rise, racial disparities remain in age of diagnosis and initiation of treatment. Therefore, occupational therapy practitioners should examine cultural perceptions related to disparities in ASD diagnosis. This article investigates the role that practitioners may play in this disparity by asking, "Are occupational therapy practitioners contributing to the late diagnosis of children with ASD who are members of particular racial or ethnic groups?" Correlations among practitioners' detection of symptoms, parents' perceptions, and evaluator influences are investigated. By examining these factors, practitioners may gain better insight into these disparities and therefore provide more effective advocacy regarding early diagnosis and treatment access. Permalink : ./index.php?lvl=notice_display&id=49286

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Development and Alternate Form Reliability of the Complex Task Performance Assessment (CTPA) for People With Mild Stroke. / Juan Pablo Saa in American Journal of Occupational Therapy, Vol. 71/3 (2017)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 71/3 (2017) . - p.1-7 Titre : Development and Alternate Form Reliability of the Complex Task Performance Assessment (CTPA) for People With Mild Stroke. Type de document : texte imprimé Auteurs : Juan Pablo Saa, Auteur ; Meghan Doherty, Auteur ; Alexis Young, Auteur Année de publication : 2017 Article en page(s) : p.1-7 Langues : Américain (ame) Mots-clés : Accident vasculaire cérébral  Études de validation Résumé : Cognitive impairment is a common consequence of mild stroke. Current performance-based assessments for mild stroke can detect mild impairments in executive function but lack alternate forms to be used as outcome measures. This study aimed to develop an alternate form of the Complex Task Performance Assessment (CTPA--Alt), a performance-based assessment of executive function, and to establish the alternate form reliability of the CTPA--Alt. A repeated-measures study was conducted with 26 community participants. Participants were screened for eligibility and administered both forms of the CTPA; administration order was alternated. Overall performance was significantly correlated (rs = .44, p = .03), but pattern of scoring differed by CTPA form and order of administration. Our results indicate that the CTPA forms were similar but that the specific tasks in each form were different. The CTPA may be used as an ecologically valid outcome assessment with further considerations. Permalink : ./index.php?lvl=notice_display&id=49287 [article] Development and Alternate Form Reliability of the Complex Task Performance Assessment (CTPA) for People With Mild Stroke. [texte imprimé] / Juan Pablo Saa, Auteur ; Meghan Doherty, Auteur ; Alexis Young, Auteur . - 2017 . - p.1-7. Langues : Américain (ame) in American Journal of Occupational Therapy > Vol. 71/3 (2017) . - p.1-7 Mots-clés : Accident vasculaire cérébral  Études de validation Résumé : Cognitive impairment is a common consequence of mild stroke. Current performance-based assessments for mild stroke can detect mild impairments in executive function but lack alternate forms to be used as outcome measures. This study aimed to develop an alternate form of the Complex Task Performance Assessment (CTPA--Alt), a performance-based assessment of executive function, and to establish the alternate form reliability of the CTPA--Alt. A repeated-measures study was conducted with 26 community participants. Participants were screened for eligibility and administered both forms of the CTPA; administration order was alternated. Overall performance was significantly correlated (rs = .44, p = .03), but pattern of scoring differed by CTPA form and order of administration. Our results indicate that the CTPA forms were similar but that the specific tasks in each form were different. The CTPA may be used as an ecologically valid outcome assessment with further considerations. Permalink : ./index.php?lvl=notice_display&id=49287

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Do Neglect Assessments Detect Neglect Differently? / Emily S. GRATTAN in American Journal of Occupational Therapy, Vol. 71/3 (2017)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 71/3 (2017) . - pp.1-9 Titre : Do Neglect Assessments Detect Neglect Differently? Type de document : texte imprimé Auteurs : Emily S. GRATTAN, Auteur ; Michelle WOODBURY, Auteur Année de publication : 2017 Article en page(s) : pp.1-9 Langues : Américain (ame) Mots-clés : Diagnostic  Accident vasculaire cérébral  Evaluation Résumé : OBJECTIVE. We determined whether various assessment tools detect neglect differently by administering a battery of assessments to people with stroke. METHOD. We conducted a case series study and administered five neglect assessments (paper-and-pencil, functional, virtual reality) to participants poststroke. RESULTS. Twelve participants (6 men, 6 women) with stroke completed the assessment battery, which required approximately 2 hr to administer (over one to two