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kaleycloud

Quantifying Function: The Rest of the Measurement Story | American Journal of Occupatio... - 0 views

ajot.aota.org/article.aspx

shared by kaleycloud on 27 Nov 16 - No Cached
  • kaleycloud on 27 Nov 16
     
    This article discusses the challenge OT is facing to validate and justify its services due to health care reform, funding caps, and decreased access to services. This can be difficult as the core of OT lies in evaluating and treating function, however, due to the wide scope of practice defining and measuring function in a unified way can be difficult. For example there are two widely used ways of looking at function: the top-down and the bottom-up approaches. There is also challenges because some facilities rely on "house assessments" versus utilizing standardized assessments. A more unified method of measuring and defining function needs developed in order to show OTs value across the board.
jennburwell

Comparison of self-reported and performance-based measures of functional ability in eld... - 1 views

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occupational therapy performance vs self-report functional measures

shared by jennburwell on 30 Oct 17 - No Cached
  • jennburwell on 30 Oct 17
     
    In the ED and some acute care settings therapy services are based off of self-report measures in interviews with physicians. Correlation analyses were conducted to examine the relationships between the self-reported and performance-based measures of functional ability. Patients reported higher functional ability than observed by using the performance-based measures. This indicates that the two methods provide different information about functional ability. Previous research demonstrates a discrepancy between self-report measures and functional measures of functional tasks ADLs, functional mobility and IADLs. It is suggested both measures are utilized to appropriate a plan of care
anita_casto

An Evaluation of the Effects of Tai Chi Exercise on Physical Function Among Older Persons - 0 views

This study was designed to determine if a 6-month Tai Chi exercise program could improve physical functioning among healthy, physically inactive older individuals by measuring six domains of health...

occupational therapy Tai Chi physical functioning balance pain management

started by anita_casto on 05 Dec 16 no follow-up yet
jennburwell

Cognitive reserve and executive function: Effect on judgment of health and safety - 0 views

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Occupational Therapy cognitive assessments

shared by jennburwell on 06 Nov 17 - No Cached
  • jennburwell on 06 Nov 17
     
    The aim of this study was to explore the relationship among cognitive reserve, Executive function, and health and safety judgment among a sample of older adult inpatients of an extended medical care unit at a Veterans Health Administration (VHA) hospital. Independent Living Scales (ILS): Health and Safety subtest were used to assess judgement and safety. Executive function was measured by the Trial making test. Global function was measured by the MMSE. After controlling for global cognitive functioning, the results revealed that people with high estimated IQ performed similarly on a measure of health and safety judgment, regardless of their EF abilities. However, among individuals with low estimated IQ it appears that intact EF is critical in making appropriate health and safety decisions. Therefore, the results suggest executive functioning is critical for making appropriate health and safety decisions for patients with lower measured intellectual abilities and provide further support for the cognitive reserve model.
kobringer

Functional Electrical Stimulation Enhancement of Upper Extremity Functional Recovery Du... - 0 views

FES was used a lot at Dodd for patients with hemiparesis following a stroke. This study concluded that this method may help increase UE function when used with a functional task, as compared to tre...

Occupational Therapy EBP CVA FES stroke

started by kobringer on 10 Nov 17 no follow-up yet
jennburwell

Early Functional Limitations in Cognitively Normal Older Adults Predict Diagnostic Conv... - 1 views

rave.ohiolink.edu/...348741804

occupational therapy functional cognition

shared by jennburwell on 22 Oct 17 - No Cached
  • jennburwell on 22 Oct 17
     
    Population-based studies have shown that subtle functional changes can precede a dementia diagnosis by 10 to 12 years. Simple models adjusted for age and education showed that older adults with higher baseline ECog total scores, reflecting greater functional limitations, were at a greater risk of developing MCI at follow-up. Results of this study are consistent with the growing body of literature that demonstrates that subjective concerns regarding functional changes can be associated with biological markers of Alzheimer's disease and related disorders, including greater amyloid burden greater brain atrophy, and greater risk of incident dementia. Deficits in everyday memory and executive function domains were the strongest predictors of diagnostic conversion to MCI.
kelseygallimore

