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2010-01-01
The purpose of this study was to examine the utility of the Evaluation of Social Interaction (ESI) in a community-based program for persons with traumatic brain injury (TBI), as well as its effectiveness in measuring occupational therapy intervention. Ten people who experienced a TBI and were participating in a community-based program were a convenience sample for this study. The Occupational Therapy Intervention Process Model (OTIPM) provided the theoretical framework. The ESI provided a pre-test performance measure and also served as a guide for an eight-week occupational therapy intervention program, and as a post-test to measure intervention effectiveness. This study showed that the ESI was effective in guiding therapist intervention related to social skill performance of participants ...
Effects of an Occupational Therapy Program on Functional Outcomes in Older Stroke Patients
2006-01-01
Abstract Background: During the last decade, occupational therapy has gained increasing importance as component of the rehabilitation programs in disabled patients. Objective: To evaluate the efficacy of occupational therapy programs in patients with a recent stroke. Methods: We selected all patients with a primary diagnosis of ischemic stroke (n = 50) consecutively admitted to the two post-acute Geriatric Rehabilitation Units (CEMI 2 and 3) of the `A. Gemelli' Hospital - Catholic University of Sacred Heart, Rome, Italy. Patients in the unit CEMI 3 (intervention group) received 8 weeks (3 h per day) of a combined rehabilitation program based on occupational therapy and physiotherapy. Patients admitted to the control unit (CEMI 2) received no input from the occupational therapist. Results: ...
Occupational therapists use of cognitive interventions for clients with Alzheimers disease
2010-01-01
The aim of this study was to establish a profile of occupational therapy practice for cognitive interventions for clients with Alzheimers disease (AD) in an urban setting. Seventy-four occupational therapists working with older adults with AD in diverse settings in the city of Montreal were randomly selected and were sent a self-administered questionnaire by mail. Sixty-five (87.8%) therapists responded. Findings indicated that 52.3% of occupational therapists are performing cognitive interventions with persons with AD. Of those, 82.4% report using cognitive rehabilitation, 61.8% using cognitive stimulation and 50.0% using cognitive training. Intervention use varied across settings and differed according to severity of AD. The sessions are usually provided individually and often include th...
Randomised Controlled Trial of Unsolicited Occupational Therapy in Community-Dwelling Elderly
Disability; Occupational Therapy
2009-01-01
Background/aim: This study aimed to survey occupational therapy practice with reference to the current evidence for management of secondary complications of the stroke-affected upper limb. Methods: A questionnaire was developed to identify the clinical practice of occupational therapists in managing the client's stroke-affected upper limb. Participants were recruited via an email to the national occupational therapy neurology listserve. Occupational therapists working in stroke rehabilitation were invited to complete the questionnaire online or to print off and return. Results: Fifty-five occupational therapists completed the questionnaire. Results revealed that treatment techniques with little to no evidence were used frequently, including pillow cushion supports (98%), positional stretch...
Full Text Available.BackgroundA recent Dutch mono-centre randomised controlled trial has shown that occupational therapy improves daily functioning in dementia. The aim of this present study is to compare the effects of the Dutch community occupational therapy programme with a community occupational therapy consultation on daily functioning in older people with mild or moderate dementia and their primary caregivers in a German multi-centre context.Methods/DesignA multi-centre single blind randomised controlled trial design is being used in seven health care centres (neurological, psychiatric and for older people) in urban regions. Patients are 1:1 randomised to treatment or control group. Assessors are blind to group assignment and perform measurements on both groups at baseline, directly after intervention at 6 weeks and at 16, 26 and 52 weeks follow-up. A sample of 140 community dwelling older people (aged >65 years) with mild or moderate dementia and their primary caregivers is planned. The experimental intervention consists of an evidence-based community occupational therapy programme including 10 sessions occupational therapy at home. The control intervention consists of one community occupational therapy consultation based on information material of the Alzheimer Society. Providers of both interventions are occupational therapists experienced in treatment of cognitively impaired older people and trained in both programmes. 'Community' indicates that occupational therapy intervention occurs in the person's own home. The primary outcome is patients' daily functioning assessed with the performance scale of the Interview for Deterioration in Daily Living Activities in Dementia and video tapes of daily activities rated by external raters blind to group assignment using the Perceive, Recall, Plan and Perform System of Task Analysis. Secondary outcomes are patients' and caregivers' quality of life, mood and satisfaction with treatment; the caregiver's sense of competence, caregiver's diary (medication, resource utilisation, time of informal care); and the incidence of long-term institutionalisation. Process evaluation is performed by questionnaires and focus group discussion.DiscussionThe transfer from the Dutch mono-centre design to the pragmatic multi-site trial in a German context implicates several changes in design issues including differences in recruitment time, training of interventionists and active control group treatment.The study is registered under DRKS00000053 at the German register of clinical trials, which is connected to the International Clinical Trials Registry Platform.
Enabling functional independence in Parkinsons disease: Update on occupational therapy intervention
2010-01-01
Motor impairment and functional limitations are known sequelae of Parkinsons disease. Occupational therapy (OT) is recognized as an important adjunct to pharmacological management. This critical review provides an update on the effectiveness of OT. Eight studies were included in the review, three on occupational therapy task-related training, two on functional training with external cues and three on OT as part of interdisciplinary treatment. Due to lack of level I studies, it is difficult to determine conclusively the effect of OT. However, there is evidence to suggest that treatment produces improvements in motor and quality of life for the duration of therapy. Implications for future studies and practice are discussed. Copyright 2010 Movement Disorder Society
Rheumatology: 9. Physical and occupational therapy in the management of arthritis
2000-10-17
Full Text Available.