sessions). All participants demonstrated neglect on three or more assessments. Functional assessments and the virtual reality assessment detected neglect more frequently than the paper-and-pencil assessments. Participants performed differently on the paper-and- pencil assessments and functional assessments. CONCLUSION. Because neglect is complex, detection may depend largely on the assessment administered. Permalink : ./index.php?lvl=notice_display&id=49288 [article] Do Neglect Assessments Detect Neglect Differently? [texte imprimé] / Emily S. GRATTAN, Auteur ; Michelle WOODBURY, Auteur . - 2017 . - pp.1-9. Langues : Américain (ame) in American Journal of Occupational Therapy > Vol. 71/3 (2017) . - pp.1-9 Mots-clés : Diagnostic  Accident vasculaire cérébral  Evaluation Résumé : OBJECTIVE. We determined whether various assessment tools detect neglect differently by administering a battery of assessments to people with stroke. METHOD. We conducted a case series study and administered five neglect assessments (paper-and-pencil, functional, virtual reality) to participants poststroke. RESULTS. Twelve participants (6 men, 6 women) with stroke completed the assessment battery, which required approximately 2 hr to administer (over one to two sessions). All participants demonstrated neglect on three or more assessments. Functional assessments and the virtual reality assessment detected neglect more frequently than the paper-and-pencil assessments. Participants performed differently on the paper-and- pencil assessments and functional assessments. CONCLUSION. Because neglect is complex, detection may depend largely on the assessment administered. Permalink : ./index.php?lvl=notice_display&id=49288

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Embedding Questions During Online Lecture Capture to Promote Learning and Transfer of Knowledge. / Lou Ann Griswold in American Journal of Occupational Therapy, Vol. 71/3 (2017)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 71/3 (2017) . - pp.1-7 Titre : Embedding Questions During Online Lecture Capture to Promote Learning and Transfer of Knowledge. Type de document : texte imprimé Auteurs : Lou Ann Griswold, Auteur ; Catherine E. Overson, Auteur ; Victor A. Benassi, Auteur Année de publication : 2017 Article en page(s) : pp.1-7 Langues : Américain (ame) Mots-clés : Ergothérapie  éducation  formation Résumé : We examined the effect of quizzing on students' ability to apply lecture content to clinical examples on an inclass exam. Fifty-six occupational therapy students in a graduate-level course completed three online modules that included lectures, slide presentations, demonstrations, and video clips. Throughout each module, students were given "Learning Moments," in which they were asked a question (Question condition); were asked to read a statement confirming the content presented (Study condition); or were not asked to do anything (Not Asked condition). The Question condition resulted in better exam performance than the combined Study and Not Asked conditions (p < .01), whereas performance on Study and Not Asked questions did not differ (p = .67). Students performed better on material on which they had been previously quizzed (i.e., testing effect). Quizzing may be a good strategy to prepare students for clinical practice. Permalink : ./index.php?lvl=notice_display&id=49289 [article] Embedding Questions During Online Lecture Capture to Promote Learning and Transfer of Knowledge. [texte imprimé] / Lou Ann Griswold, Auteur ; Catherine E. Overson, Auteur ; Victor A. Benassi, Auteur . - 2017 . - pp.1-7. Langues : Américain (ame) in American Journal of Occupational Therapy > Vol. 71/3 (2017) . - pp.1-7 Mots-clés : Ergothérapie  éducation  formation Résumé : We examined the effect of quizzing on students' ability to apply lecture content to clinical examples on an inclass exam. Fifty-six occupational therapy students in a graduate-level course completed three online modules that included lectures, slide presentations, demonstrations, and video clips. Throughout each module, students were given "Learning Moments," in which they were asked a question (Question condition); were asked to read a statement confirming the content presented (Study condition); or were not asked to do anything (Not Asked condition). The Question condition resulted in better exam performance than the combined Study and Not Asked conditions (p < .01), whereas performance on Study and Not Asked questions did not differ (p = .67). Students performed better on material on which they had been previously quizzed (i.e., testing effect). Quizzing may be a good strategy to prepare students for clinical practice. Permalink : ./index.php?lvl=notice_display&id=49289

