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Dynamic lowenstein occupational therapy cognitive assessment / Noomi KATZ in American Journal of Occupational Therapy, Vol. 66/2 (mars-avril 2012)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 66/2 (mars-avril 2012) . - p. 207-214 Titre : Dynamic lowenstein occupational therapy cognitive assessment : evaluation of potential to change in cognitive performance Type de document : texte imprimé Auteurs : Noomi KATZ ; et al. ; Liat LIVNI ; Asnat Bar-Haim Erez Année de publication : 2012 Article en page(s) : p. 207-214 Langues : Anglais (eng) Mots-clés : Accident cérébrovasculaire  Trouble apprentissage Résumé : OBJECTIVE. We studied the psychometric properties of the dynamic version of the Lowenstein Occupational Therapy Cognitive Assessment (DLOTCA) and examined the most frequent level of mediation used for planning for intervention. METHOD. Participants included 83 clients hospitalized after first stroke (mean age = 57.7, standard deviation = 8.33) and 45 healthy control participants. All were assessed with the DLOTCA after providing informed consent. RESULTS. Interrater reliability showed high correlations between all pairs of raters. Internal consistency reliability showed moderate to high αs (.602–.813) for all domains except Visual Perception. We found significant differences between the groups of participants before mediation; both benefited from mediation, showing moderate to high effect sizes. Stroke clients needed higher levels of mediation. CONCLUSION. The DLOTCA is effective in providing insight into whether participants need mediation and the level and type of assistance they require. The DLOTCA provides guidance for planning intervention for people with cognitive disabilities. Permalink : ./index.php?lvl=notice_display&id=14048 [article] Dynamic lowenstein occupational therapy cognitive assessment : evaluation of potential to change in cognitive performance [texte imprimé] / Noomi KATZ ; et al. ; Liat LIVNI ; Asnat Bar-Haim Erez . - 2012 . - p. 207-214. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 66/2 (mars-avril 2012) . - p. 207-214 Mots-clés : Accident cérébrovasculaire  Trouble apprentissage Résumé : OBJECTIVE. We studied the psychometric properties of the dynamic version of the Lowenstein Occupational Therapy Cognitive Assessment (DLOTCA) and examined the most frequent level of mediation used for planning for intervention. METHOD. Participants included 83 clients hospitalized after first stroke (mean age = 57.7, standard deviation = 8.33) and 45 healthy control participants. All were assessed with the DLOTCA after providing informed consent. RESULTS. Interrater reliability showed high correlations between all pairs of raters. Internal consistency reliability showed moderate to high αs (.602–.813) for all domains except Visual Perception. We found significant differences between the groups of participants before mediation; both benefited from mediation, showing moderate to high effect sizes. Stroke clients needed higher levels of mediation. CONCLUSION. The DLOTCA is effective in providing insight into whether participants need mediation and the level and type of assistance they require. The DLOTCA provides guidance for planning intervention for people with cognitive disabilities. Permalink : ./index.php?lvl=notice_display&id=14048

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Effect of an occupation-based cultural heritage intervention in long-term geriatric care / Gayle HERSCH in American Journal of Occupational Therapy, Vol. 66/2 (mars-avril 2012)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 66/2 (mars-avril 2012) . - p. 224-232 Titre : Effect of an occupation-based cultural heritage intervention in long-term geriatric care : a two-group control study Type de document : texte imprimé Auteurs : Gayle HERSCH ; et al. ; Harriett DAVIDSON ; Shirley HUTCHINSON Année de publication : 2012 Article en page(s) : p. 224-232 Langues : Anglais (eng) Mots-clés : Gériatrie  Qualité vie  Culture Résumé : OBJECTIVE. We investigated the effectiveness of an occupation-based cultural heritage intervention to facilitate adaptation to relocation into long-term care (LTC) facilities as measured by quality of life, activity engagement, and social participation. METHOD. We used a quasi-experimental nonequivalent control group design with pre- and posttests. Residents receiving the cultural intervention were compared with residents in a typical activity group. Eight sessions, two per week for 4 wk, were facilitated by certified occupational therapy assistants. RESULTS. Twenty-nine participants completed the group sessions. Quality-of-life scores improved significantly over time for both groups. Statistically, a greater percentage of time was spent in discretionary than obligatory time, pretest and posttest, with no significant difference between groups. CONCLUSION. The study demonstrated effectiveness of a structured, occupation-based social group intervention that improved quality of life, an indicator of adaptation. It also provided a description of activity patterns and social participation of LTC residents. Permalink : ./index.php?lvl=notice_display&id=14055 [article] Effect of an occupation-based cultural heritage intervention in long-term geriatric care : a two-group control study [texte imprimé] / Gayle HERSCH ; et al. ; Harriett DAVIDSON ; Shirley HUTCHINSON . - 2012 . - p. 224-232. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 66/2 (mars-avril 2012) . - p. 224-232 Mots-clés : Gériatrie  Qualité vie  Culture Résumé : OBJECTIVE. We investigated the effectiveness of an occupation-based cultural heritage intervention to facilitate adaptation to relocation into long-term care (LTC) facilities as measured by quality of life, activity engagement, and social participation. METHOD. We used a quasi-experimental nonequivalent control group design with pre- and posttests. Residents receiving the cultural intervention were compared with residents in a typical activity group. Eight sessions, two per week for 4 wk, were facilitated by certified occupational therapy assistants. RESULTS. Twenty-nine participants completed the group sessions. Quality-of-life scores improved significantly over time for both groups. Statistically, a greater percentage of time was spent in discretionary than obligatory time, pretest and posttest, with no significant difference between groups. CONCLUSION. The study demonstrated effectiveness of a structured, occupation-based social group intervention that improved quality of life, an indicator of adaptation. It also provided a description of activity patterns and social participation of LTC residents. Permalink : ./index.php?lvl=notice_display&id=14055