Effect of Occupational Therapy on the Function and Mobility of Elbow Fractures
Supracondylar Humerus Fracture
Characterizing Occupational Therapy Practice in Stroke Rehabilitation
2005-01-01
Richards LG, Latham NK, Jette DU, Rosenberg L, Smout RJ, DeJong G. Characterizing occupational therapy practice in stroke rehabilitation. Objectives To describe how occupational therapy (OT) activities during stroke inpatient rehabilitation vary by admission functional status and over time and how time spent in these various activities relates to functional status at discharge. Design Observational cohort study. Setting Six inpatient rehabilitation hospitals in the United States. Participants People (N=713) receiving 4 to 19 hours of poststroke OT. Interventions Not applicable. Main Outcome Measures Patients were categorized by number of 4-hour blocks of OT received and by admission upper-extremity (UE) dressing score on the FIM instrument. In each group, the percentage of time spent in 16...
http://handle.uws.edu.au:8081/1959.7/36524
Where is the evidence that occupational therapy intervention can make a difference? In short, it may be found somewhere among thousands of articles, spread over hundreds of journals. It is not surprising that surveys show that a major difficulty facing occupational therapists implementing evidence-based practice is the limited time they have to locate relevant research.2004C1No Publisher: U.K. Mark Allen Pub. Format: 3 Language: eng Source: International Journal of Therapy and Rehabilitation Vol. 11, no. 9 (Sep. 2004), pp. 406-[408] Refereed
2009-01-01
Objective Work disability is a serious consequence of rheumatoid arthritis (RA). We conducted a 6-month, prospective randomized controlled trial comparing assessments of function, work, coping, and disease activity in employed patients with RA receiving occupational therapy intervention versus usual care. Methods Employed patients with RA with increased perceived work disability risk were identified by the RA Work Instability Scale (WIS; score ≥10). Patients were stratified into medium- (score ≥10 and
Effects of Community Occupational Therapy in Older Patients With Dementia and Their Caregivers.
Community Occupational Therapy; Dementia Patients; Primary Caregivers of Dementia Patients
http://hdl.handle.net/2123/5821
Doctor of Philosphy (PhD)Agitation following traumatic brain injury (TBI) is characterised by a heightened state of activity with disorganised information processing that interferes with learning and achieving functional goals. This thesis outlines a series of studies across four research phases, investigating how occupational performance of adults with TBI is affected by agitated behaviour and information processing difficulties. Clinicians report the presence of agitation interferes with engagement in therapy and achievement of rehabilitation goals. Research Phase One used a retrospective chart review of 80 adults with severe TBI to identify a high incidence of agitated behaviour during inpatient TBI rehabilitation. Agitated behaviour was associated with lengthier rehabilitation admission, prolonged duration of post-traumatic amnesia (PTA), and poor cognitive functioning at discharge. The association between agitation and poor cognition persisted for at least two years after discharge, highlighting the significant impact of agitated behaviour on people’s ability to relearn cognitive skills for daily function. These initial research findings directed subsequent research phases, in which an information processing model was adopted to examine application of cognitive strategies during occupational performance. An emerging occupational therapy assessment, The Perceive, Recall, Plan and Perform (PRPP) System of Task Analysis, was selected as the primary method for evaluating how application of cognitive strategies during occupational performance is affected in agitated patients. Clinical utility of this measure was established in a case study of an adult demonstrating severely agitated behaviour during inpatient TBI rehabilitation, followed by examination of instrument reliability and validity with ten experienced occupational therapists and five adults with agitated behaviour following brain injury. The PRPP System of Task Analysis emerged as a valid and reliable method for determining strategy application deficits during occupational performance of adults with agitated behaviour, in acute stages of TBI rehabilitation. Consistent patterns of processing deficits were related to the Perceive and Recall Quadrants of the PRPP System. The assessment tool forms part of a dynamic, interactive assessment and intervention system. The PRPP System of Intervention was evaluated in the final research phase, using an experimental single case design with replication across eight adults. The effectiveness of PRPP Intervention was examined in comparison to conventional occupational therapy in an ABAB design. Efficacy of the PRPP Intervention was demonstrated, with patients applying significantly more information processing strategies to occupational performance tasks during PRPP Intervention than during conventional occupational therapy sessions. Agitated behaviour concurrently reduced over the period of the study. Relationships between information processing and agitated behaviour are hypothesised. Publisher: University of Sydney.; Faculty of Health Sciences Rights: The author retains copyright of this thesis.; http://www.library.usyd.edu.au/copyright.html
2008-01-01
Objective Botulinum toxin type A (BtA) injection in the therapeutic treatment of muscle hypertonicity has been documented to reduce spasticity in specific muscle groups, with the effect lasting 1-3 months. The objective of this study was to evaluate the combined effect of an intensive occupational therapy (OT) programme following BtA injection in the treatment of spastic pronators in children with cerebral palsy. Methods This study used a pre/post intervention measurement design. Five children with cerebral palsy and hand function impairment were enrolled for intervention and followed-up longitudinally at 1, 3, 6 and 12 months. All patients received BtA injection to left pronators followed by OT according to treatment guidelines and standard assessment protocol. Outcome measures included c...
Team Intervention in Food Selectivity in a Medically Complex Child in Rural Appalachia
2009-01-01
“Food selective” is the term used to describe children who eat an unusually limited variety and/or amount of foods and often have serious medical problems that inhibit the normal development of eating. While many urban areas have programs to address these complex eating problems, families in rural areas must rely on sometimes fragmented local resources. This paper describes how a university-based interdisciplinary team of professionals employ a reasoning process during the assessment and intervention with a child with food selectivity in manner supportive of prevailing Appalachian cultural beliefs and values. Issues of this model for occupational therapy is discussed using occupation-based culturally sensitive reasoning and intervention strategies when responding to illustrat...