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Feasibility of Pediatric Game-Based Neurorehabilitation Using Telehealth Technologies: A Case Report. / Grace Reifenberg in American Journal of Occupational Therapy, Vol. 71/3 (2017)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 71/3 (2017) . - pp.1-8 Titre : Feasibility of Pediatric Game-Based Neurorehabilitation Using Telehealth Technologies: A Case Report. Type de document : texte imprimé Auteurs : Grace Reifenberg, Auteur ; Gabrielle Gabrosek, Auteur ; Kelly TANNER, Auteur Année de publication : 2017 Article en page(s) : pp.1-8 Langues : Américain (ame) Mots-clés : Paralysie cérébrale  Recherche en réadaptation  Jeu expérimental Résumé : This case report is the first in a series of reports designed to determine the feasibility of implementing game-based neurorehabilitation using telehealth technologies (GbN+TT) for children with cerebral palsy, evaluate the responsiveness of relevant outcome measures to changes in motor impairment and activity participation after intervention, and identify technological challenges associated with implementation of GbN+TT. The participant completed more than 56 hr of game-based neurorehabilitation over 8 wk using the Timocco platform in his home. The primary measures of motor impairment (Bruininks--Oseretsky Test of Motor Proficiency, Second Edition) and function (Pediatric Motor Activity Log) were both sensitive to change. Results indicate that it is feasible to administer GbN+TT to a child with cerebral palsy and monitor outcomes using standardized assessments. Permalink : ./index.php?lvl=notice_display&id=49290 [article] Feasibility of Pediatric Game-Based Neurorehabilitation Using Telehealth Technologies: A Case Report. [texte imprimé] / Grace Reifenberg, Auteur ; Gabrielle Gabrosek, Auteur ; Kelly TANNER, Auteur . - 2017 . - pp.1-8. Langues : Américain (ame) in American Journal of Occupational Therapy > Vol. 71/3 (2017) . - pp.1-8 Mots-clés : Paralysie cérébrale  Recherche en réadaptation  Jeu expérimental Résumé : This case report is the first in a series of reports designed to determine the feasibility of implementing game-based neurorehabilitation using telehealth technologies (GbN+TT) for children with cerebral palsy, evaluate the responsiveness of relevant outcome measures to changes in motor impairment and activity participation after intervention, and identify technological challenges associated with implementation of GbN+TT. The participant completed more than 56 hr of game-based neurorehabilitation over 8 wk using the Timocco platform in his home. The primary measures of motor impairment (Bruininks--Oseretsky Test of Motor Proficiency, Second Edition) and function (Pediatric Motor Activity Log) were both sensitive to change. Results indicate that it is feasible to administer GbN+TT to a child with cerebral palsy and monitor outcomes using standardized assessments. Permalink : ./index.php?lvl=notice_display&id=49290

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Functional Brain Stimulation in a Chronic Stroke Survivor With Moderate Impairment. / Heather T Peters in American Journal of Occupational Therapy, Vol. 71/3 (2017)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 71/3 (2017) . - pp.1-6 Titre : Functional Brain Stimulation in a Chronic Stroke Survivor With Moderate Impairment. Type de document : texte imprimé Auteurs : Heather T Peters, Auteur ; Janell Pisegna, Auteur ; Julie Faieta, Auteur Année de publication : 2017 Article en page(s) : pp.1-6 Langues : Américain (ame) Mots-clés : Lésions encéphaliques  réadaptation  Stimulation transcrânienne par courant continu  Membre supérieur Résumé : OBJECTIVE. To determine the impact of transcranial direct current stimulation (tDCS) combined with repetitive, task-specific training (RTP) on upper-extremity (UE) impairment in a chronic stroke survivor with moderate impairment. METHOD. The participant was a 54-yr-old woman with chronic, moderate UE hemiparesis after a single stroke that had occurred 10 yr before study enrollment. She participated in 45-min RTP sessions 3 days/wk for 8 wk. tDCS was administered concurrent to the first 20 min of each RTP session. RESULTS. Immediately after intervention, the participant demonstrated marked score increases on the UE section of the Fugl--Meyer Scale and the Motor Activity Log (on both the Amount of Use and the Quality of Movement subscales). CONCLUSION. These data support the use of tDCS combined with RTP to decrease impairment and increase UE use in chronic stroke patients with moderate impairment. This finding is crucial, given the paucity of efficacious treatment approaches in this impairment level. Permalink : ./index.php?lvl=notice_display&id=49291 [article] Functional Brain Stimulation in a Chronic Stroke Survivor With Moderate Impairment. [texte imprimé] / Heather T Peters, Auteur ; Janell Pisegna, Auteur ; Julie Faieta, Auteur . - 2017 . - pp.1-6. Langues : Américain (ame) in American Journal of Occupational Therapy > Vol. 71/3 (2017) . - pp.1-6 Mots-clés : Lésions encéphaliques  réadaptation  Stimulation transcrânienne par courant continu  Membre supérieur Résumé : OBJECTIVE. To determine the impact of transcranial direct current stimulation (tDCS) combined with repetitive, task-specific training (RTP) on upper-extremity (UE) impairment