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Fear of falling and its relationship with anxiety, depression, and activity engagement among community-dwelling older adults / Jane A. PAINTER in American Journal of Occupational Therapy, Vol. 66/2 (mars-avril 2012)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 66/2 (mars-avril 2012) . - p. 169-176 Titre : Fear of falling and its relationship with anxiety, depression, and activity engagement among community-dwelling older adults Type de document : texte imprimé Auteurs : Jane A. PAINTER ; Leslie ALLISON ; et al. ; Puneet DHINGRA Année de publication : 2012 Article en page(s) : p. 169-176 Langues : Anglais (eng) Mots-clés : Peur  Chute  Trouble anxieux  Etat dépressif  Activité Résumé : OBJECTIVE. This study examined (1) the relationship of fear of falling to depression, anxiety, activity level, and activity restriction and (2) whether depression or anxiety predicted fear of falling, activity level, activity restriction, or changes in activity level. METHOD. We administered the Survey of Activities and Fear of Falling in the Elderly; the Geriatric Depression Scale–30; and the Hamilton Anxiety Scale, IVR Version, during a one-time visit to 99 community-dwelling adults ≥55 yr old. RESULTS. We found significant relationships between (1) fear of falling and depression, anxiety, and activity level; (2) depression and anxiety; and (3) activity restriction and depression. Activity level was negatively correlated with activity restriction, fear of falling, depression, and anxiety. Anxiety predicted both fear of falling and activity level. Both anxiety and depression predicted activity restriction because of fear of falling and for other reasons. CONCLUSION. Occupational therapy practitioners should consider screening their older adult clientele for fear of falling, anxiety, and depression because these states may lead to fall risk and activity restriction. Permalink : ./index.php?lvl=notice_display&id=14107 [article] Fear of falling and its relationship with anxiety, depression, and activity engagement among community-dwelling older adults [texte imprimé] / Jane A. PAINTER ; Leslie ALLISON ; et al. ; Puneet DHINGRA . - 2012 . - p. 169-176. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 66/2 (mars-avril 2012) . - p. 169-176 Mots-clés : Peur  Chute  Trouble anxieux  Etat dépressif  Activité Résumé : OBJECTIVE. This study examined (1) the relationship of fear of falling to depression, anxiety, activity level, and activity restriction and (2) whether depression or anxiety predicted fear of falling, activity level, activity restriction, or changes in activity level. METHOD. We administered the Survey of Activities and Fear of Falling in the Elderly; the Geriatric Depression Scale–30; and the Hamilton Anxiety Scale, IVR Version, during a one-time visit to 99 community-dwelling adults ≥55 yr old. RESULTS. We found significant relationships between (1) fear of falling and depression, anxiety, and activity level; (2) depression and anxiety; and (3) activity restriction and depression. Activity level was negatively correlated with activity restriction, fear of falling, depression, and anxiety. Anxiety predicted both fear of falling and activity level. Both anxiety and depression predicted activity restriction because of fear of falling and for other reasons. CONCLUSION. Occupational therapy practitioners should consider screening their older adult clientele for fear of falling, anxiety, and depression because these states may lead to fall risk and activity restriction. Permalink : ./index.php?lvl=notice_display&id=14107