2007-11-03
Full Text Available.Objective To determine whether occupational therapy focused specifically on personal activities of daily living improves recovery for patients after stroke.Design Systematic review and meta-analysis.Data sources The Cochrane stroke group trials register, the Cochrane central register of controlled trials, Medline, Embase, CINAHL, PsycLIT, AMED, Wilson Social Sciences Abstracts, Science Citation Index, Social Science Citation, Arts and Humanities Citation Index, Dissertations Abstracts register, Occupational Therapy Research Index, scanning reference lists, personal communication with authors, and hand searching.Review methods Trials were included if they evaluated the effect of occupational therapy focused on practice of personal activities of daily living or where performance in such activities was the target of the occupational therapy intervention in a stroke population. Original data were sought from trialists. Two reviewers independently reviewed each trial for methodological quality. Disagreements were resolved by consensus.Results Nine randomised controlled trials including 1258 participants met the inclusion criteria. Occupational therapy delivered to patients after stroke and targeted towards personal activities of daily living increased performance scores (standardised mean difference 0.18, 95% confidence interval 0.04 to 0.32, P=0.01) and reduced the risk of poor outcome (death, deterioration or dependency in personal activities of daily living) (odds ratio 0.67, 95% confidence interval 0.51 to 0.87, P=0.003). For every 100 people who received occupational therapy focused on personal activities of daily living, 11 (95% confidence interval 7 to 30) would be spared a poor outcome.Conclusions Occupational therapy focused on improving personal activities of daily living after stroke can improve performance and reduce the risk of deterioration in these abilities. Focused occupational therapy should be available to everyone who has had a stroke.
http://espace.library.uq.edu.au/view/UQ:161587
Where is the evidence that occupational therapy intervention can make a difference? In short, it may be found somewhere among thousands of articles, spread over hundreds of journals. It is not surprising that surveys show that a major difficulty facing occupational therapists implementing evidence-based practice is the limited time they have to locate relevant research (Humphris et al, 2000; Bennett et al, 2003). Coverage: 2004-09-01T00:00:00Z
http://eprints.jcu.edu.au/2229/1/16510_Hooper_et_al_2007.pdf
Objective: To describe the extent and nature of demonstrated professional partnerships between occupational therapists and Aboriginal health workers in rural and remote communities of North Queensland. The study identifies ways in which professional partnerships improve client services and enhance occupational therapy outcomes through exploring the aspects of communication, collaboration and bridging cultural boundaries. Design: Data collected via in-depth, semistructured telephone interviews. Setting: Aboriginal and mainstream health and human service organisations in rural and remote North Queensland. Rural and remote areas were identified using the Accessibility and Remoteness Index of Australia codes. Participants: Seven participants working in rural and remote areas of North Queensland, comprising four occupational therapists and three Aboriginal health workers. All participants were female. Results: Participants identified five core themes when describing the extent and nature of professional partnerships between occupational therapists and Aboriginal health workers. Themes include: professional interaction; perception of professional roles; benefits to the client; professional interdependence; and significance of Aboriginal culture. According to participants, when partnerships between occupational therapists and Aboriginal health workers were formed, clients received a more culturally appropriate service, were more comfortable in the presence of the occupational therapist, obtained a greater understanding of occupational therapy assessment and intervention, and felt valued in the health care process. Conclusions: This study substantiates the necessity for the formation of professional partnerships between occupational therapists and Aboriginal health workers. The findings suggest that participation in professional partnerships has positive implications for occupational therapists working with Aboriginal clients and Aboriginal health workers in rural and remote regions of North Queensland. Publisher: Wiley-Blackwell Format: application/pdf Other identifier: Hooper, Kerry, Thomas, Yvonne, and Clark, Michelle (2007) Health professional partnerships and their impact on Aboriginal health: an occupational therapist's and Aboriginal health worker's perspective. Australian Journal of Rural Health, 15 (1). pp. 46-51. ISSN 1440-1584
Parent-based Intervention to Increase Safe Teen Driving
Motor Vehicle Occupant Injury; Teenaged Driver
Nutritional care of Danish medical inpatients : Effect on dietary intake and the occupational groups' perspective of intervention
2004-01-01
Nutritional care of Danish medical in-patients: effect on dietary intake and occupational groups perspectives of intervention
2004-01-01
A Multidisciplinary Fall Prevention Program for Elderly Persons: A Feasibility Study
2008-01-01
Falling is a common problem among elderly people and has many negative consequences. In the Netherlands, there is a need for effective fall prevention interventions aimed at elderly persons with an increased risk of falling. For this reason, we adapted a successful British fall prevention program comprising a medical occupational therapy assessment to the Dutch health care setting. This article describes the adaptation of this program and a pilot study to assess its feasibility in Dutch health care according to the implementers of the intervention as well as the participants (n = 21). This study showed that the Dutch intervention protocol is feasible in Dutch health care for both participants and implementers of the program. However, minor refinement of the intervention is warranted to imp...
Modified constraint-induced therapy for children with hemiplegic cerebral palsy: A feasibility study
2008-01-01
Purpose: To determine the feasibility of family-focused, modified constraint-induced therapy with children with hemiplegic cerebral palsy and test study procedures in preparation for a randomized controlled trial. Design: Prospective pre-post feasibility study. Methods and procedures: Ten children (median age: 3 years 6 months) were assessed at baseline, at completion of intervention and at 6 months post-baseline. Intervention consisted of a mitt worn on the unaffected hand for 2 hours per day for 8 weeks. Targeted adjunct therapy was provided during the time the mitt was worn. Primary assessments included the Canadian Occupational Performance Measure, Goal Attainment Scaling, Assisting Hand Assessment and the Melbourne Assessment of Unilateral Upper Limb Function. Outcomes: Modifie...