in a chronic stroke survivor with moderate impairment. METHOD. The participant was a 54-yr-old woman with chronic, moderate UE hemiparesis after a single stroke that had occurred 10 yr before study enrollment. She participated in 45-min RTP sessions 3 days/wk for 8 wk. tDCS was administered concurrent to the first 20 min of each RTP session. RESULTS. Immediately after intervention, the participant demonstrated marked score increases on the UE section of the Fugl--Meyer Scale and the Motor Activity Log (on both the Amount of Use and the Quality of Movement subscales). CONCLUSION. These data support the use of tDCS combined with RTP to decrease impairment and increase UE use in chronic stroke patients with moderate impairment. This finding is crucial, given the paucity of efficacious treatment approaches in this impairment level. Permalink : ./index.php?lvl=notice_display&id=49291

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Impact of PANS and PANDAS Exacerbations on Occupational Performance: A Mixed-Methods Study. / Denise Calaprice in American Journal of Occupational Therapy, Vol. 71/3 (2017)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 71/3 (2017) Titre : Impact of PANS and PANDAS Exacerbations on Occupational Performance: A Mixed-Methods Study. Type de document : texte imprimé Auteurs : Denise Calaprice, Auteur ; Sutanuka Bhattacharjya, Auteur ; Janice Trigilio Tona, Auteur Année de publication : 2017 Langues : Américain (ame) Mots-clés : Trouble obsessionnel compulsif  Maladies auto-immunes  Infections à streptocoques  Évolution de la maladie Résumé : OBJECTIVE. Pediatric acute-onset neuropsychiatric syndrome (PANS) includes pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and involves sudden-onset neuropsychiatric symptoms, including obsessions, compulsions, sensory difficulties, and dysgraphia after infection or other triggers. Our objective was to identify problems with areas of occupation, body functions, and performance skills during exacerbations. METHOD. In this online retrospective study, based on the Occupational Therapy Practice Framework: Domain and Process (2nd ed.), we surveyed parents of 111 children with PANS. RESULTS. Activities of daily living, math, handwriting, extracurricular activities, free play, organized sports, community and family social participation, higher level thinking, attention, memory, sequencing, emotional coping, and energy and drive were commonly affected during exacerbations. During exacerbations, children often required assistance and adaptation to remain functional or were unable to function at a typical level. CONCLUSION. Children with PANS present with pervasive occupational performance needs during exacerbation. Children and families may benefit from accommodations to maximize function during this turbulent period. Permalink : ./index.php?lvl=notice_display&id=49292 [article] Impact of PANS and PANDAS Exacerbations on Occupational Performance: A Mixed-Methods Study. [texte imprimé] / Denise Calaprice, Auteur ; Sutanuka Bhattacharjya, Auteur ; Janice Trigilio Tona, Auteur . - 2017. Langues : Américain (ame) in American Journal of Occupational Therapy > Vol. 71/3 (2017) Mots-clés : Trouble obsessionnel compulsif  Maladies auto-immunes  Infections à streptocoques  Évolution de la maladie Résumé : OBJECTIVE. Pediatric acute-onset neuropsychiatric syndrome (PANS) includes pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and involves sudden-onset neuropsychiatric symptoms, including obsessions, compulsions, sensory difficulties, and dysgraphia after infection or other triggers. Our objective was to identify problems with areas of occupation, body functions, and performance skills during exacerbations. METHOD. In this online retrospective study, based on the Occupational Therapy Practice Framework: Domain and Process (2nd ed.), we surveyed parents of 111 children with PANS. RESULTS. Activities of daily living, math, handwriting, extracurricular activities, free play, organized sports, community and family social participation, higher level thinking, attention, memory, sequencing, emotional coping, and energy and drive were commonly affected during exacerbations. During exacerbations, children often required assistance and adaptation to remain functional or were unable to function at a typical level. CONCLUSION. Children with PANS present with pervasive occupational performance needs during exacerbation. Children and families may benefit from accommodations to maximize function during this turbulent period. Permalink : ./index.php?lvl=notice_display&id=49292