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Feasibility of interdisciplinary community-based fall risk screening / Sharon J. ELLIOTT in American Journal of Occupational Therapy, Vol. 66/2 (mars-avril 2012)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 66/2 (mars-avril 2012) . - p. 161-168 Titre : Feasibility of interdisciplinary community-based fall risk screening Type de document : texte imprimé Auteurs : Sharon J. ELLIOTT ; Andrada IVANESCU ; et al. ; Natalie E. LELAND Année de publication : 2012 Article en page(s) : p. 161-168 Langues : Anglais (eng) Mots-clés : Travail pluridisciplinaire  Risque  Chute  Prévention Résumé : OBJECTIVE. This pilot study examined the feasibility of (1) conducting interdisciplinary fall risk screens at a communitywide adult fall prevention event and (2) collecting preliminary follow-up data from people screened at the event about balance confidence and home and activity modifications made after receiving educational information at the event. METHOD. We conducted a pilot study with pre– and posttesting (4-mo follow-up) with 35 community-dwelling adults ≥55 yr old. RESULTS. Approximately half the participants were at risk for falls. Most participants who anticipated making environmental or activity changes to reduce fall risk initiated changes (n = 8/11; 72.7%) during the 4-mo follow-up period. We found no significant difference in participants’ balance confidence between baseline (median = 62.81) and follow-up (median = 64.06) as measured by the Activities-specific Balance Confidence scale. CONCLUSION. Conducting interdisciplinary fall risk screens at an adult fall prevention event is feasible and can facilitate environmental and behavior changes to reduce fall risk. Permalink : ./index.php?lvl=notice_display&id=14108 [article] Feasibility of interdisciplinary community-based fall risk screening [texte imprimé] / Sharon J. ELLIOTT ; Andrada IVANESCU ; et al. ; Natalie E. LELAND . - 2012 . - p. 161-168. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 66/2 (mars-avril 2012) . - p. 161-168 Mots-clés : Travail pluridisciplinaire  Risque  Chute  Prévention Résumé : OBJECTIVE. This pilot study examined the feasibility of (1) conducting interdisciplinary fall risk screens at a communitywide adult fall prevention event and (2) collecting preliminary follow-up data from people screened at the event about balance confidence and home and activity modifications made after receiving educational information at the event. METHOD. We conducted a pilot study with pre– and posttesting (4-mo follow-up) with 35 community-dwelling adults ≥55 yr old. RESULTS. Approximately half the participants were at risk for falls. Most participants who anticipated making environmental or activity changes to reduce fall risk initiated changes (n = 8/11; 72.7%) during the 4-mo follow-up period. We found no significant difference in participants’ balance confidence between baseline (median = 62.81) and follow-up (median = 64.06) as measured by the Activities-specific Balance Confidence scale. CONCLUSION. Conducting interdisciplinary fall risk screens at an adult fall prevention event is feasible and can facilitate environmental and behavior changes to reduce fall risk. Permalink : ./index.php?lvl=notice_display&id=14108

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Impact of vision impairment on intensity of occupational therapy utilization and outcomes in subacute rehabilitation / Verena R. CIMAROLLI in American Journal of Occupational Therapy, Vol. 66/2 (mars-avril 2012)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 66/2 (mars-avril 2012) . - p. 215-223 Titre : Impact of vision impairment on intensity of occupational therapy utilization and outcomes in subacute rehabilitation Type de document : texte imprimé Auteurs : Verena R. CIMAROLLI ; Alan R. MORSE ; et al. ; Amy HOROWITZ Année de publication : 2012 Article en page(s) : p. 215-223 Langues : Anglais (eng) Mots-clés : Handicap visuel  Ergothérapie  Etablissement réadaptation fonctionnelle Résumé : OBJECTIVE. To examine whether vision impairment is a predictor of intensity of occupational therapy utilization and outcomes in a sample of older adults ages ≥55 receiving subacute rehabilitation in a long-term care setting. METHOD. Data for this cohort study were collected by means of structured, in-person interviews with 100 older adult rehabilitation patients at admission to a subacute unit in a long-term care facility and by medical chart review after discharge. RESULTS. Regression analyses indicated that after controlling for sociodemographic, health, and social support variables, worse contrast sensitivity was a significant predictor of decreased time in occupational therapy, and worse visual acuity was a significant predictor of higher functional dependency at discharge. CONCLUSION. Vision impairment may prevent full use of occupational therapy and hinder occupational therapy efficacy in subacute care settings. Study findings underscore the importance of developing low vision rehabilitation interventions that can be delivered in conjunction with more traditional subacute rehabilitation. Permalink : ./index.php?lvl=notice_display&id=14120 [article] Impact of vision impairment on intensity of occupational therapy utilization and outcomes in subacute rehabilitation [texte imprimé] / Verena R. CIMAROLLI ; Alan R. MORSE ; et al. ; Amy HOROWITZ . - 2012 . - p. 215-223. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 66/2 (mars-avril 2012) . - p. 215-223 Mots-clés : Handicap visuel  Ergothérapie  Etablissement réadaptation fonctionnelle Résumé : OBJECTIVE. To examine whether vision impairment is a predictor of intensity of occupational therapy utilization and outcomes in a sample of older adults ages ≥55 receiving subacute rehabilitation in a long-term care setting. METHOD. Data for this cohort study were collected by means of structured, in-person interviews with 100 older adult rehabilitation patients at admission to a subacute unit in a long-term care facility and by medical chart review after discharge. RESULTS. Regression analyses indicated that after controlling for sociodemographic, health, and social support variables, worse contrast sensitivity was a significant predictor of decreased time in occupational therapy, and worse visual acuity was a significant predictor of higher functional dependency at discharge. CONCLUSION. Vision impairment may prevent full use of occupational therapy and hinder occupational therapy efficacy in subacute care settings. Study findings underscore the importance of developing low vision rehabilitation interventions that can be delivered in conjunction with more traditional subacute rehabilitation. Permalink : ./index.php?lvl=notice_display&id=14120