Systematic review of interventions for children with Fetal Alcohol Spectrum Disorders
Full Text Available.BackgroundChildren with Fetal Alcohol Spectrum Disorders (FASD) may have significant neurobehavioural problems persisting into adulthood. Early diagnosis may decrease the risk of adverse life outcomes. However, little is known about effective interventions for children with FASD. Our aim is to conduct a systematic review of the literature to identify and evaluate the evidence for pharmacological and non-pharmacological interventions for children with FASD.MethodsWe did an electronic search of the Cochrane Library, MEDLINE, EMBASE, PsychINFO, CINAHL and ERIC for clinical studies (Randomized controlled trials (RCT), quasi RCT, controlled trials and pre- and post-intervention studies) which evaluated pharmacological, behavioural, speech therapy, occupational therapy, physiotherapy, psychosocial and educational interventions and early intervention programs. Participants were aged under 18 years with a diagnosis of a FASD. Selection of studies for inclusion and assessment of study quality was undertaken independently by two reviewers. Meta-analysis was not possible due to diversity in the interventions and outcome measures.ResultsTwelve studies met the inclusion criteria. Methodological weaknesses were common, including small sample sizes; inadequate study design and short term follow up. Pharmacological interventions, evaluated in two studies (both RCT) showed some benefit from stimulant medications. Educational and learning strategies (three RCT) were evaluated in seven studies. There was some evidence to suggest that virtual reality training, cognitive control therapy, language and literacy therapy, mathematics intervention and rehearsal training for memory may be beneficial strategies. Three studies evaluating social communication and behavioural strategies (two RCT) suggested that social skills training may improve social skills and behaviour at home and Attention Process Training may improve attention.ConclusionThere is limited good quality evidence for specific interventions for managing FASD, however seven randomized controlled trials that address specific functional deficits of children with FASD are underway or recently completed.
http://research.usc.edu.au/vital/access/manager/Repository/usc:2472
No abstract available. Relation: Queensland Occupational Therapy Conference , Yeppoon 2007; Queensland Occupational Therapy Conference :; Language: eng
http://espace.library.uq.edu.au/view/UQ:132012
Aim: This study aimed to analyse the quantity and quality of paediatric research evidence contained in the OTseeker database and to compare the findings with surveys of paediatric occupational therapy practice. Methods: In June 2005, systematic reviews and randomised controlled trials contained in OTseeker were analysed according to year of publication and the client diagnostic groups and interventions addressed. The internal validity scores of the trials were determined (according to the PEDro scale (partitioned)) and the outcome measures used extracted. Results: Of 3294 papers contained in OTseeker, 372 (11.3%) were related to paediatrics. The mean internal validity score of the trials was 2.5/ 8. The five most frequently studied diagnostic groups were mental health/ psychosocial issues, neurology, learning disabilities, developmental delay and 'other'. There was much variation in the outcome measures used, with a large number of outcome measures used in only one or a few studies. The five most frequently studied interventions were behavioural interventions, consumer education, psychosocial techniques, interventions for carers/parents and developmental therapy. Conclusion: OTseeker contains a considerable amount of research relevant to paediatric occupational therapy practice. There was some congruence between the papers and practice surveys regarding client diagnostic groups and interventions, but little between the outcome measures used in research and those used in clinical practice. © 2007 The Authors Journal compilation © 2007 Australian Association of Occupational Therapists. Publisher: Wiley-Blackwell Publishing Asia Relation: isMemberOf 2008 Higher Education Research Data Collection; isMemberOf School of Population Health Publications; isMemberOf School of Health and Rehabilitation Sciences Publications; isMemberOf Excellence in Research Australia (ERA) - Collection
Effectiveness of physiotherapy and conductive education interventions in children with cerebral palsy: a focused review
2008-01-01
We conducted a criteria-based appraisal of systematic reviews on the effectiveness of physiotherapy and conductive education interventions in children with cerebral palsy (CP). Computerized bibliographic databases were searched without language restriction up to August 2007. Reviews on trials and descriptive studies were included. Two reviewers independently identified, selected, and assessed the quality of the reviews using the criteria from the Overview Quality Assessment Questionnaire complemented with decision rules. Twenty-one reviews were included, six of which were of high methodological quality. Altogether, the reviews included 23 randomized controlled trials and 104 observational studies on children with CP. The high-quality reviews found some evidence supporting strength training, constraint-induced movement therapy, or hippotherapy, and insufficient evidence on comprehensive physiotherapy and occupational therapy interventions. Conclusions in the other reviews should be interpreted cautiously, although, because of the poor quality of the primary studies, most reviews drew no conclusions on the effectiveness of the reviewed interventions. Reviews on complex interventions in heterogeneous populations should use rigorous methods and report them adequately, closely following the Quality of Reporting of Meta-Analyses recommendations.
Effectiveness of physiotherapy and conductive education interventions in children with cerebral palsy: a focused review
2008-01-01
We conducted a criteria-based appraisal of systematic reviews on the effectiveness of physiotherapy and conductive education interventions in children with cerebral palsy (CP). Computerized bibliographic databases were searched without language restriction up to August 2007. Reviews on trials and descriptive studies were included. Two reviewers independently identified, selected, and assessed the quality of the reviews using the criteria from the Overview Quality Assessment Questionnaire complemented with decision rules. Twenty-one reviews were included, six of which were of high methodological quality. Altogether, the reviews included 23 randomized controlled trials and 104 observational studies on children with CP. The high-quality reviews found some evidence supporting strength training, constraint-induced movement therapy, or hippotherapy, and insufficient evidence on comprehensive physiotherapy and occupational therapy interventions. Conclusions in the other reviews should be interpreted cautiously, although, because of the poor quality of the primary studies, most reviews drew no conclusions on the effectiveness of the reviewed interventions. Reviews on complex interventions in heterogeneous populations should use rigorous methods and report them adequately, closely following the Quality of Reporting of Meta-Analyses recommendations.