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Navigating the Hidden Curriculum of Higher Education for Postsecondary Students With Intellectual Disabilities. / Lucretia A Berg in American Journal of Occupational Therapy, Vol. 71/3 (2017)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 71/3 (2017) . - pp.1-9 Titre : Navigating the Hidden Curriculum of Higher Education for Postsecondary Students With Intellectual Disabilities. Type de document : texte imprimé Auteurs : Lucretia A Berg, Auteur ; Tracy JIRIKOWIC, Auteur ; Katie Haerling, Auteur Année de publication : 2017 Article en page(s) : pp.1-9 Langues : Américain (ame) Mots-clés : Déficience intellectuelle  Education Résumé : Students with intellectual and/or developmental disabilities (IDD) Increasingly pursue postsecondary education (PSE). Navigating the hidden curriculum--including meeting prerequisites for PSE and employment, using support systems and community transportation, and carrying out adulthood expectations--is an area of challenge. This exploratory case study examined experiences of students with IDD attending a PSE program and stakeholder perspectives. Thirty-two participants (10 students with IDD, 5 parents or guardians, 4 college administrators, 8 college instructors, 4 occupational therapists, and a transition specialist) were interviewed. Conventional content analysis revealed navigating the hidden curriculum as a key theme and three subthemes: (1) adult-based system navigation, (2) persisting challenges with adaptive behaviors, and (3) disability awareness and disclosure. Limited awareness of disability and supports and services needed for a successful PSE outcome were contributing factors. Occupational therapists have the skills to support students with IDD in skill acquisition to successfully transition to and navigate PSE and the hidden curriculum. Permalink : ./index.php?lvl=notice_display&id=49293 [article] Navigating the Hidden Curriculum of Higher Education for Postsecondary Students With Intellectual Disabilities. [texte imprimé] / Lucretia A Berg, Auteur ; Tracy JIRIKOWIC, Auteur ; Katie Haerling, Auteur . - 2017 . - pp.1-9. Langues : Américain (ame) in American Journal of Occupational Therapy > Vol. 71/3 (2017) . - pp.1-9 Mots-clés : Déficience intellectuelle  Education Résumé : Students with intellectual and/or developmental disabilities (IDD) Increasingly pursue postsecondary education (PSE). Navigating the hidden curriculum--including meeting prerequisites for PSE and employment, using support systems and community transportation, and carrying out adulthood expectations--is an area of challenge. This exploratory case study examined experiences of students with IDD attending a PSE program and stakeholder perspectives. Thirty-two participants (10 students with IDD, 5 parents or guardians, 4 college administrators, 8 college instructors, 4 occupational therapists, and a transition specialist) were interviewed. Conventional content analysis revealed navigating the hidden curriculum as a key theme and three subthemes: (1) adult-based system navigation, (2) persisting challenges with adaptive behaviors, and (3) disability awareness and disclosure. Limited awareness of disability and supports and services needed for a successful PSE outcome were contributing factors. Occupational therapists have the skills to support students with IDD in skill acquisition to successfully transition to and navigate PSE and the hidden curriculum. Permalink : ./index.php?lvl=notice_display&id=49293

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Occupational Performance Coaching for Stroke Survivors: A Pilot Randomized Controlled Trial. / Dorothy E. Kessler in American Journal of Occupational Therapy, Vol. 71/3 (2017)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 71/3 (2017) Titre : Occupational Performance Coaching for Stroke Survivors: A Pilot Randomized Controlled Trial. Type de document : texte imprimé Auteurs : Dorothy E. Kessler, Auteur ; Mary Y. Egan, Auteur ; Claire-Jehanne Dubouloz, Auteur Année de publication : 2017 Langues : Américain (ame) Mots-clés : Réadaptation après un accident vasculaire cérébral  Survivants  ergothérapie  Intégration communautaire Résumé : OBJECTIVE. We examined the feasibility of study procedures and explored the potential efficacy of Occupational Performance Coaching for stroke survivors (OPC--Stroke), an intervention designed to improve participation after stroke. METHOD. In this pilot randomized controlled trial, 21 participants were randomized to receive the intervention or usual care. Recruitment, retention, and outcome completion rates were calculated. Direction of change and effect sizes were examined for the outcomes of participation, goal performance and satisfaction, goal self-efficacy, emotional well-being, and cognition. RESULTS. Rates of recruitment (66%) and retention (81%) were satisfactory. Participation scores improved for both groups with different trajectories. Results showed a moderate effect of OPC--Stroke for goal performance (η2partial d = .075) and satisfaction (η2partial d = .078) and a large effect for cognition (η2partial d = .167). Other outcome measures did not change as expected. CONCLUSION. Study procedures were generally feasible. Preliminary findings support testing to examine the efficacy of OPC--Stroke. Permalink : ./index.php?lvl=notice_display&id=49294 [article] Occupational Performance Coaching for Stroke Survivors: A Pilot Randomized Controlled