Dépouillements

Strengthening health systems to provide rehabilitation services / Etienne Krug in Canadian Journal of Occupational Therapy, 84(2) (April 2017)

Public ISBD [article]  inCanadian Journal of Occupational Therapy > 84(2) (April 2017) . - p.72-75 Titre : Strengthening health systems to provide rehabilitation services Titre original : Renforcer les systèmes de santé pour fournir les services de réadaptation Type de document : texte imprimé Auteurs : Etienne Krug ; Alarcos Cieza Année de publication : 2017 Article en page(s) : p.72-75 Langues : Français (fre) Mots-clés : réadaptation  démographie  politique  santé publique Résumé : Le monde est confronté à de nouveaux défis face aux tendances sanitaires et démographiques : les populations vieillissent et le nombre des personnes vivant avec des maladies non transmissibles et des séquelles de traumatismes augmente (Chatterji, Byles, Cutler, Seeman, et Verdes, 2015; GBD 2015 Disease and Injury Incidence and Prevalence Collaborators, 2016; World Health Organization [WHO], 2016). Les conséquences sanitaires, sociales et économiques de ces tendances devraient interpeler les responsables politiques pour qu’ils ne se contentent pas d’investir dans les services de santé visant à réduire la mortalité et la morbidité, mais aussi dans ceux qui améliorent le fonctionnement et donc, le bien-être de la population. Ces résultats sont au cœur du travail de réadaptation; pourtant les services qui s’en chargent sont souvent sous-exploités, et ils font face à un manque de ressources et de considération. Permalink : ./index.php?lvl=notice_display&id=50097 [article] Strengthening health systems to provide rehabilitation services = Renforcer les systèmes de santé pour fournir les services de réadaptation [texte imprimé] / Etienne Krug ; Alarcos Cieza . - 2017 . - p.72-75. Langues : Français (fre) in Canadian Journal of Occupational Therapy > 84(2) (April 2017) . - p.72-75 Mots-clés : réadaptation  démographie  politique  santé publique Résumé : Le monde est confronté à de nouveaux défis face aux tendances sanitaires et démographiques : les populations vieillissent et le nombre des personnes vivant avec des maladies non transmissibles et des séquelles de traumatismes augmente (Chatterji, Byles, Cutler, Seeman, et Verdes, 2015; GBD 2015 Disease and Injury Incidence and Prevalence Collaborators, 2016; World Health Organization [WHO], 2016). Les conséquences sanitaires, sociales et économiques de ces tendances devraient interpeler les responsables politiques pour qu’ils ne se contentent pas d’investir dans les services de santé visant à réduire la mortalité et la morbidité, mais aussi dans ceux qui améliorent le fonctionnement et donc, le bien-être de la population. Ces résultats sont au cœur du travail de réadaptation; pourtant les services qui s’en chargent sont souvent sous-exploités, et ils font face à un manque de ressources et de considération. Permalink : ./index.php?lvl=notice_display&id=50097

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Enhancing classroom participation of students with intellectual and developmental disabilities / Efrat Selanikyo in Canadian Journal of Occupational Therapy, 84(2) (April 2017)

