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Occupational Therapy for Upper Limb Post-Stroke Sensory Impairments: A Survey / Susan D. Doyle in The British Journal of Occupational Therapy, Volume 76 numéro 10 (01/10/2013)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Volume 76 numéro 10 (01/10/2013) . - p. 434-442 Titre : Occupational Therapy for Upper Limb Post-Stroke Sensory Impairments: A Survey Type de document : texte imprimé Auteurs : Susan D. Doyle ; Sally Bennett ; Louise Gustafsson Année de publication : 2013 Article en page(s) : p. 434-442 Langues : Anglais (eng) Mots-clés : Occupational therapy  sensory impairment  stroke Résumé : Purpose: Upper limb post-stroke sensory impairments have an impact on a significant number of stroke survivors. There is limited research in this area and it is unclear how occupational therapists are addressing sensory impairments in clinical practice. This study aimed to investigate the clinical practice patterns of occupational therapists, perceived barriers to providing interventions and information sources used when addressing upper limb post-stroke sensory impairments. Methods: A survey was sent to 500 randomly selected occupational therapists in the United States. Findings: The majority of the 145 respondents reported frequently assessing sensation, and half reported providing interventions for sensory impairments. Interventions primarily focused on providing passive sensory stimulation followed by compensatory strategies. Most therapists provided patient/caregiver education about safety. Therapists cited lack of knowledge and skills, patients' short length of stay and lack of time as barriers to utilizing interventions. Most therapists reported not being up to date with current research and requested continuing education to support practice. Conclusion: This survey established a profile of American occupational therapists' practice with people with upper limb post-stroke sensory impairments. Therapists have a need for information and training in all aspects of the management of upper limb post-stroke sensory impairment. Further research, evaluating the effectiveness of interventions and exploring therapists' clinical decision making when choosing interventions, is also needed. Permalink : ./index.php?lvl=notice_display&id=103232 [article] Occupational Therapy for Upper Limb Post-Stroke Sensory Impairments: A Survey [texte imprimé] / Susan D. Doyle ; Sally Bennett ; Louise Gustafsson . - 2013 . - p. 434-442. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Volume 76 numéro 10 (01/10/2013) . - p. 434-442 Mots-clés : Occupational therapy  sensory impairment  stroke Résumé : Purpose: Upper limb post-stroke sensory impairments have an impact on a significant number of stroke survivors. There is limited research in this area and it is unclear how occupational therapists are addressing sensory impairments in clinical practice. This study aimed to investigate the clinical practice patterns of occupational therapists, perceived barriers to providing interventions and information sources used when addressing upper limb post-stroke sensory impairments. Methods: A survey was sent to 500 randomly selected occupational therapists in the United States. Findings: The majority of the 145 respondents reported frequently assessing sensation, and half reported providing interventions for sensory impairments. Interventions primarily focused on providing passive sensory stimulation followed by compensatory strategies. Most therapists provided patient/caregiver education about safety. Therapists cited lack of knowledge and skills, patients' short length of stay and lack of time as barriers to utilizing interventions. Most therapists reported not being up to date with current research and requested continuing education to support practice. Conclusion: This survey established a profile of American occupational therapists' practice with people with upper limb post-stroke sensory impairments. Therapists have a need for information and training in all aspects of the management of upper limb post-stroke sensory impairment. Further research, evaluating the effectiveness of interventions and exploring therapists' clinical decision making when choosing interventions, is also needed. Permalink : ./index.php?lvl=notice_display&id=103232