Trial. [texte imprimé] / Dorothy E. Kessler, Auteur ; Mary Y. Egan, Auteur ; Claire-Jehanne Dubouloz, Auteur . - 2017. Langues : Américain (ame) in American Journal of Occupational Therapy > Vol. 71/3 (2017) Mots-clés : Réadaptation après un accident vasculaire cérébral  Survivants  ergothérapie  Intégration communautaire Résumé : OBJECTIVE. We examined the feasibility of study procedures and explored the potential efficacy of Occupational Performance Coaching for stroke survivors (OPC--Stroke), an intervention designed to improve participation after stroke. METHOD. In this pilot randomized controlled trial, 21 participants were randomized to receive the intervention or usual care. Recruitment, retention, and outcome completion rates were calculated. Direction of change and effect sizes were examined for the outcomes of participation, goal performance and satisfaction, goal self-efficacy, emotional well-being, and cognition. RESULTS. Rates of recruitment (66%) and retention (81%) were satisfactory. Participation scores improved for both groups with different trajectories. Results showed a moderate effect of OPC--Stroke for goal performance (η2partial d = .075) and satisfaction (η2partial d = .078) and a large effect for cognition (η2partial d = .167). Other outcome measures did not change as expected. CONCLUSION. Study procedures were generally feasible. Preliminary findings support testing to examine the efficacy of OPC--Stroke. Permalink : ./index.php?lvl=notice_display&id=49294

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Occupational Therapy's Role in Cancer Survivorship as a Chronic Condition. / Mary Frances BAXTER in American Journal of Occupational Therapy, Vol. 71/3 (2017)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 71/3 (2017) . - pp.1-7 Titre : Occupational Therapy's Role in Cancer Survivorship as a Chronic Condition. Type de document : texte imprimé Auteurs : Mary Frances BAXTER, Auteur ; Robin Newman, Auteur ; Sheila M. Longpre, Auteur Année de publication : 2017 Article en page(s) : pp.1-7 Langues : Américain (ame) Mots-clés : ergothérapie  cancer  survivants  maladie chronique Résumé : Improved medical care has resulted In a documented Increase In cancer survivors In the United States. Cancer survivors face challenges in participation across all facets of life as a result of the cancer and subsequent cancer treatments. Long-term and late-term sequelae can result in impairments in neurological systems, decreased stamina, loss of range of motion, and changes in sensation and cognition. These impairments are often long lasting, which categorizes cancer survivorship as a chronic condition. This categorization presents treatment challenges, especially in creating rehabilitation and habilitation service options that support cancer survivors. Occupational therapy provides a unique focus that can benefit cancer survivors as they face limitations in participation in all aspects of daily living. Research, advocacy, and education efforts are needed to focus on the specific rehabilitation and habilitation needs of cancer survivors to increase access to occupational therapy's distinct value. Permalink : ./index.php?lvl=notice_display&id=49295 [article] Occupational Therapy's Role in Cancer Survivorship as a Chronic Condition. [texte imprimé] / Mary Frances BAXTER, Auteur ; Robin Newman, Auteur ; Sheila M. Longpre, Auteur . - 2017 . - pp.1-7. Langues : Américain (ame) in American Journal of Occupational Therapy > Vol. 71/3 (2017) . - pp.1-7 Mots-clés : ergothérapie  cancer  survivants  maladie chronique Résumé : Improved medical care has resulted In a documented Increase In cancer survivors In the United States. Cancer survivors face challenges in participation across all facets of life as a result of the cancer and subsequent cancer treatments. Long-term and late-term sequelae can result in impairments in neurological systems, decreased stamina, loss of range of motion, and changes in sensation and cognition. These impairments are often long lasting, which categorizes cancer survivorship as a chronic condition. This categorization presents treatment challenges, especially in creating rehabilitation and habilitation service options that support cancer survivors. Occupational therapy provides a unique focus that can benefit cancer survivors as they face limitations in participation in all aspects of daily living. Research, advocacy, and education efforts are needed to focus on the specific rehabilitation and habilitation needs of cancer survivors to increase access to occupational therapy's distinct value. Permalink : ./index.php?lvl=notice_display&id=49295