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Measurement characteristics of the engagement in meaningful activities survey in an age-diverse sample / Aaron M. Eakman in American Journal of Occupational Therapy, Vol. 66/2 (mars-avril 2012)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 66/2 (mars-avril 2012) . - p. 242 Titre : Measurement characteristics of the engagement in meaningful activities survey in an age-diverse sample Type de document : texte imprimé Auteurs : Aaron M. Eakman Année de publication : 2012 Article en page(s) : p. 242 Langues : Anglais (eng) Mots-clés : Activité  Motivation  Psychométrie Résumé : OBJECTIVE. This study evaluated the measurement characteristics of the Engagement in Meaningful Activities Survey (EMAS) in an age-diverse sample. METHOD. The sample included 154 older adults and 122 college students (age range = 18–100 yr). A Rasch–Andrich rating scale model was used to evaluate the EMAS. Analyses addressed rating scale design, person and item fit, item hierarchy, model unidimensionality, and differential item functioning. RESULTS. Category functioning was improved by reducing the EMAS item responses to four categories. Adequate person response validity was established, and all but one EMAS item demonstrated an ideal fit to the Rasch measurement model. After establishing the item hierarchy, I found the EMAS to be a unidimensional measure. Differential item functioning was not detected using Bonferroni-adjusted statistical criteria. CONCLUSION. The results confirm the potential to validly measure subjective qualities of meaningful activity participation. The EMAS can be used to evaluate processes and outcomes central to occupational therapy practice and to aid in the design of therapeutic occupations. Permalink : ./index.php?lvl=notice_display&id=14140 [article] Measurement characteristics of the engagement in meaningful activities survey in an age-diverse sample [texte imprimé] / Aaron M. Eakman . - 2012 . - p. 242. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 66/2 (mars-avril 2012) . - p. 242 Mots-clés : Activité  Motivation  Psychométrie Résumé : OBJECTIVE. This study evaluated the measurement characteristics of the Engagement in Meaningful Activities Survey (EMAS) in an age-diverse sample. METHOD. The sample included 154 older adults and 122 college students (age range = 18–100 yr). A Rasch–Andrich rating scale model was used to evaluate the EMAS. Analyses addressed rating scale design, person and item fit, item hierarchy, model unidimensionality, and differential item functioning. RESULTS. Category functioning was improved by reducing the EMAS item responses to four categories. Adequate person response validity was established, and all but one EMAS item demonstrated an ideal fit to the Rasch measurement model. After establishing the item hierarchy, I found the EMAS to be a unidimensional measure. Differential item functioning was not detected using Bonferroni-adjusted statistical criteria. CONCLUSION. The results confirm the potential to validly measure subjective qualities of meaningful activity participation. The EMAS can be used to evaluate processes and outcomes central to occupational therapy practice and to aid in the design of therapeutic occupations. Permalink : ./index.php?lvl=notice_display&id=14140

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Occupational therapy in fall prevention / Natalie E. LELAND in American Journal of Occupational Therapy, Vol. 66/2 (mars-avril 2012)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 66/2 (mars-avril 2012) . - p. 149-160 Titre : Occupational therapy in fall prevention : current evidence and future directions Type de document : texte imprimé Auteurs : Natalie E. LELAND ; Sharon J. ELLIOTT ; et al. ; Lisa O'MALLEY Année de publication : 2012 Article en page(s) : p. 149-160 Langues : Anglais (eng) Mots-clés : Chute  Personne âgée  Etats Unis  Ergothérapie Résumé : Falls are a serious public health concern among older adults in the United States. Although many fall prevention recommendations exist, such as those published by the American Geriatrics Society (AGS) and the British Geriatrics Society (BGS) in 2010, the specific role of occupational therapy in these efforts is unclear. This article presents a scoping review of current published research documenting the role of occupational therapy in fall prevention interventions among community-dwelling older adults, structured by the AGS and BGS guidelines. We identified evidence for occupational therapy practitioner involvement in fall prevention in environmental modifications, exercise, and multifactorial and multicomponent interventions. Although research documenting the efficacy of occupational therapy interventions is identified as part of the Occupational Therapy Practice Framework: Domain and Process (2nd ed.; American Occupational Therapy Association, 2008), we identified little or no such research examining interventions to modify behaviors (e.g., fear of falling), manage postural hypotension, recommend appropriate footwear, and manage medications. Although occupational therapy is represented in the fall prevention research, the evidence for the profession’s role in many areas is still lacking. Permalink : ./index.php?lvl=notice_display&id=14163 [article] Occupational therapy in fall prevention : current evidence and future directions [texte imprimé] / Natalie E. LELAND ; Sharon J. ELLIOTT ; et al. ; Lisa O'MALLEY . - 2012 . - p. 149-160. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 66/2 (mars-avril 2012) . - p. 149-160 Mots-clés : Chute  Personne âgée  Etats Unis  Ergothérapie Résumé : Falls are a serious public health concern among older adults in the United States. Although many fall prevention recommendations exist, such as those published by the American Geriatrics Society (AGS) and the British Geriatrics Society (BGS) in 2010, the specific role of occupational therapy in these efforts is unclear. This article presents a scoping review of current published research documenting the role of occupational therapy in fall prevention interventions among community-dwelling older adults, structured by the AGS and BGS guidelines. We identified evidence for occupational therapy practitioner involvement in fall prevention in environmental modifications, exercise, and multifactorial and multicomponent interventions. Although research documenting the efficacy of occupational therapy interventions is identified as part of the Occupational Therapy Practice Framework: Domain and Process (2nd ed.; American Occupational Therapy Association, 2008), we identified little or no such research examining interventions to modify behaviors (e.g., fear of falling), manage postural hypotension, recommend appropriate footwear, and manage medications. Although occupational therapy is represented in the fall prevention research, the evidence for the profession’s role in many areas is still lacking. Permalink : ./index.php?lvl=notice_display&id=14163