Public ISBD [article]  inCanadian Journal of Occupational Therapy > 84(2) (April 2017) . - p.76-86 Titre : Enhancing classroom participation of students with intellectual and developmental disabilities Titre original : Améliorer la participation en classe des élèves ayant des déficiences intellectuelles et des troubles envahissants du développement Type de document : texte imprimé Auteurs : Efrat Selanikyo ; Shira Yalon-Chamovitz ; Naomi Weintraub Année de publication : 2017 Article en page(s) : p.76-86 Langues : Anglais (eng) Mots-clés : collaboration consultative  déficience intellectuelle  écoles  ergothérapie  etudes cas-témoins Résumé : Abstract Background. Students with intellectual and developmental disabilities (IDD) have been found to participate less in school-based activities. Purpose. This study aimed to examine the effectiveness of a combined in-service and collaborative consultation intervention model for enhancing classroom participation of students with IDD. Method. The Collaborative Consultation for Participation of Students With IDD (Co-PID) program involved a multidisciplinary team (an occupational therapist and 17 teachers) as well as 35 students and was compared to an in-service program (20 teachers and 34 students). Students were 8 to 20 years old. The programs aimed to enhance three classroom participation components: communicating, choosing, and initiating. Findings. The Co-PID was found to significantly improve students’ participation in all areas, whereas the participation of the students in the in-service group decreased. Implications. A school-based multidisciplinary intervention program for students with IDD, combining in-service and collaborative consultation (e.g., Co-PID), may assist in enhancing classroom participation among students with IDD. Permalink : ./index.php?lvl=notice_display&id=50098 [article] Enhancing classroom participation of students with intellectual and developmental disabilities = Améliorer la participation en classe des élèves ayant des déficiences intellectuelles et des troubles envahissants du développement [texte imprimé] / Efrat Selanikyo ; Shira Yalon-Chamovitz ; Naomi Weintraub . - 2017 . - p.76-86. Langues : Anglais (eng) in Canadian Journal of Occupational Therapy > 84(2) (April 2017) . - p.76-86 Mots-clés : collaboration consultative  déficience intellectuelle  écoles  ergothérapie  etudes cas-témoins Résumé : Abstract Background. Students with intellectual and developmental disabilities (IDD) have been found to participate less in school-based activities. Purpose. This study aimed to examine the effectiveness of a combined in-service and collaborative consultation intervention model for enhancing classroom participation of students with IDD. Method. The Collaborative Consultation for Participation of Students With IDD (Co-PID) program involved a multidisciplinary team (an occupational therapist and 17 teachers) as well as 35 students and was compared to an in-service program (20 teachers and 34 students). Students were 8 to 20 years old. The programs aimed to enhance three classroom participation components: communicating, choosing, and initiating. Findings. The Co-PID was found to significantly improve students’ participation in all areas, whereas the participation of the students in the in-service group decreased. Implications. A school-based multidisciplinary intervention program for students with IDD, combining in-service and collaborative consultation (e.g., Co-PID), may assist in enhancing classroom participation among students with IDD. Permalink : ./index.php?lvl=notice_display&id=50098

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Functional electrical stimulation therapy for severe hemiplegia: Randomized control trial revisited / Cesar Marquez-Chin in Canadian Journal of Occupational Therapy, 84(2) (April 2017)