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Resource Seeking as Occupation: A Critical and Empirical Exploration. / Rebecca M. ALDRICH in American Journal of Occupational Therapy, Vol. 71/3 (2017)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 71/3 (2017) . - pp.1-9. Titre : Resource Seeking as Occupation: A Critical and Empirical Exploration. Type de document : texte imprimé Auteurs : Rebecca M. ALDRICH, Auteur ; Debbie Laliberte Rudman, Auteur ; Virginia A. DICKIE, Auteur Année de publication : 2017 Article en page(s) : pp.1-9. Langues : Américain (ame) Mots-clés : ergotherapie  emploi Résumé : Occupational therapists and occupational scientists are committed to generating and using knowledge about occupation, but Western middle-class social norms regarding particular ways of doing have limited explorations of survival occupations. This article provides empirical evidence of the ways in which resource seeking constitutes an occupational response to situations of uncertain survival. Resource seeking includes a range of activities outside formal employment that aim to meet basic needs. On the basis of findings from 2 ethnographic studies, we critique the presumption of survival in guiding occupational therapy documents and the accompanying failure to recognize occupations that seem at odds with self-sufficiency. We argue that failing to name resource seeking in occupational therapy documents risks alignment with social, political, and economic trends that foster occupational injustices. If occupational therapists truly aim to meet society's occupational needs, they must ensure that professional documents and discourses reflect the experiences of all people in society. Permalink : ./index.php?lvl=notice_display&id=49296 [article] Resource Seeking as Occupation: A Critical and Empirical Exploration. [texte imprimé] / Rebecca M. ALDRICH, Auteur ; Debbie Laliberte Rudman, Auteur ; Virginia A. DICKIE, Auteur . - 2017 . - pp.1-9. Langues : Américain (ame) in American Journal of Occupational Therapy > Vol. 71/3 (2017) . - pp.1-9. Mots-clés : ergotherapie  emploi Résumé : Occupational therapists and occupational scientists are committed to generating and using knowledge about occupation, but Western middle-class social norms regarding particular ways of doing have limited explorations of survival occupations. This article provides empirical evidence of the ways in which resource seeking constitutes an occupational response to situations of uncertain survival. Resource seeking includes a range of activities outside formal employment that aim to meet basic needs. On the basis of findings from 2 ethnographic studies, we critique the presumption of survival in guiding occupational therapy documents and the accompanying failure to recognize occupations that seem at odds with self-sufficiency. We argue that failing to name resource seeking in occupational therapy documents risks alignment with social, political, and economic trends that foster occupational injustices. If occupational therapists truly aim to meet society's occupational needs, they must ensure that professional documents and discourses reflect the experiences of all people in society. Permalink : ./index.php?lvl=notice_display&id=49296

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Simulated Driving Skills Evaluation of Teenagers With Attention Deficit Hyperactivity Disorder Before Driving Lessons. / Navah Zelda Ratzon in American Journal of Occupational Therapy, Vol. 71/3 (2017)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 71/3 (2017) . - pp.1-8 Titre : Simulated Driving Skills Evaluation of Teenagers With Attention Deficit Hyperactivity Disorder Before Driving Lessons. Type de document : texte imprimé Auteurs : Navah Zelda Ratzon, Auteur ; Efrat Kadury Lunievsky, Auteur ; Arie Ashkenasi, Auteur Année de publication : 2017 Article en page(s) : pp.1-8 Langues : Américain (ame) Mots-clés : Trouble déficitaire de l'attention avec hyperactivité  Conduite automobile  Examen du permis de conduire automobile  adolescence  Méthylphénidate  Utilisations thérapeutiques Résumé : OBJECTIVE. We evaluated the driving skills of teenagers with attention deficit hyperactivity disorder (ADHD) during simulated driving before starting driving lessons and observed whether methylphenidate (MPH) affected their performance. METHOD. Sixty teenagers ages 15-18 yr were included; 29 teenagers with ADHD were tested with and without MPH, and 31 teenagers (control group) were tested once. All participants were tested on the STISIM Drive™ simulator. RESULTS. The number of center-line crossings was higher in the group without MPH treatment than in the control group and the MPH-treated group. The group without MPH treatment had more road-edge excursions compared with the control group and drove faster than the MPH-treated group. CONCLUSION. Adolescents with ADHD without MPH treatment demonstrated impaired performance more often while driving the simulator, resembling characteristics found during on-road driving among teenagers with ADHD. Trainer awareness is a primary intervention before taking driving lessons to help teenagers achieve safe driving performance. Permalink : ./index.php?lvl=notice_display&id=49297 [article] Simulated Driving Skills Evaluation of Teenagers With Attention Deficit Hyperactivity Disorder Before Driving Lessons. [texte imprimé] / Navah Zelda Ratzon, Auteur ; Efrat Kadury Lunievsky, Auteur ; Arie Ashkenasi, Auteur . - 2017 . - pp.1-8. Langues : Américain (ame) in American Journal of Occupational Therapy > Vol. 71/3 (2017) . - pp.1-8 Mots-clés : Trouble déficitaire de l'attention avec hyperactivité  Conduite automobile  Examen du permis de conduire automobile  adolescence  Méthylphénidate  Utilisations thérapeutiques Résumé : OBJECTIVE. We evaluated the driving skills of teenagers with attention deficit hyperactivity disorder (ADHD) during simulated driving before starting driving lessons and observed whether methylphenidate (MPH) affected their performance. METHOD. Sixty teenagers ages 15-18 yr were included; 29 teenagers with ADHD were tested with and without MPH, and 31 teenagers (control group) were tested once. All participants were tested on the STISIM Drive™ simulator. RESULTS. The number of center-line crossings was higher in the group without MPH treatment than in the control group and the MPH-treated group. The group without MPH treatment had more road-edge excursions compared with the control group and drove faster than the MPH-treated group. CONCLUSION. Adolescents with ADHD without MPH treatment demonstrated impaired performance more often while driving the simulator, resembling characteristics found during on-road driving among teenagers with ADHD. Trainer awareness is a primary intervention before taking driving lessons to help teenagers achieve safe driving performance. Permalink : ./index.php?lvl=notice_display&id=49297

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Somatosensory Discrimination Intervention Improves Body Position Sense and Motor Performance in Children With Hemiplegic Cerebral Palsy. / Belinda McLean in American Journal of Occupational Therapy, Vol. 71/3 (2017)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 71/3 (2017) . - pp.1-9 Titre : Somatosensory Discrimination Intervention Improves Body Position Sense and Motor Performance in Children With Hemiplegic Cerebral Palsy. Type de document : texte imprimé Auteurs : Belinda McLean, Auteur ; Susan Taylor, Auteur ; Eve Blair, Auteur Année de publication : 2017 Article en page(s) : pp.1-9 Langues : Américain (ame) Mots-clés : Paralysie cérébrale  hémiplégie  ergothérapie  enfants  Troubles de la perception Résumé : OBJECTIVE. This study examined the use of the adult neuroscience-based Sense© intervention with children with hemiplegic cerebral palsy (HCP) to improve upper-limb somatosensory discrimination, motor function, and goal performance. METHOD. Seventeen children with HCP (9 boys, 8 girls; mean age = 10.2 yr) participated in this pilot matched-pairs trial with random allocation and 6-mo follow-up (intervention, n = 7; control, n = 10). The intervention group received Sense training 3x/wk for 6 wk (18 hr). Outcome measures included Goal Attainment Scaling, Sense_assess© Kids, and the Assisting Hand Assessment. RESULTS. The intervention group improved in goal performance, proprioception, and bimanual hand use and maintained improvement at 6-mo follow-up. The control group improved in occupational performance by 6-mo follow-up. CONCLUSION. This study established the feasibility of using the Sense intervention in a pediatric setting and adds preliminary evidence to suggest that improving somatosensory function can improve motor function and goal performance among children with HCP. Permalink : ./index.php?lvl=notice_display&id=49298 [article] Somatosensory Discrimination Intervention Improves Body Position Sense and Motor Performance in Children With Hemiplegic Cerebral Palsy. [texte imprimé] / Belinda McLean, Auteur ; Susan Taylor, Auteur ; Eve Blair, Auteur . - 2017 . - pp.1-9. Langues : Américain (ame) in American Journal of Occupational Therapy > Vol. 71/3 (2017) . - pp.1-9 Mots-clés : Paralysie cérébrale  hémiplégie  ergothérapie  enfants  Troubles de la perception Résumé : OBJECTIVE. This study examined the use of the adult neuroscience-based Sense© intervention with children with hemiplegic cerebral palsy (HCP) to improve upper-limb somatosensory discrimination, motor function, and goal performance. METHOD. Seventeen children with HCP (9 boys, 8 girls; mean age = 10.2 yr) participated in this pilot matched-pairs trial with random allocation and 6-mo follow-up (intervention, n = 7; control, n = 10). The intervention group received Sense training 3x/wk for 6 wk (18 hr). Outcome measures included Goal Attainment Scaling, Sense_assess© Kids, and the Assisting Hand Assessment. RESULTS. The intervention group improved in goal performance, proprioception, and bimanual hand use and maintained improvement at 6-mo follow-up. The control group improved in occupational performance by 6-mo follow-up. CONCLUSION. This study established the feasibility of using the Sense intervention in a pediatric setting and adds preliminary evidence to suggest that improving somatosensory function can improve motor function and goal performance among children with HCP. Permalink : ./index.php?lvl=notice_display&id=49298

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