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Outcome moderators of a fatigue management program for people with multiple sclerosis / Marcia Finlayson in American Journal of Occupational Therapy, Vol. 66/2 (mars-avril 2012)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 66/2 (mars-avril 2012) . - p. 187-197 Titre : Outcome moderators of a fatigue management program for people with multiple sclerosis Type de document : texte imprimé Auteurs : Marcia Finlayson ; Chi CHO ; Katharine PREISSNER Année de publication : 2012 Article en page(s) : p. 187-197 Langues : Anglais (eng) Mots-clés : Fatigue  Sclérose plaque Résumé : OBJECTIVE. We determined whether age, gender, work status, or impairment moderated fatigue management program outcomes for people with multiple sclerosis (MS). METHOD. We conducted a secondary analysis of longitudinal data from a randomized controlled trial using mixed-effects models (N = 181) and examined outcomes of fatigue impact, mental health, physical health, and self-efficacy. Measures were collected before and immediately after intervention and at 6 wk, 3 mo, and 6 mo postintervention. RESULTS. Younger participants experienced greater reductions in fatigue impact and greater improvements in self-efficacy over time than did older participants, but we found no age differences in physical or mental health. Participants with less impairment experienced greater mental health gains and were more likely to retain these gains over time than were participants with greater impairment. Although women experienced greater fatigue impact benefits, men experienced greater mental health benefits. Work status did not moderate outcomes. CONCLUSION. Fatigue management program outcomes for people with MS are moderated by age, gender, and impairment. Permalink : ./index.php?lvl=notice_display&id=14179 [article] Outcome moderators of a fatigue management program for people with multiple sclerosis [texte imprimé] / Marcia Finlayson ; Chi CHO ; Katharine PREISSNER . - 2012 . - p. 187-197. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 66/2 (mars-avril 2012) . - p. 187-197 Mots-clés : Fatigue  Sclérose plaque Résumé : OBJECTIVE. We determined whether age, gender, work status, or impairment moderated fatigue management program outcomes for people with multiple sclerosis (MS). METHOD. We conducted a secondary analysis of longitudinal data from a randomized controlled trial using mixed-effects models (N = 181) and examined outcomes of fatigue impact, mental health, physical health, and self-efficacy. Measures were collected before and immediately after intervention and at 6 wk, 3 mo, and 6 mo postintervention. RESULTS. Younger participants experienced greater reductions in fatigue impact and greater improvements in self-efficacy over time than did older participants, but we found no age differences in physical or mental health. Participants with less impairment experienced greater mental health gains and were more likely to retain these gains over time than were participants with greater impairment. Although women experienced greater fatigue impact benefits, men experienced greater mental health benefits. Work status did not moderate outcomes. CONCLUSION. Fatigue management program outcomes for people with MS are moderated by age, gender, and impairment. Permalink : ./index.php?lvl=notice_display&id=14179

