Pubmed: occupational therapy

Pubmed: occupational therapy

  • : A Pilot Study on Professional Documentation: Do We Write From a Strengths Perspective? - pubmed: "occupational therap...
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    A Pilot Study on Professional Documentation: Do We Write From a Strengths Perspective?

    Am J Speech Lang Pathol. 2017 Jun 20;:1-10

    Authors: Braun MJ, Dunn W, Tomchek SD

    Purpose: There is growing evidence supporting the use of strengths-based practices when serving families. The purpose of this study was to examine the use of strengths-based approaches in the context of written professional documentation. We specifically explored whether or not interdisciplinary clinicians in one university-based medical center clinic write from a strengths perspective (e.g., writing focuses on abilities rather than on deficits) when documenting child behavior in autism diagnostic clinics.
    Method: We gathered narrative-based writing samples (a total of 299 phrases) from 20 patient reports. Using a coding system developed by the research team (intraclass correlation coefficient = .801 on final definitions and coding system), we analyzed the extent to which interdisciplinary clinicians included strengths-based language (e.g., language that emphasizes a person's strengths rather than limitations) in their written documentation. An independent researcher coded a random sample (20% of entire sample) of the data to document reliability of the coded data (97% interrater agreement).
    Results: Our findings indicated that clinicians in our study used deficit-based language significantly more than neutral and strengths-based language in written documentation.
    Conclusion: This preliminary evidence suggests a need to reflect upon our own understanding of strengths-based practices and the way professionals write about children in clinical documentation.

    PMID: 28637055 [PubMed - as supplied by publisher]

  • : Previously unrecognized behavioral phenotype in Gaucher disease type 3. - pubmed: "occupational therap...
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    Previously unrecognized behavioral phenotype in Gaucher disease type 3.

    Neurol Genet. 2017 Jun;3(3):e158

    Authors: Abdelwahab M, Potegal M, Shapiro EG, Nestrasil I

    OBJECTIVE: To provide a comprehensive description of abnormal behaviors in patients with Gaucher disease type 3 (GD3) and relate these behaviors to demographic, neurodevelopmental, and neurologic characteristics.
    METHODS: Thirty-four Egyptian patients with GD3 (mean age of 7.9 years) were enrolled in the study. They were selected based on parent report and/or physician observation of one or more abnormal behaviors documented in 2 settings and by 2 different individuals and/or by video recording. Behaviors were grouped into 4 categories: Crying/Withdrawal, Impatience/Overactivity, Anger/Aggression, and Repetitive Acts. Baseline and follow-up 6-12 monthly neurologic evaluations included IQ assessment and an EEG. All patients were receiving enzyme replacement therapy (30-60 IU/kg every 2 weeks) and were followed for periods of 3-10 years.
    RESULTS: Supranuclear palsy of horizontal gaze, and of both horizontal and vertical gaze, bulbar symptoms, seizures, convergent strabismus, abnormal gait, and neck retroflexion were present in 97.1%, 50%, 55.9%, 29.4%, 29.4%, 20.6%, and 4.4% of patients, respectively. The most abnormal behavioral features were excessive anger (88.2%) and aggression (64.7%), and both were significantly higher in males. Anger/Aggression scores were highly correlated with IQ but not with either EEG/Seizure status or neurologic signs.
    CONCLUSIONS: We describe behavioral problems with a unique pattern of excessive anger and aggression in patients with GD3. Defining these components using quantitative behavioral scoring methods holds promise to provide a marker of neurologic disease progression and severity.

    PMID: 28634598 [PubMed - in process]

  • : Experts' opinion on manual wheelchair adjustments for adults with diabetes. - pubmed: "occupational therap...
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    Experts' opinion on manual wheelchair adjustments for adults with diabetes.