Public ISBD [article]  inCanadian Journal of Occupational Therapy > 84(2) (April 2017) . - p.87-97 Titre : Functional electrical stimulation therapy for severe hemiplegia: Randomized control trial revisited Titre original : La simulation électrique fonctionnelle pour le traitement d’une hémiplégie sévère : un essai clinique aléatoire revisité Type de document : texte imprimé Auteurs : Cesar Marquez-Chin ; Shaghayegh Bagher ; Vera Zivanovic ; Milos R. Popovic Année de publication : 2017 Article en page(s) : p.87-97 Langues : Anglais (eng) Mots-clés : accident vasculaire cérébral  activités de la vie quotidienne  membre supérieur  réadaptation  rétablissement des capacités fonctionnelles Résumé : Background. Stroke is the leading cause of long-term disability. Stroke survivors seldom improve their upper-limb function when their deficit is severe, despite recently developed therapies. Purpose. This study aims to assess the efficacy of functional electrical stimulation therapy in improving voluntary reaching and grasping after severe hemiplegia. Method. A post hoc analysis of a previously completed randomized control trial (clinicaltrials.gov, No. NCT00221078) was carried out involving 21 participants with severe upper-limb hemiplegia (i.e., Fugl-Meyer Assessment–Upper Extremity [FMA-UE] ≤ 15) resulting from stroke. Findings. Functional Independence Measure Self-Care subscores increased 22.8 (±6.7) points in the intervention group and 9 (±6.5) in the control group, following 40 hr of equal-intensity therapy. FMA-UE score changes were 27.2 (±13.5) and 5.3 (±11.0) for the intervention and control groups, respectively. Implications. The results may represent the largest upper-limb function improvements in any stroke population to date, especially in those with severe upper-limb deficit. Permalink : ./index.php?lvl=notice_display&id=50099 [article] Functional electrical stimulation therapy for severe hemiplegia: Randomized control trial revisited = La simulation électrique fonctionnelle pour le traitement d’une hémiplégie sévère : un essai clinique aléatoire revisité [texte imprimé] / Cesar Marquez-Chin ; Shaghayegh Bagher ; Vera Zivanovic ; Milos R. Popovic . - 2017 . - p.87-97. Langues : Anglais (eng) in Canadian Journal of Occupational Therapy > 84(2) (April 2017) . - p.87-97 Mots-clés : accident vasculaire cérébral  activités de la vie quotidienne  membre supérieur  réadaptation  rétablissement des capacités fonctionnelles Résumé : Background. Stroke is the leading cause of long-term disability. Stroke survivors seldom improve their upper-limb function when their deficit is severe, despite recently developed therapies. Purpose. This study aims to assess the efficacy of functional electrical stimulation therapy in improving voluntary reaching and grasping after severe hemiplegia. Method. A post hoc analysis of a previously completed randomized control trial (clinicaltrials.gov, No. NCT00221078) was carried out involving 21 participants with severe upper-limb hemiplegia (i.e., Fugl-Meyer Assessment–Upper Extremity [FMA-UE] ≤ 15) resulting from stroke. Findings. Functional Independence Measure Self-Care subscores increased 22.8 (±6.7) points in the intervention group and 9 (±6.5) in the control group, following 40 hr of equal-intensity therapy. FMA-UE score changes were 27.2 (±13.5) and 5.3 (±11.0) for the intervention and control groups, respectively. Implications. The results may represent the largest upper-limb function improvements in any stroke population to date, especially in those with severe upper-limb deficit. Permalink : ./index.php?lvl=notice_display&id=50099

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Occupation-based practices and homelessness: A scoping review / Laurence Roy in Canadian Journal of Occupational Therapy, 84(2) (April 2017)

Public ISBD [article]  inCanadian Journal of Occupational Therapy > 84(2) (April 2017) . - p. 98-110 Titre : Occupation-based practices and homelessness: A scoping review Titre original : Pratiques fondées sur l’occupation et itinérance : Un examen de la portée Type de document : texte imprimé Auteurs : Laurence Roy ; Catherine Vallée ; Bonnie H. Kirsh ; [et al...] Année de publication : 2017 Article en page(s) : p. 98-110 Langues : Anglais (eng) Mots-clés : emploi  justice occupationnelle  logement  participation  transition Résumé : Background. Persons experiencing or at risk of homelessness have occupational needs that are seldom addressed in the Canadian system of care. The lack of documented evidence on occupational therapy practices in this field hinders the development of the profession. Purpose. This article identifies current and potential practices that aim to enable or support the occupations of persons experiencing or at risk of homelessness. Method. A scoping review was conducted, including evidence from both occupational therapy and non–occupational therapy sources. Findings. One hundred and seventy-eight papers were selected in the areas of occupational performance skills training, enrichment of occupational repertoire, employment/education, physical rehabilitation services, child/family services, community building, occupational transition from homeless to housed, literacy, and disaster relief. Implications. Occupational therapists can build environments and create opportunities that facilitate occupational engagement of individuals experiencing homelessness. Gaps in knowledge include the evaluation of occupational therapy practices, the Canadian context of family homelessness, and the cultural safety of occupational therapy interventions. Permalink : ./index.php?lvl=notice_display&id=50100 [article] Occupation-based practices and homelessness: A scoping review = Pratiques fondées sur l’occupation et itinérance : Un examen de la portée [texte imprimé] / Laurence Roy ; Catherine Vallée ; Bonnie H. Kirsh ; [et al...] . - 2017 . - p. 98-110. Langues : Anglais (eng) in Canadian Journal of Occupational Therapy > 84(2) (April 2017) . - p. 98-110 Mots-clés : emploi  justice occupationnelle  logement  participation  transition Résumé : Background. Persons experiencing or at risk of homelessness have occupational needs that are seldom addressed in the Canadian system of care. The lack of documented evidence on occupational therapy practices in this field hinders the development of the profession. Purpose. This article identifies current and potential practices that aim to enable or support the occupations of persons experiencing or at risk of homelessness. Method. A scoping review was conducted, including evidence from both occupational therapy and non–occupational therapy sources. Findings. One hundred and seventy-eight papers were selected in the areas of occupational performance skills training, enrichment of occupational repertoire, employment/education, physical rehabilitation services, child/family services, community building, occupational transition from homeless to housed, literacy, and disaster relief. Implications. Occupational therapists can build environments and create opportunities that facilitate occupational engagement of individuals experiencing homelessness. Gaps in knowledge include the evaluation of occupational therapy practices, the Canadian context of family homelessness, and the cultural safety of occupational therapy interventions. Permalink : ./index.php?lvl=notice_display&id=50100