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Pilot comparative study of unilateral and bilateral robot-assisted training on upper-extremity performance in patients with stroke / Chieh-ling YANG in American Journal of Occupational Therapy, Vol. 66/2 (mars-avril 2012)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 66/2 (mars-avril 2012) . - p. 198-206 Titre : Pilot comparative study of unilateral and bilateral robot-assisted training on upper-extremity performance in patients with stroke Type de document : texte imprimé Auteurs : Chieh-ling YANG ; et al. ; Hsieh-Ching CHEN ; Keh-chung Lin Année de publication : 2012 Article en page(s) : p. 198-206 Langues : Anglais (eng) Mots-clés : Accident cérébrovasculaire  Robotique Résumé : We compared a unilateral robot-assisted training protocol (URTP) and a bilateral robot-assisted training protocol (BRTP) to study their differential effects. We recruited 21 patients with stroke who received 90–105 min of therapy 5 days/wk for 4 wk. Participants in the URTP and BRTP groups practiced forearm pronation and supination and wrist flexion and extension in a simultaneous manner with the Bi-Manu-Track. The control group received standard rehabilitation. Clinical measures included the Fugl-Meyer Assessment, the Medical Research Council instrument, grip strength, and the Modified Ashworth Scale to assess motor impairment, muscle power, muscle strength, and spasticity, respectively. The pilot study indicated that the URTP and BRTP might have differential benefits for movement improvement. URTP might be a more compelling approach to improving upper-limb motor impairment, muscle power, and strength at the distal joints than BRTP, whereas BRTP could be an optimal approach to improving proximal muscle power. Permalink : ./index.php?lvl=notice_display&id=14186 [article] Pilot comparative study of unilateral and bilateral robot-assisted training on upper-extremity performance in patients with stroke [texte imprimé] / Chieh-ling YANG ; et al. ; Hsieh-Ching CHEN ; Keh-chung Lin . - 2012 . - p. 198-206. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 66/2 (mars-avril 2012) . - p. 198-206 Mots-clés : Accident cérébrovasculaire  Robotique Résumé : We compared a unilateral robot-assisted training protocol (URTP) and a bilateral robot-assisted training protocol (BRTP) to study their differential effects. We recruited 21 patients with stroke who received 90–105 min of therapy 5 days/wk for 4 wk. Participants in the URTP and BRTP groups practiced forearm pronation and supination and wrist flexion and extension in a simultaneous manner with the Bi-Manu-Track. The control group received standard rehabilitation. Clinical measures included the Fugl-Meyer Assessment, the Medical Research Council instrument, grip strength, and the Modified Ashworth Scale to assess motor impairment, muscle power, muscle strength, and spasticity, respectively. The pilot study indicated that the URTP and BRTP might have differential benefits for movement improvement. URTP might be a more compelling approach to improving upper-limb motor impairment, muscle power, and strength at the distal joints than BRTP, whereas BRTP could be an optimal approach to improving proximal muscle power. Permalink : ./index.php?lvl=notice_display&id=14186

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Psychometrics of the self-report safe driving behavior measure for older adults / Sherrilene Classen in American Journal of Occupational Therapy, Vol. 66/2 (mars-avril 2012)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 66/2 (mars-avril 2012) . - p. 233-241 Titre : Psychometrics of the self-report safe driving behavior measure for older adults Type de document : texte imprimé Auteurs : Sherrilene Classen ; et al. ; Craig A. VELOZO ; Pey-Shan WEN Année de publication : 2012 Article en page(s) : p. 233-241 Langues : Anglais (eng) Mots-clés : Psychométrie  Personne âgée  Conduite automobile  Autoévaluation  Sécurité Résumé : We investigated the psychometric properties of the 68-item Safe Driving Behavior Measure (SDBM) with 80 older drivers, 80 caregivers, and 2 evaluators from two sites. Using Rasch analysis, we examined unidimensionality and local dependence; rating scale; item- and person-level psychometrics; and item hierarchy of older drivers, caregivers, and driving evaluators who had completed the SDBM. The evidence suggested the SDBM is unidimensional, but pairs of items showed local dependency. Across the three rater groups, the data showed good person (≥3.4) and item (≥3.6) separation as well as good person (≥.93) and item reliability (≥.92). Cronbach’s α was ≥.96, and few items were misfitting. Some of the items did not follow the hypothesized order of item difficulty. The SDBM classified the older drivers into six ability levels, but to fully calibrate the instrument it must be refined in terms of its items (e.g., item exclusion) and then tested among participants of lesser ability. Permalink : ./index.php?lvl=notice_display&id=14204 [article] Psychometrics of the self-report safe driving behavior measure for older adults [texte imprimé] / Sherrilene Classen ; et al. ; Craig A. VELOZO ; Pey-Shan WEN . - 2012 . - p. 233-241. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 66/2 (mars-avril 2012) . - p. 233-241 Mots-clés : Psychométrie  Personne âgée  Conduite automobile  Autoévaluation  Sécurité Résumé : We investigated the psychometric properties of the 68-item Safe Driving Behavior Measure (SDBM) with 80 older drivers, 80 caregivers, and 2 evaluators from two sites. Using Rasch analysis, we examined unidimensionality and local dependence; rating scale; item- and person-level psychometrics; and item hierarchy of older drivers, caregivers, and driving evaluators who had completed the SDBM. The evidence suggested the SDBM is unidimensional, but pairs of items showed local dependency. Across the three rater groups, the data showed good person (≥3.4) and item (≥3.6) separation as well as good person (≥.93) and item reliability (≥.92). Cronbach’s α was ≥.96, and few items were misfitting. Some of the items did not follow the hypothesized order of item difficulty. The SDBM classified the older drivers into six ability levels, but to fully calibrate the instrument it must be refined in terms of its items (e.g., item exclusion) and then tested among participants of lesser ability. Permalink : ./index.php?lvl=notice_display&id=14204