    Disabil Rehabil Assist Technol. 2017 Mar 02;:1-9

    Authors: Scherrer SA, Chu Yu Chee J, Vu N, Lu P, Ishack M, Archambault PS

    Diabetes is a global health concern that can lead to mobility limitations necessitating a wheelchair. However, there are currently no guidelines for wheelchair adjustments tailored to the diabetic population.
    PURPOSE: To describe relevant manual wheelchair adjustments for adults with diabetes, and to explore how these adjustments apply to populations living in less-resourced countries.
    METHODS: Semi-structured interviews were conducted with 13 wheelchair experts from five different countries working with adult with diabetes. Interviews were analyzed using the constant comparison method.
    RESULTS: The most frequently mentioned wheelchair adjustments were related to neuropathies, skin integrity, decreased strength and amputations. Air cushions were preferred for managing seat sores. Lightweight wheelchairs could be advantageous for people with decreased strength and endurance. In less-resourced settings, wheelchair adjustment decisions prioritized durability and low maintenance.
    DISCUSSION: The recommendation of lightweight wheelchairs for adults with diabetes may be limited by the lack of adjustment possibilities compared to regular weight wheelchairs. In less-resourced settings, prioritizing durability and low maintenance may limit prevention and management of conditions associated to diabetes.
    CONCLUSION: This study represents a first step towards the development of guidelines for manual wheelchair adjustments specifically tailored to adults with diabetes, in a global health context. Implications of rehabilitation When prescribing manual wheelchairs to persons with diabetes, expert clinicians agree that skin integrity, neuropathies and decreased strength are their primary concerns. Compromises are often necessary when adjusting a wheelchair for a person with diabetes, due to the complexity of their symptoms: same modification can be indicated for one symptom but contraindicated for another. Diabetes prevalence is high in less-resourced settings. There is a need for increased availability of affordable wheelchair equipment that is durable, reliable and adapted to persons with diabetes.

    PMID: 28633615 [PubMed - as supplied by publisher]

  • : Deciphering participation: an interpretive synthesis of its meaning and application in rehabilitation. - pubmed: "occupational therap...
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    Deciphering participation: an interpretive synthesis of its meaning and application in rehabilitation.

    Disabil Rehabil. 2017 Jun 21;:1-12

    Authors: Cogan AM, Carlson M

    PURPOSE: Participation is widely recognized as an important outcome for rehabilitation. However, it lacks a universally accepted definition. The purpose of this review is to synthesize the literature about participation in rehabilitation in order to clarify the term and increase its usefulness for rehabilitation providers and researchers.
    METHODS: We undertook an interpretive synthesis of the literature, drawing from a broad and varied selection of the vast number of publications on the subject of participation. The search and analysis was iterative and continued until saturation of themes was achieved.
    RESULTS AND CONCLUSIONS: Seventy-six articles were included in our analysis. We argue that three essential dimensions - performance, subjective experience, and interpersonal connection - constitute participation. We further divide participation into community-based and interventional contexts. Interventional participation is circumscribed by the treatment setting, whereas community-based encompasses all other areas. Participation in either interventional or community-based contexts is largely determined by the available opportunities from which a person can choose, with such opportunities affected by conditions that are either internal or external to the individual. As defined in this framework, participation is not inherently good or bad; rather, its effect is determined by a person's unique life circumstances and the impact may not always be apparent. We posit this model as a resource for future research as well as clinical reasoning. Implications for Rehabilitation The often tacit assumption that increasing participation is a desirable outcome needs to be challenged and considered in each patient's life situation. Treatment settings constitute a unique context in which patients participate. Intervention goals should be clearly connected with patients' personal goals for community-based participation.

    PMID: 28633542 [PubMed - as supplied by publisher]

  • : Response to "Motor Output Variability Impairs Driving Ability in Older Adults". - pubmed: "occupational therap...
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    Response to "Motor Output Variability Impairs Driving Ability in Older Adults".

    J Gerontol A Biol Sci Med Sci. 2017 Jun 14;:

    Authors: Stinchcombe A, Dickerson A, Weaver B, Bédard M

    PMID: 28633396 [PubMed - as supplied by publisher]