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Adaptation Planning Guideline and Constrained Outline for Shower Chairs and other Four-Caster Vehicles / Brian Abraham in The British Journal of Occupational Therapy, Volume 76 numéro 10 (01/10/2013)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Volume 76 numéro 10 (01/10/2013) . - p. 443-451 Titre : Adaptation Planning Guideline and Constrained Outline for Shower Chairs and other Four-Caster Vehicles Type de document : texte imprimé Auteurs : Brian Abraham ; Rob I. Davidson ; Garth R. Johnson Année de publication : 2013 Article en page(s) : p. 443-451 Langues : Anglais (eng) Mots-clés : Activities of daily living  caregiver  architecture Résumé : Introduction: No research-based guidelines for adaptation planning for shower chairs and other vehicles with four casters exist, despite the manual handling nature of the manoeuvring task and the occupational therapy responsibility to plan for such vehicles. Method: It was determined from theory that changes in direction for these vehicles, such as from a passageway through a door, could be represented by 13 manoeuvres. Participants (n = 17) carried out 11 (maximum) manoeuvres based on this theory, each with the maximum comfortable occupant weight of their choice (weights represented the occupant). Findings: The maximum occupant weight selected as comfortable varied substantially between some of the 11 manoeuvres: there was a 100% difference between the lowest and highest weight selections. This indicated that four-caster vehicles (such as shower chairs) should not be treated as omni-directional for high occupant weights, or for floor materials with high motion resistance, because the manoeuvre direction substantially affects maximum comfortable weight selection. Conclusion: The manoeuvre with the highest weight selection is proposed as a guideline when manual handling concerns exist for these vehicles. The guideline can be modified for individual vehicles sizes, occupant and carer anatomy. Permalink : ./index.php?lvl=notice_display&id=103233 [article] Adaptation Planning Guideline and Constrained Outline for Shower Chairs and other Four-Caster Vehicles [texte imprimé] / Brian Abraham ; Rob I. Davidson ; Garth R. Johnson . - 2013 . - p. 443-451. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Volume 76 numéro 10 (01/10/2013) . - p. 443-451 Mots-clés : Activities of daily living  caregiver  architecture Résumé : Introduction: No research-based guidelines for adaptation planning for shower chairs and other vehicles with four casters exist, despite the manual handling nature of the manoeuvring task and the occupational therapy responsibility to plan for such vehicles. Method: It was determined from theory that changes in direction for these vehicles, such as from a passageway through a door, could be represented by 13 manoeuvres. Participants (n = 17) carried out 11 (maximum) manoeuvres based on this theory, each with the maximum comfortable occupant weight of their choice (weights represented the occupant). Findings: The maximum occupant weight selected as comfortable varied substantially between some of the 11 manoeuvres: there was a 100% difference between the lowest and highest weight selections. This indicated that four-caster vehicles (such as shower chairs) should not be treated as omni-directional for high occupant weights, or for floor materials with high motion resistance, because the manoeuvre direction substantially affects maximum comfortable weight selection. Conclusion: The manoeuvre with the highest weight selection is proposed as a guideline when manual handling concerns exist for these vehicles. The guideline can be modified for individual vehicles sizes, occupant and carer anatomy. Permalink : ./index.php?lvl=notice_display&id=103233

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An Occupational Therapy Practice Initiative Using the Bobath Concept : A Collaborative Partnership with Higher Education / Yvonne Milton in The British Journal of Occupational Therapy, Volume 76 numéro 10 (01/10/2013)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Volume 76 numéro 10 (01/10/2013) . - p. 452-455 Titre : An Occupational Therapy Practice Initiative Using the Bobath Concept : A Collaborative Partnership with Higher Education Type de document : texte imprimé Auteurs : Yvonne Milton ; Athena Logothetis Année de publication : 2013 Article en page(s) : p. 452-455 Langues : Anglais (eng) Mots-clés : Professional development  mentorship  Bobath Concept  cerebral palsy Résumé : This practice analysis presents a critical investigation of a collaborative partnership between a National Health Service provider and a higher education institution. The practice initiative collaborative partnership provided an opportunity for mentorship, to develop further clinical reasoning skills and confidence in the application of the Bobath Concept for children with cerebral palsy within a community setting. It also provided opportunities for service development based on the Bobath Concept. Issues for future consideration and recommendations for service development are included. Permalink : ./index.php?lvl=notice_display&id=103234 [article] An Occupational Therapy Practice Initiative Using the Bobath Concept : A Collaborative Partnership with Higher Education [texte imprimé] / Yvonne Milton ; Athena Logothetis . - 2013 . - p. 452-455. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Volume 76 numéro 10 (01/10/2013) . - p. 452-455 Mots-clés : Professional development  mentorship  Bobath Concept  cerebral palsy Résumé : This practice analysis presents a critical investigation of a collaborative partnership between a National Health Service provider and a higher education institution. The practice initiative collaborative partnership provided an opportunity for mentorship, to develop further clinical reasoning skills and confidence in the application of the Bobath Concept for children with cerebral palsy within a community setting. It also provided opportunities for service development based on the Bobath Concept. Issues for future consideration and recommendations for service development are included. Permalink : ./index.php?lvl=notice_display&id=103234