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Randomized controlled trial of daily total end range time (TERT) for capener splinting of the stiff proximal interphalangeal joint / Céleste GLASGOW in American Journal of Occupational Therapy, Vol. 66/2 (mars-avril 2012)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 66/2 (mars-avril 2012) . - p. 243-248 Titre : Randomized controlled trial of daily total end range time (TERT) for capener splinting of the stiff proximal interphalangeal joint Type de document : texte imprimé Auteurs : Céleste GLASGOW ; Jenny FLEMING ; et al. ; Leigh R. TOOTH Année de publication : 2012 Article en page(s) : p. 243-248 Langues : Anglais (eng) Mots-clés : Articulation interphalangienne des doigts  Attelle Résumé : OBJECTIVE. Capener splinting is a common treatment for extension deficit of the proximal interphalangeal (PIP) joint. This study compared the effect of daily splint total end range time (TERT) of 6–12 hr versus 12–16 hr. METHOD. Twenty-two participants with extension deficits of the PIP joint were randomly allocated to a daily TERT of 6–12 hr or 12–16 hr. Progress after 8 wk of splinting was evaluated. RESULTS. No significant difference was found in change in extension range of motion (ROM) between groups (active ROM, F[4, 17] = 2.19, p = .13; passive ROM, F[4, 17] = 0.95, p = .46; torque ROM, F[4, 17] = 1.49, p = .26). Considerable crossover between groups resulted in a similar average daily TERT (9.5 hr for the 6–12 hr group vs. 11.5 hr for the 12–16 hr group). CONCLUSION. Further research with a larger sample is needed to determine whether longer daily TERT is beneficial. Our results suggest, however, that most patients find it difficult to wear splints >12 hr/day. Permalink : ./index.php?lvl=notice_display&id=14208 [article] Randomized controlled trial of daily total end range time (TERT) for capener splinting of the stiff proximal interphalangeal joint [texte imprimé] / Céleste GLASGOW ; Jenny FLEMING ; et al. ; Leigh R. TOOTH . - 2012 . - p. 243-248. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 66/2 (mars-avril 2012) . - p. 243-248 Mots-clés : Articulation interphalangienne des doigts  Attelle Résumé : OBJECTIVE. Capener splinting is a common treatment for extension deficit of the proximal interphalangeal (PIP) joint. This study compared the effect of daily splint total end range time (TERT) of 6–12 hr versus 12–16 hr. METHOD. Twenty-two participants with extension deficits of the PIP joint were randomly allocated to a daily TERT of 6–12 hr or 12–16 hr. Progress after 8 wk of splinting was evaluated. RESULTS. No significant difference was found in change in extension range of motion (ROM) between groups (active ROM, F[4, 17] = 2.19, p = .13; passive ROM, F[4, 17] = 0.95, p = .46; torque ROM, F[4, 17] = 1.49, p = .26). Considerable crossover between groups resulted in a similar average daily TERT (9.5 hr for the 6–12 hr group vs. 11.5 hr for the 12–16 hr group). CONCLUSION. Further research with a larger sample is needed to determine whether longer daily TERT is beneficial. Our results suggest, however, that most patients find it difficult to wear splints >12 hr/day. Permalink : ./index.php?lvl=notice_display&id=14208

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Relationship between fall-related efficacy and activity engagement in community-dwelling older adults / Stacey SCHEPENS in American Journal of Occupational Therapy, Vol. 66/2 (mars-avril 2012)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 66/2 (mars-avril 2012) . - p. 137-148 Titre : Relationship between fall-related efficacy and activity engagement in community-dwelling older adults : a meta-analytic review Type de document : texte imprimé Auteurs : Stacey SCHEPENS ; et al. ; Jane A. PAINTER ; Ananda SEN Année de publication : 2012 Article en page(s) : p. 137-148 Langues : Anglais (eng) Mots-clés : Chute  Personne âgée  Activité Permalink : ./index.php?lvl=notice_display&id=14214 [article] Relationship between fall-related efficacy and activity engagement in community-dwelling older adults : a meta-analytic review [texte imprimé] / Stacey SCHEPENS ; et al. ; Jane A. PAINTER ; Ananda SEN . - 2012 . - p. 137-148. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 66/2 (mars-avril 2012) . - p. 137-148 Mots-clés : Chute  Personne âgée  Activité Permalink : ./index.php?lvl=notice_display&id=14214