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Dove and hawk profiles in youth concussion: Rethinking occupational performance / Melissa J. Paniccia in Canadian Journal of Occupational Therapy, 84(2) (April 2017)

Public ISBD [article]  inCanadian Journal of Occupational Therapy > 84(2) (April 2017) . - p. 111-118 Titre : Dove and hawk profiles in youth concussion: Rethinking occupational performance Titre original : Voir le rendement occupationnel sous un angle différent en utilisant les profils de la « colombe » et du « faucon » pour aborder les commotions chez les jeunes Type de document : texte imprimé Auteurs : Melissa J. Paniccia ; Nick P. Reed Année de publication : 2017 Article en page(s) : p. 111-118 Langues : Anglais (eng) Mots-clés : modèle de rétablissement  pédiatrie  réadaptation  reprise des activités  traumatisme craniocérébral léger Résumé : Background. Youth concussion and its subsequent recovery have been described as heterogeneous; no one injury is the same, and each youth is different in how he or she recovers. Purpose. This paper proposes a theoretical perspective on the management of youth with persistent concussion symptoms. Key Issues. When managing concussion within youth, further consideration of person, occupation, and environment factors may provide insight on (a) the differential spectrum of profiles that exist among youth who have experienced a concussion and (b) how these profiles can support client-centred rehabilitation. Passive-dove and active-hawk stress profiles from evolutionary literature will be used to contextualize return to occupational performance. An innovative, novel model—the Dove-Hawk Model of Allostatic Load for Youth With Persistent Concussion Symptoms—is proposed to illustrate these concepts, and approaches to rehabilitation across the spectrum of profiles are offered. Implications. Viewing persistent youth concussion recovery in this way may elucidate different approaches to client-centred rehabilitation. Permalink : ./index.php?lvl=notice_display&id=50101 [article] Dove and hawk profiles in youth concussion: Rethinking occupational performance = Voir le rendement occupationnel sous un angle différent en utilisant les profils de la « colombe » et du « faucon » pour aborder les commotions chez les jeunes [texte imprimé] / Melissa J. Paniccia ; Nick P. Reed . - 2017 . - p. 111-118. Langues : Anglais (eng) in Canadian Journal of Occupational Therapy > 84(2) (April 2017) . - p. 111-118 Mots-clés : modèle de rétablissement  pédiatrie  réadaptation  reprise des activités  traumatisme craniocérébral léger Résumé : Background. Youth concussion and its subsequent recovery have been described as heterogeneous; no one injury is the same, and each youth is different in how he or she recovers. Purpose. This paper proposes a theoretical perspective on the management of youth with persistent concussion symptoms. Key Issues. When managing concussion within youth, further consideration of person, occupation, and environment factors may provide insight on (a) the differential spectrum of profiles that exist among youth who have experienced a concussion and (b) how these profiles can support client-centred rehabilitation. Passive-dove and active-hawk stress profiles from evolutionary literature will be used to contextualize return to occupational performance. An innovative, novel model—the Dove-Hawk Model of Allostatic Load for Youth With Persistent Concussion Symptoms—is proposed to illustrate these concepts, and approaches to rehabilitation across the spectrum of profiles are offered. Implications. Viewing persistent youth concussion recovery in this way may elucidate different approaches to client-centred rehabilitation. Permalink : ./index.php?lvl=notice_display&id=50101