The Relationship Between Executive Function and Functional Mobility in Subacute Stroke ... - 0 views

ajot.aota.org/article.aspx

shared by kelseygallimore on 06 Dec 17 - No Cached
  • kelseygallimore on 06 Dec 17
     
    This study explores the relationship between screenings of executive function and measures of functional mobility in subacute stroke patients. Preliminary findings suggest that some functional mobility measures have greater associations with cognitive measures than others.
kday005

Orthotic Intervention for Development of Hand Function With C-6 Quadriplegia | American... - 0 views

ajot.aota.org/article.aspx

shared by kday005 on 06 Nov 16 - No Cached
  • kday005 on 06 Nov 16
     
    This purpose of this study was to measure the gains in hand function during a 3 month rehab period for people with c5 injuries when wearing a static orthosis at night compared to individuals who did not wear the splint at night. They found that the there was no significant difference in hand function when wearing the splint. The conclusion of this study was that future studies need to examine if increased daily wear or longer period of time wearing the splint (more than the 3 month study) would allow splits to have more an effect on hand function. t
scamarata1

Executive Dysfunction and Depressive Symptoms Associated With Reduced Participation of ... - 0 views

Foster, E. R., Cunnane, K. B., Edwards, D. F., Morrison, M. T., Ewald, G. A., Geltman, E. M., & Zazulia, A. R. (2011). Executive Dysfunction and Depressive Symptoms Associated With Reduced Participation of People With Severe Congestive Heart Failure. American Journal of Occupational Therapy, 65(3), 306-313. doi:10.5014/ajot.2011.000588

shared by scamarata1 on 16 Oct 16 - No Cached
  • scamarata1 on 16 Oct 16
     
    The findings of this article showed that those with CHF reported significant reductions in participation in all four domains. The main domain was activity retention (leisure, IADLs and social). Results for depression, cognition, and participation showed that those with CHF have functioning problems and depressive symptoms were present. However, there was no correlation between memory and attention performance. This study was limited to the sample size because it was less than 30. It also stated few participants did not complete the study because of fatigue and scheduling issues, but it never stated how many dropped out. This may affect population validity of the study because it is unknown if there was mortality. Also, the 27 subjects used were all from the same hospital (convenient sample) and this may also pose a threat to population validity. The results of the study suggest that management of CHF should expand in focus from physical functioning and physically demanding activities to consider cognitive and psychological functioning in the context of all life situations. Occupational therapy can play a vital role in helping those with CHF and their psychosocial impairments (decreasing depression), while getting them back into the community and functioning in their everyday tasks, which may also reduce symptoms of depression. I used this article because the facility I'm at now admits a lot of cardiac patients and many have depressive symptoms as they are recovering from their cardiac impairments and returning to their everyday lives in the community.
alliejpeugh

Occupational Therapy Activities and Intervention Techniques for Clients With Stroke in ... - 0 views

ajot.aota.org/article.aspx

Stroke Treatment

shared by alliejpeugh on 07 Aug 14 - No Cached
  • stewarts3 on 07 Aug 14
     
    This article, published by AJOT in July 2006, is titled Occupational Therapy Activities and Intervention Techniques for Clients With Stroke in Six Rehabilitation Hospitals. As the title suggests, this article discusses various occupational therapy intervention strategies, as well as their effectiveness, for the treatment of patients with CVAs. Control of upper extremity exercises as well as activities of daily living practice were the most common form of occupational therapy intervention techniques utilized.
  • alliejpeugh on 19 Oct 16
     
    I chose this article because I treat many CVA patients in my setting. I was curious to see how the typical VA treatments related to other hospitals with their treatments. The results were very similar. Mainly we work on functional activities and we add in some exercising to strengthen and further enhance the functional abilities.
mflower

Occupational Therapy Interventions for Chronic Diseases: A Scoping Review - 0 views

This article is a systematic review of community treatment for chronic disease. I found this interesting because almost all patients I saw in the hospital has at least one chronic condition. This a...