Effectiveness of physiotherapy and conductive education interventions in children with cerebral palsy: a focused review
2008-01-01
We conducted a criteria-based appraisal of systematic reviews on the effectiveness of physiotherapy and conductive education interventions in children with cerebral palsy (CP). Computerized bibliographic databases were searched without language restriction up to August 2007. Reviews on trials and descriptive studies were included. Two reviewers independently identified, selected, and assessed the quality of the reviews using the criteria from the Overview Quality Assessment Questionnaire complemented with decision rules. Twenty-one reviews were included, six of which were of high methodological quality. Altogether, the reviews included 23 randomized controlled trials and 104 observational studies on children with CP. The high-quality reviews found some evidence supporting strength training, constraint-induced movement therapy, or hippotherapy, and insufficient evidence on comprehensive physiotherapy and occupational therapy interventions. Conclusions in the other reviews should be interpreted cautiously, although, because of the poor quality of the primary studies, most reviews drew no conclusions on the effectiveness of the reviewed interventions. Reviews on complex interventions in heterogeneous populations should use rigorous methods and report them adequately, closely following the Quality of Reporting of Meta-Analyses recommendations.
Effectiveness of physiotherapy and conductive education interventions in children with cerebral palsy: a focused review
2008-01-01
We conducted a criteria-based appraisal of systematic reviews on the effectiveness of physiotherapy and conductive education interventions in children with cerebral palsy (CP). Computerized bibliographic databases were searched without language restriction up to August 2007. Reviews on trials and descriptive studies were included. Two reviewers independently identified, selected, and assessed the quality of the reviews using the criteria from the Overview Quality Assessment Questionnaire complemented with decision rules. Twenty-one reviews were included, six of which were of high methodological quality. Altogether, the reviews included 23 randomized controlled trials and 104 observational studies on children with CP. The high-quality reviews found some evidence supporting strength training, constraint-induced movement therapy, or hippotherapy, and insufficient evidence on comprehensive physiotherapy and occupational therapy interventions. Conclusions in the other reviews should be interpreted cautiously, although, because of the poor quality of the primary studies, most reviews drew no conclusions on the effectiveness of the reviewed interventions. Reviews on complex interventions in heterogeneous populations should use rigorous methods and report them adequately, closely following the Quality of Reporting of Meta-Analyses recommendations.
Effectiveness of physiotherapy and conductive education interventions in children with cerebral palsy: a focused review
2008-01-01
We conducted a criteria-based appraisal of systematic reviews on the effectiveness of physiotherapy and conductive education interventions in children with cerebral palsy (CP). Computerized bibliographic databases were searched without language restriction up to August 2007. Reviews on trials and descriptive studies were included. Two reviewers independently identified, selected, and assessed the quality of the reviews using the criteria from the Overview Quality Assessment Questionnaire complemented with decision rules. Twenty-one reviews were included, six of which were of high methodological quality. Altogether, the reviews included 23 randomized controlled trials and 104 observational studies on children with CP. The high-quality reviews found some evidence supporting strength training, constraint-induced movement therapy, or hippotherapy, and insufficient evidence on comprehensive physiotherapy and occupational therapy interventions. Conclusions in the other reviews should be interpreted cautiously, although, because of the poor quality of the primary studies, most reviews drew no conclusions on the effectiveness of the reviewed interventions. Reviews on complex interventions in heterogeneous populations should use rigorous methods and report them adequately, closely following the Quality of Reporting of Meta-Analyses recommendations.
Effectiveness of physiotherapy and conductive education interventions in children with cerebral palsy: a focused review
2008-01-01
We conducted a criteria-based appraisal of systematic reviews on the effectiveness of physiotherapy and conductive education interventions in children with cerebral palsy (CP). Computerized bibliographic databases were searched without language restriction up to August 2007. Reviews on trials and descriptive studies were included. Two reviewers independently identified, selected, and assessed the quality of the reviews using the criteria from the Overview Quality Assessment Questionnaire complemented with decision rules. Twenty-one reviews were included, six of which were of high methodological quality. Altogether, the reviews included 23 randomized controlled trials and 104 observational studies on children with CP. The high-quality reviews found some evidence supporting strength training, constraint-induced movement therapy, or hippotherapy, and insufficient evidence on comprehensive physiotherapy and occupational therapy interventions. Conclusions in the other reviews should be interpreted cautiously, although, because of the poor quality of the primary studies, most reviews drew no conclusions on the effectiveness of the reviewed interventions. Reviews on complex interventions in heterogeneous populations should use rigorous methods and report them adequately, closely following the Quality of Reporting of Meta-Analyses recommendations.
Effectiveness of physiotherapy and conductive education interventions in children with cerebral palsy: a focused review
2008-01-01
We conducted a criteria-based appraisal of systematic reviews on the effectiveness of physiotherapy and conductive education interventions in children with cerebral palsy (CP). Computerized bibliographic databases were searched without language restriction up to August 2007. Reviews on trials and descriptive studies were included. Two reviewers independently identified, selected, and assessed the quality of the reviews using the criteria from the Overview Quality Assessment Questionnaire complemented with decision rules. Twenty-one reviews were included, six of which were of high methodological quality. Altogether, the reviews included 23 randomized controlled trials and 104 observational studies on children with CP. The high-quality reviews found some evidence supporting strength training, constraint-induced movement therapy, or hippotherapy, and insufficient evidence on comprehensive physiotherapy and occupational therapy interventions. Conclusions in the other reviews should be interpreted cautiously, although, because of the poor quality of the primary studies, most reviews drew no conclusions on the effectiveness of the reviewed interventions. Reviews on complex interventions in heterogeneous populations should use rigorous methods and report them adequately, closely following the Quality of Reporting of Meta-Analyses recommendations.
Effectiveness of physiotherapy and conductive education interventions in children with cerebral palsy: a focused review
2008-01-01
We conducted a criteria-based appraisal of systematic reviews on the effectiveness of physiotherapy and conductive education interventions in children with cerebral palsy (CP). Computerized bibliographic databases were searched without language restriction up to August 2007. Reviews on trials and descriptive studies were included. Two reviewers independently identified, selected, and assessed the quality of the reviews using the criteria from the Overview Quality Assessment Questionnaire complemented with decision rules. Twenty-one reviews were included, six of which were of high methodological quality. Altogether, the reviews included 23 randomized controlled trials and 104 observational studies on children with CP. The high-quality reviews found some evidence supporting strength training, constraint-induced movement therapy, or hippotherapy, and insufficient evidence on comprehensive physiotherapy and occupational therapy interventions. Conclusions in the other reviews should be interpreted cautiously, although, because of the poor quality of the primary studies, most reviews drew no conclusions on the effectiveness of the reviewed interventions. Reviews on complex interventions in heterogeneous populations should use rigorous methods and report them adequately, closely following the Quality of Reporting of Meta-Analyses recommendations.