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Sense and self-regulation checklist, a measure of comorbid autism symptoms / Louisa M. T. SILVA in American Journal of Occupational Therapy, Vol. 66/2 (mars-avril 2012)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 66/2 (mars-avril 2012) . - p. 177-186 Titre : Sense and self-regulation checklist, a measure of comorbid autism symptoms : initial psychometric evidence Type de document : texte imprimé Auteurs : Louisa M. T. SILVA ; Mark SCHALOCK Année de publication : 2012 Article en page(s) : p. 177-186 Langues : Anglais (eng) Mots-clés : Autosurveillance  Autisme  Handicap sensoriel Résumé : Sensory and self-regulatory symptoms make up most of the comorbid symptoms in autism and are associated with increased autism severity. We validated a parent–caregiver measure of comorbid symptoms in autism, the Sense and Self-Regulation Checklist (SSC), in 265 children <6 yr with typical development (n = 138), autism (n = 99), or other developmental delay (n = 28); Cronbach’s α was .87. We report two new findings discriminating autism from other groups: (1) multifocal tactile sensory impairment, characterized by hyporeactivity to injurious stimuli and hyperreactivity to noninjurious stimuli (F[2, 262] = 86.8, p < .001) and (2) global self-regulatory delay (F[2, 262] = 122, p < .001). Both findings suggest an explanation for social delay in children with autism. The SSC reports a prevalence of sensory and self-regulatory findings approaching 100% in the autism group (96% and 98%, respectively), raising the possibility that sensory and self-regulatory difficulties represent a core part of autism. Permalink : ./index.php?lvl=notice_display&id=14227 [article] Sense and self-regulation checklist, a measure of comorbid autism symptoms : initial psychometric evidence [texte imprimé] / Louisa M. T. SILVA ; Mark SCHALOCK . - 2012 . - p. 177-186. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 66/2 (mars-avril 2012) . - p. 177-186 Mots-clés : Autosurveillance  Autisme  Handicap sensoriel Résumé : Sensory and self-regulatory symptoms make up most of the comorbid symptoms in autism and are associated with increased autism severity. We validated a parent–caregiver measure of comorbid symptoms in autism, the Sense and Self-Regulation Checklist (SSC), in 265 children <6 yr with typical development (n = 138), autism (n = 99), or other developmental delay (n = 28); Cronbach’s α was .87. We report two new findings discriminating autism from other groups: (1) multifocal tactile sensory impairment, characterized by hyporeactivity to injurious stimuli and hyperreactivity to noninjurious stimuli (F[2, 262] = 86.8, p < .001) and (2) global self-regulatory delay (F[2, 262] = 122, p < .001). Both findings suggest an explanation for social delay in children with autism. The SSC reports a prevalence of sensory and self-regulatory findings approaching 100% in the autism group (96% and 98%, respectively), raising the possibility that sensory and self-regulatory difficulties represent a core part of autism. Permalink : ./index.php?lvl=notice_display&id=14227

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Telehealth opportunities in occupational therapy through the affordable care act / Jana CASON in American Journal of Occupational Therapy, Vol. 66/2 (mars-avril 2012)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 66/2 (mars-avril 2012) . - p. 131-136 Titre : Telehealth opportunities in occupational therapy through the affordable care act Type de document : texte imprimé Auteurs : Jana CASON Année de publication : 2012 Article en page(s) : p. 131-136 Langues : Anglais (eng) Mots-clés : Promotion santé  Télé médecine  Soins  TIC Permalink : ./index.php?lvl=notice_display&id=14247 [article] Telehealth opportunities in occupational therapy through the affordable care act [texte imprimé] / Jana CASON . - 2012 . - p. 131-136. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 66/2 (mars-avril 2012) . - p. 131-136 Mots-clés : Promotion santé  Télé médecine  Soins  TIC Permalink : ./index.php?lvl=notice_display&id=14247

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Unprecedented opportunities in Fall prevention for occupational therapy practitioners / Elisabeth W. PETERSON in American Journal of Occupational Therapy, Vol. 66/2 (mars-avril 2012)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 66/2 (mars-avril 2012) . - p. 127-136 Titre : Unprecedented opportunities in Fall prevention for occupational therapy practitioners Type de document : texte imprimé Auteurs : Elisabeth W. PETERSON ; Marcia Finlayson ; et al. ; Sharon J. ELLIOTT Année de publication : 2012 Article en page(s) : p. 127-136 Langues : Anglais (eng) Mots-clés : Chute  Prévention  Personne âgée  Ergothérapie Permalink : ./index.php?lvl=notice_display&id=14252 [article] Unprecedented opportunities in Fall prevention for occupational therapy practitioners [texte imprimé] / Elisabeth W. PETERSON ; Marcia Finlayson ; et al. ; Sharon J. ELLIOTT . - 2012 . - p. 127-136. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 66/2 (mars-avril 2012) . - p. 127-136 Mots-clés : Chute  Prévention  Personne âgée  Ergothérapie Permalink : ./index.php?lvl=notice_display&id=14252

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