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A Narrative Literature Review of the Impact of Anti-TNFα Treatment on the Occupational Performance of People with Rheumatoid Arthritis or Ankylosing Spondylitis / Margaret McArthur in The British Journal of Occupational Therapy, Volume 76 numéro 10 (01/10/2013)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Volume 76 numéro 10 (01/10/2013) . - p. 456-469 Titre : A Narrative Literature Review of the Impact of Anti-TNFα Treatment on the Occupational Performance of People with Rheumatoid Arthritis or Ankylosing Spondylitis Type de document : texte imprimé Auteurs : Margaret McArthur ; Linda Birt ; Lynne Goodacre Année de publication : 2013 Article en page(s) : p. 456-469 Langues : Anglais (eng) Mots-clés : Rheumatic diseases  disease management  drug therapy Résumé : Introduction: Anti-TNFα treatment has revolutionised the disease pathway for some people with rheumatoid arthritis and ankylosing spondylitis, although physiological improvements do not always readily translate into re-engagement in occupational activities. This review explores the evidence base for the impact of anti-TNFα on occupational performance. Method: Literature was searched from 2000–11. A four-stage process resulted in the review of 19 articles. The Weight of Evidence framework was used to assess quality and relevance to the review question. Findings: People on anti-TNFα treatment experience increased engagement in functional, psychological and social domains. Most studies focused on employment issues, with conflicting evidence about how well anti-TNFα protected against work disability and very limited evidence that anti-TNFα enabled return to paid work. The increase in productivity was to the detriment of other occupational domains, with resulting occupational imbalance. Conclusion: The assumption that clinical improvement is relatively trouble free is incorrect, as some people on anti-TNFα treatment continue to experience difficulties in all occupational domains, particularly work. People on anti-TNFα treatment do not routinely have access to occupational therapy services. Further research needs to explore the nuanced experiences of treatment and the role of occupational therapy in maximising the treatment potential of anti-TNFα. Permalink : ./index.php?lvl=notice_display&id=103235 [article] A Narrative Literature Review of the Impact of Anti-TNFα Treatment on the Occupational Performance of People with Rheumatoid Arthritis or Ankylosing Spondylitis [texte imprimé] / Margaret McArthur ; Linda Birt ; Lynne Goodacre . - 2013 . - p. 456-469. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Volume 76 numéro 10 (01/10/2013) . - p. 456-469 Mots-clés : Rheumatic diseases  disease management  drug therapy Résumé : Introduction: Anti-TNFα treatment has revolutionised the disease pathway for some people with rheumatoid arthritis and ankylosing spondylitis, although physiological improvements do not always readily translate into re-engagement in occupational activities. This review explores the evidence base for the impact of anti-TNFα on occupational performance. Method: Literature was searched from 2000–11. A four-stage process resulted in the review of 19 articles. The Weight of Evidence framework was used to assess quality and relevance to the review question. Findings: People on anti-TNFα treatment experience increased engagement in functional, psychological and social domains. Most studies focused on employment issues, with conflicting evidence about how well anti-TNFα protected against work disability and very limited evidence that anti-TNFα enabled return to paid work. The increase in productivity was to the detriment of other occupational domains, with resulting occupational imbalance. Conclusion: The assumption that clinical improvement is relatively trouble free is incorrect, as some people on anti-TNFα treatment continue to experience difficulties in all occupational domains, particularly work. People on anti-TNFα treatment do not routinely have access to occupational therapy services. Further research needs to explore the nuanced experiences of treatment and the role of occupational therapy in maximising the treatment potential of anti-TNFα. Permalink : ./index.php?lvl=notice_display&id=103235

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Are Occupational Therapy Interventions for Service Users with Mental Health Problems Cost-Effective? / Mary Morley in The British Journal of Occupational Therapy, Volume 76 numéro 10 (01/10/2013)

Public ISBD [article]  inThe British Journal of Occupational Therapy > Volume 76 numéro 10 (01/10/2013) . - p. 470-473 Titre : Are Occupational Therapy Interventions for Service Users with Mental Health Problems Cost-Effective? Type de document : texte imprimé Auteurs : Mary Morley ; Genevieve Smyth Année de publication : 2013 Article en page(s) : p. 470-473 Langues : Anglais (eng) Mots-clés : Cost-benefit analysis  healthcare costs  healthcare expenditure Résumé : The current financial climate in health and social care is challenging: occupational therapists who work in mental health services need urgently to demonstrate clinical effectiveness and value for money in comparison to other interventions. In doing so they will help to ensure that service users in the United Kingdom can continue to benefit from occupational therapy interventions. In this opinion piece, a basic introduction to types of evaluation, costs and consequences is provided, as well as a description of research studies into the provision of occupational therapy for service users with mental health problems that include economic evaluations. Finally, methods to produce this vital information are suggested for practitioners, managers and researchers. Permalink : ./index.php?lvl=notice_display&id=103236 [article] Are Occupational Therapy Interventions for Service Users with Mental Health Problems Cost-Effective? [texte imprimé] / Mary Morley ; Genevieve Smyth . - 2013 . - p. 470-473. Langues : Anglais (eng) in The British Journal of Occupational Therapy > Volume 76 numéro 10 (01/10/2013) . - p. 470-473 Mots-clés : Cost-benefit analysis  healthcare costs  healthcare expenditure Résumé : The current financial climate in health and social care is challenging: occupational therapists who work in mental health services need urgently to demonstrate clinical effectiveness and value for money in comparison to other interventions. In doing so they will help to ensure that service users in the United Kingdom can continue to benefit from occupational therapy interventions. In this opinion piece, a basic introduction to types of evaluation, costs and consequences is provided, as well as a description of research studies into the provision of occupational therapy for service users with mental health problems that include economic evaluations. Finally, methods to produce this vital information are suggested for practitioners, managers and researchers. Permalink : ./index.php?lvl=notice_display&id=103236

Exemplaires (1)

Cote	Support	Localisation	Section	Disponibilité
Revue	Revue	Centre de Documentation HELHa Campus Montignies	Réserve	Consultable sur demande auprès des documentalistes Exclu du prêt