Effectiveness of physiotherapy and conductive education interventions in children with cerebral palsy: a focused review
2008-01-01
We conducted a criteria-based appraisal of systematic reviews on the effectiveness of physiotherapy and conductive education interventions in children with cerebral palsy (CP). Computerized bibliographic databases were searched without language restriction up to August 2007. Reviews on trials and descriptive studies were included. Two reviewers independently identified, selected, and assessed the quality of the reviews using the criteria from the Overview Quality Assessment Questionnaire complemented with decision rules. Twenty-one reviews were included, six of which were of high methodological quality. Altogether, the reviews included 23 randomized controlled trials and 104 observational studies on children with CP. The high-quality reviews found some evidence supporting strength training, constraint-induced movement therapy, or hippotherapy, and insufficient evidence on comprehensive physiotherapy and occupational therapy interventions. Conclusions in the other reviews should be interpreted cautiously, although, because of the poor quality of the primary studies, most reviews drew no conclusions on the effectiveness of the reviewed interventions. Reviews on complex interventions in heterogeneous populations should use rigorous methods and report them adequately, closely following the Quality of Reporting of Meta-Analyses recommendations.
Effectiveness of physiotherapy and conductive education interventions in children with cerebral palsy: a focused review
2008-01-01
We conducted a criteria-based appraisal of systematic reviews on the effectiveness of physiotherapy and conductive education interventions in children with cerebral palsy (CP). Computerized bibliographic databases were searched without language restriction up to August 2007. Reviews on trials and descriptive studies were included. Two reviewers independently identified, selected, and assessed the quality of the reviews using the criteria from the Overview Quality Assessment Questionnaire complemented with decision rules. Twenty-one reviews were included, six of which were of high methodological quality. Altogether, the reviews included 23 randomized controlled trials and 104 observational studies on children with CP. The high-quality reviews found some evidence supporting strength training, constraint-induced movement therapy, or hippotherapy, and insufficient evidence on comprehensive physiotherapy and occupational therapy interventions. Conclusions in the other reviews should be interpreted cautiously, although, because of the poor quality of the primary studies, most reviews drew no conclusions on the effectiveness of the reviewed interventions. Reviews on complex interventions in heterogeneous populations should use rigorous methods and report them adequately, closely following the Quality of Reporting of Meta-Analyses recommendations.
Effectiveness of physiotherapy and conductive education interventions in children with cerebral palsy: a focused review
2008-01-01
We conducted a criteria-based appraisal of systematic reviews on the effectiveness of physiotherapy and conductive education interventions in children with cerebral palsy (CP). Computerized bibliographic databases were searched without language restriction up to August 2007. Reviews on trials and descriptive studies were included. Two reviewers independently identified, selected, and assessed the quality of the reviews using the criteria from the Overview Quality Assessment Questionnaire complemented with decision rules. Twenty-one reviews were included, six of which were of high methodological quality. Altogether, the reviews included 23 randomized controlled trials and 104 observational studies on children with CP. The high-quality reviews found some evidence supporting strength training, constraint-induced movement therapy, or hippotherapy, and insufficient evidence on comprehensive physiotherapy and occupational therapy interventions. Conclusions in the other reviews should be interpreted cautiously, although, because of the poor quality of the primary studies, most reviews drew no conclusions on the effectiveness of the reviewed interventions. Reviews on complex interventions in heterogeneous populations should use rigorous methods and report them adequately, closely following the Quality of Reporting of Meta-Analyses recommendations.
http://espace.library.uq.edu.au/view/UQ:132029
Purpose: This study established a current profile of Canadian pediatric occupational therapy practice in terms of theories/ practice models, assessments, and interventions. Method: Respondents were 272 members of the Canadian Association of Occupational Therapists who indicated that pediatrics was their primary area of clinical practice. A purpose-designed survey was mailed to participants. Results: The response rate was adequate at 27.2% (n = 272/1,000). The primary client groups seen by pediatric therapists were developmental delay, learning disability, neurology, and those requiring rehabilitation. Sensory Integration and Client-Centred Practice were the most frequently utilized theories/practice models. The most commonly used assessments were the Developmental Test of Visual Motor Integration, Peabody DevelopmentalMotor Scales, Bruininks-Oseretsky Test ofMotor Proficiency, and the Sensory Profile. The most frequently used intervention techniques with pediatric clients were the instruction of parents/caregivers and children; assistive devices, adaptive equipment, and technology; activities of daily living/self-care skills; and environmental modification/ access/structuring/adaptation. Conclusions: Pediatric occupational therapists mainly used theories/ practice models that focused on three areas: Client-Centred practice, practice-oriented theories, and several theories/practice models based on occupation. Interventions focused on teaching, activities unique to occupational therapy, and on the functional needs of the client. Publisher: Haworth Press, Inc. Relation: isMemberOf 2008 Higher Education Research Data Collection; isMemberOf School of Health and Rehabilitation Sciences Publications; isMemberOf Excellence in Research Australia (ERA) - Collection
2009-01-01
DeJong G, Hsieh C-H, Gassaway J, Horn SD, Smout RJ, Putman K, James R, Brown M, Newman EM, Foley MP. Characterizing rehabilitation services for patients with knee and hip replacement in skilled nursing facilities and inpatient rehabilitation facilities. Objective To characterize rehabilitation services for patients with knee and hip replacement in 3 types of postacute facilities in the U.S. Design Multi-site prospective observational cohort study. Setting Eight freestanding skilled nursing facilities (SNFs), 1 hospital-based SNF, and 11 inpatient rehabilitation facilities (IRFs). Participants Patients (N=2158) with knee or hip replacement. Interventions No new interventions. Main Outcome Measures Length of stay (LOS), amount and intensity of physical therapy (PT) and occupational therapy (...