started by mflower on 12 Aug 16 no follow-up yet
kimbleraf

Psychosocial Needs of Clients - 0 views

Authors sought to determine the association between minimal depression, upper-extremity (UE) impairment, and UE motor function in a cohort of participants with subacute stroke. Authors conducted a ...

started by kimbleraf on 16 Aug 15 no follow-up yet
nicarobe88

Clinical Reasoning: Functional Outcomes for Unstable Distal Radial Fractures Treated wi... - 0 views

Despite the recent trend toward internal fixation of distal radial fractures, few randomized trials have examined whether volar plate fixation is superior to other stabilization techniques. The pur...

http:__jbjs.org_content_91_8_1837.abstract

started by nicarobe88 on 04 Nov 15 no follow-up yet
christenhopkins

Functional Limitation Reporting--G-Code Cheat Sheet - 0 views

G-Codes are very prevalent within therapy practice. Often times it becomes easier when therapists are provided with a 'cheat sheet' in a sense. This following sheet provides how G-codes can be us...

started by christenhopkins on 15 Nov 15 no follow-up yet
jennburwell

Early Functional Limitations in Cognitively Normal Older Adults Predict Diagnostic Conv... - 1 views

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occupational therapy functional cognition

shared by jennburwell on 22 Oct 17 - No Cached
  • jennburwell on 22 Oct 17
     
    Functional near-infrared spectroscopy (fNIRS) was used to record brain activation during cognitive testing in older individuals living in residential care communities. Using fNIRS, brain signals were recorded during a series of computerized cognitive tests, including a Symbol Digit Coding test (SDC), Stroop Test (ST), and Shifting Attention Test (SAT). An association between advanced age and increased activation in the right middle frontal region was observed during the incongruent ST. Although none of the participants had clinical dementia based on the short portable mental status questionnaire, the group performance was slightly below age-normed values on these cognitive tests. These results demonstrate the capability for obtaining functional neuroimaging measures in residential settings, which ultimately may aid in prognosis and care related to dementia in older adults. If families are educated to look for signs for family members that have dementia they are easily able to discuss long term planning and prevent adverse events due to impaired cognition.
courtneyb22

Occupational Therapy Home Programs for Cerebral Palsy: Double-Blind, Randomized, Contro... - 1 views

http://sci-hub.cc/10.1542/peds.2009-0288 The goal was to assess the effectiveness of an occupational therapy home program (OTHP), compared with no OTHP, with respect to function and parent satisfac...

Occupational Therapy EBP Research

started by courtneyb22 on 17 Nov 17 no follow-up yet
ashleighlink

Factors Predicting Client Satisfaction in Occupational Therapy and Rehabilitation - 0 views

https://ajot.aota.org/article.aspx?articleid=2087159&resultClick=3 Client satisfaction, a widely used outcome indicator of quality in health care, is inherently client centered and important in oc...

started by ashleighlink on 05 Dec 17 no follow-up yet
keriboyce

Arm and Hand Function after SCI - 0 views

sci.washington.edu/...20hand%20function%20slides.pdf

occupational therapy spinal cord injury adaptive equipment

shared by keriboyce on 13 Dec 16 - No Cached
  • keriboyce on 13 Dec 16
     
    This webpage provides great information about maximizing arm and hand function after a SCI, and provides informative pictures of appropriate adaptive equipment after SCI.
dhinebaugh12

Restoring Voluntary Gasping Function in Individuals with Incomplete Spinal Cord Injury - 3 views

www.ncbi.nlm.nih.gov/...sci-19-279.pdf

shared by dhinebaugh12 on 18 Jul 16 - No Cached
  • dhinebaugh12 on 18 Jul 16
     
    Examines the effectiveness of functional electrical stimulation therapy in restoring grasping functions that may have been lost of weakened as a result of an SCI. We frequently use this method with our veterans and have had great results.
laurenmbaker

New Functional Limitation Reporting Requirements - 0 views

This article is from 2013, but I thought it was an interesting read. I feel I am constantly trying to understand billing more and more. This article discusses physical therapists (PTs), occupation...

started by laurenmbaker on 01 Oct 15 no follow-up yet
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