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The development of an outcome measures toolkit for spinal cord injury rehabilitation / Christie W. L. Chan in Canadian Journal of Occupational Therapy, 84(2) (April 2017)

Public ISBD [article]  inCanadian Journal of Occupational Therapy > 84(2) (April 2017) . - p. 119-129 Titre : The development of an outcome measures toolkit for spinal cord injury rehabilitation Titre original : Création d’une trousse de mesures des résultats pour la réadaptation des personnes ayant subi une lésion de la moelle épinière Type de document : texte imprimé Auteurs : Christie W. L. Chan ; William C. Miller ; Matthew Querée ; [et al...] Année de publication : 2017 Article en page(s) : p. 119-129 Langues : Anglais (eng) Mots-clés : consensus  évaluation des résultats  méthode Delphi  outils d'évaluation  psychométrie Résumé : Background. Spinal cord injury (SCI) is a complex medical condition that can be difficult to monitor. Purpose. This study aimed to establish a common set of validated outcome measures specifically for SCI clinical practice. Method. In a three-round online Delphi process, experts in SCI care across Canada suggested and ranked outcome measures for clinical practice. The facilitators provided feedback between rounds and determined if consensus (at least 75% agreement) was reached on a single outcome measure per clinical area. Findings. One hundred and forty-eight outcome measures were initially considered for inclusion. After three rounds, consensus was reached for 23 out of 30 clinical areas. In the remaining seven, more than one outcome measure was recommended. The final toolkit comprises 33 outcome measures with sufficient measurement properties for use with a SCI population. Implications. An outcome measures toolkit validated specifically for SCI should lead to improved identification of best practice and enable clinicians to monitor client progress effectively. Permalink : ./index.php?lvl=notice_display&id=50102 [article] The development of an outcome measures toolkit for spinal cord injury rehabilitation = Création d’une trousse de mesures des résultats pour la réadaptation des personnes ayant subi une lésion de la moelle épinière [texte imprimé] / Christie W. L. Chan ; William C. Miller ; Matthew Querée ; [et al...] . - 2017 . - p. 119-129. Langues : Anglais (eng) in Canadian Journal of Occupational Therapy > 84(2) (April 2017) . - p. 119-129 Mots-clés : consensus  évaluation des résultats  méthode Delphi  outils d'évaluation  psychométrie Résumé : Background. Spinal cord injury (SCI) is a complex medical condition that can be difficult to monitor. Purpose. This study aimed to establish a common set of validated outcome measures specifically for SCI clinical practice. Method. In a three-round online Delphi process, experts in SCI care across Canada suggested and ranked outcome measures for clinical practice. The facilitators provided feedback between rounds and determined if consensus (at least 75% agreement) was reached on a single outcome measure per clinical area. Findings. One hundred and forty-eight outcome measures were initially considered for inclusion. After three rounds, consensus was reached for 23 out of 30 clinical areas. In the remaining seven, more than one outcome measure was recommended. The final toolkit comprises 33 outcome measures with sufficient measurement properties for use with a SCI population. Implications. An outcome measures toolkit validated specifically for SCI should lead to improved identification of best practice and enable clinicians to monitor client progress effectively. Permalink : ./index.php?lvl=notice_display&id=50102

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