A First-Person Account of Using Mindfulness as a Therapeutic Tool in the Palestinian Territories
2010-01-01
This is a personal account of the clinical work done in the Palestinian Territories by a clinical psychologist working with an international medical Non Governmental Organization (NGO). In her interventions the author used mindfulness-based therapy with people who suffered from severe psychological distress due to the political conflict. Such interventions can be therapeutic and heal deep suffering, whilst offering clients coping strategies when possibly facing other traumatic events in a situation of âchronic emergencyâ? such as the one that people have to face in a country that has been under military occupation for over 40Â years. Using a case study approach, the author discusses the intervention with two women, one suffering from post-traumatic stress disorder (PTSD) following the l...
2009-01-01
OBJECTIVES: To evaluate the long-term mortality effect of a home-based intervention previously shown to reduce functional difficulties and whether survivorship benefits differ according to initial mortality risk level. DESIGN: Two-group randomized trial with survivorship followed up to 4 years from study entry. SETTING: Homes of urban community-living elderly people. PARTICIPANTS: Three hundred nineteen adults aged 70 and older with difficulties performing daily activities. INTERVENTION: Occupational and physical therapy sessions to instruct participants in compensatory strategies, home modifications, home safety, fall recovery techniques, and balance and muscle strength exercises. MEASUREMENTS: Survival time was number of days between baseline interview and date of death, as determined us...
Occupational therapy in spinocerebellar ataxia type 3: an open-label trial
2010-01-01
Full Text Available
Occupational therapy in spinocerebellar ataxia type 3: an open-label trial
2010-06-01
Full Text Available
http://espace.library.uq.edu.au/view/UQ:159044
Internationally recognized best practice care in the early management and rehabilitation of individuals following stroke includes multidisciplinary assessment and treatment by a coordinated team of health care professionals that includes occupational therapists. Occupational therapists assess the impact of changes in motor function, sensation, coordination, visual perception, and cognition on a person′s capacity to manage daily life tasks. Intervention improves participation in meaningful roles, tasks, and activities; remediates deficits; minimizes secondary complications; and provides education and support to the patient and caregivers. Occupational therapists′ focus on independence and function, individual goal-setting, and their specialist skills in task adaptation and environmental modification underpin the profession′s contribution to the multidisciplinary stroke rehabilitation team. The aim of this paper is to provide an overview of occupational therapy practice in stroke patients. Publisher: Medknow Publications Relation: isMemberOf School of Health and Rehabilitation Sciences Publications; isMemberOf 2009 Higher Education Research Data Collection
The Impact of Timing and Dose of Rehabilitation Delivery on Functional Recovery of Stroke Patients
2009-01-01
Background To investigate the impact of both timing and dose of rehabilitation delivery on the functional recovery of stroke patients. Methods From chart review, we included 76 patients who were admitted to a regional hospital for first-ever stroke, and who had received multidisciplinary rehabilitation programs including physical therapy (PT) and occupational therapy (OT) at the inpatient department, and continuous rehabilitation therapy at the outpatient department for at least 3 months. The collected data included age, sex, type of stroke (hemorrhage/infarction), onset of stroke, initial motor status by Brunnstroms motor recovery stages, time to rehabilitation intervention (from onset of stroke), length of stay, existence of aphasia, craniotomy (yes/no), and total units of rehabilitation...
2010-01-01
Bovend'Eerdt TJ, Dawes H, Sackley C, Izadi H, Wade DT. An integrated motor imagery program to improve functional task performance in neurorehabilitation: a single-blind randomized controlled trial. Objective To investigate the feasibility of a motor imagery program integrated into physiotherapy and occupational therapy. Design A parallel-group, phase II, assessor-blind randomized controlled trial comparing motor imagery embedded in usual therapy with usual therapy only. Setting A neurologic rehabilitation center (Oxford, United Kingdom). Participants Inpatients and outpatients diagnosed with stroke, brain injury, or multiple sclerosis, participating in a rehabilitation program with sufficient language skills to undertake the intervention were recruited (N=30) and assessed at baseline, afte...
Clinical aspects of lung diseases due to air pollution
1971-01-01
The clinical picture, diagnosis, therapy, and prognosis of chronic bronchitis and chronic obstructive lung diseases in general are surveyed with respect to the role played by air pollution in the genesis of such diseases. Studies available so far do not allow any positive relationship between occupational chronic exposure to dust, as in miners, and the development of chronic bronchitis and emphysema to be established. It is even more difficult to ascertain the chronic effect of polluted air on the lung function due to the intervention of various climatic factors, such as humidity, low temperature, fog, and epidemics. Sulfur dioxide, dust, cold air, and increased humidity of the air can induce functional troubles in the lungs of susceptible subjects. The morbidity due to asthma, bronchitis, and emphysema was slightly higher in industrial areas than it was in rural areas in Germany. Chronic bronchitis and chronic obstructive lung disease carry an unfavorable prognosis despite intense therapy, and therefore the development of bronchitic conditions should be prevented by eliminating as far as possible the occupational and non-occupational exposure to irritating dust, gases, and vapors. Knowledge of the causal role of air pollution in the development of nonspecific lung diseases is still very incomplete.
2010-01-01
Objectives We reported the findings of a randomized controlled trial (RCT) to examine the effects of an individualized functional enhancement program (FEP) on functional skills and mood symptoms in mild and moderate dementia. Subjects & Methods 74 Chinese older persons with dementia were recruited into a skills training program by occupational therapists (OT). Thirty seven subjects were trained with an individualized selection of daily activities (FEP Intervention, I); 37 were trained with general occupational therapy (Control, C). The FEP comprised of twice weekly group sessions of skills training and problem solving using cognitive behavioral approach. Results At 1 month after completion of program, both I and C subjects showed an improvement in process skills of the assessment of motor ...
http://espace.library.uq.edu.au/view/UQ:189958
Background/aim: Cognitive impairment is a common and often debilitating consequence of stroke. The current practice patterns of Australian occupational therapists who work in this area are not clearly known. The aim of this study was to investigate the theoretical approaches, assessments, interventions and research evidence used by Australian occupational therapists who work with patients who have cognitive impairment poststroke. Methods: A self-administered, purpose-designed online survey was used. Results: Survey responses were received from 102 occupational therapists. The client-centred approach was the most commonly used theoretical approach, with 81.3% and 72% using it often or all of the time with inpatients and outpatients, respectively. Assessments that were most frequently used were the Mini Mental State Examination (63.7% of participants), the Lowenstein Occupational Therapy Cognitive Assessment (45.1%), the Functional Independence Measure (57.8%, and the Assessment of Living Skills and Resources (10.0%). Interventions involving functional activities were used more frequently than compensatory techniques, such as diaries, alarms, or other electronic devices, and paper and pencil remedial exercises. Few (16%) participants used computer programs specifically designed for cognitive rehabilitation. Although 60.8% of the participants reported using research literature when making decisions about interventions, a higher percentage reported relying on their past experience (88.3%) and colleagues’ opinions (77.4%). Conclusion: This study provides an insight into the current practices of Australian occupational therapists who work with people who have cognitive impairment after stroke. Client-centredness is emphasised in current practice; however, the use of research evidence to inform practice appears to be limited. Contributor: E. Froude Coverage: 2009-10-01T00:00:00Z
2009-04-01
Full Text Available.Schizophrenia is a severe disorder that disrupts the function of multiple brain systems, resulting in impaired social and occupational functioning. The etiology and pathogenesis of schizophrenia appear to involve the interplay of a potentially large number of genetic liabilities and adverse environmental events that disrupt brain developmental pathways. In this Review, we discuss a strategy for determining how particular common and core clinical features of the illness are associated with pathophysiology in certain circuits of the cerebral cortex. The identification of molecular alterations in these circuits is providing critical insights for the rational development of new therapeutic interventions.
Full Text Available.BackgroundThe search for preventive methods to mitigate functional decline and unwanted relocation by older adults living in the community is important. Preventive home visit (PHV) models use infrequent but regular visits to older adults by trained practitioners with the goal of maintaining function and quality of life. Evidence about PHV efficacy is mixed but generally supportive. Yet interventions have rarely combined a comprehensive (biopsychosocial) occupational therapy intervention protocol with a home visit to older adults. There is a particular need in the USA to create and examine such a protocol.Methods/DesignThe study is a single-blind randomized controlled pilot trial designed to assess the feasibility, and to obtain preliminary efficacy estimates, of an intervention consisting of preventive home visits to community-dwelling older adults. An occupational therapy-based preventive home visit (PHV) intervention was developed and is being implemented and evaluated using a repeated measures design. We recruited a sample of 110 from a population of older adults (75+) who were screened and found to be at-risk for functional decline. Participants are currently living in the community (not in assisted living or a skilled nursing facility) in one of three central North Carolina counties. After consent, participants were randomly assigned into experimental and comparison groups. The experimental group receives the intervention 4 times over a 12 month follow-up period while the comparison group receives a minimal intervention of mailed printed materials. Pre- and post-intervention measures are being gathered by questionnaires administered face-to-face by a treatment-blinded research associate. Key outcome measures include functional ability, participation, life satisfaction, self-rated health, and depression. Additional information is collected from participants in the experimental group during the intervention to assess the feasibility of the intervention and potential modifiers. Fidelity is being addressed and measured across several domains.DiscussionFeasibility indications to date are positive. Although the protocol has some limitations, we expect to learn enough about the intervention, delivery and effects to support a larger trial with a more stringent design and enhanced statistical power.Trial RegistrationClinicalTrials.gov ID NCT00985283
2009-01-01
Full Text Available.Objective To compare the clinical effectiveness of a programme of physiotherapy and occupational therapy with standard care in care home residents who have mobility limitations and are dependent in performing activities of daily living.Design Cluster randomised controlled trial, with random allocation at the level of care home.Setting Care homes within the NHS South Birmingham primary care trust and the NHS Birmingham East and North primary care trust that had more than five beds and provided for people in the care categories “physical disability” and “older people.” Participants Care home residents with mobility limitations, limitations in activities of daily living (as screened by the Barthel index), and not receiving end of life care were eligible to take part in the study. Intervention A targeted three month occupational therapy and physiotherapy programme.Main outcome measures Scores on the Barthel index and the Rivermead mobility index.Results 24 of 77 nursing and residential homes that catered for residents with mobility limitations and dependency for activities of daily living were selected for study: 12 were randomly allocated to the intervention arm (128 residents, mean age 86 years) and 12 to the control arm (121 residents, mean age 84 years). Participants were evaluated by independent assessors blind to study arm allocation before randomisation (0 months), three months after randomisation (at the end of the treatment period for patients who received the intervention), and again at six months after randomisation. After adjusting for home effect and baseline characteristics, no significant differences were found in mean Barthel index scores at six months post-randomisation between treatment arms (mean effect 0.08, 95% confidence interval −1.14 to 1.30; P=0.90), across assessments (−0.01, −0.63 to 0.60; P=0.96), or in the interaction between assessment and intervention (0.42, −0.48 to 1.32; P=0.36). Similarly, no significant differences were found in the mean Rivermead mobility index scores between treatment arms (0.62, −0.51 to 1.76; P=0.28), across assessments (−0.15, −0.65 to 0.35; P=0.55), or interaction (0.71, −0.02 to 1.44; P=0.06).Conclusions The three month occupational therapy and physiotherapy programme had no significant effect on mobility and independence. On the other hand, the variation in residents’ functional ability, the prevalence of cognitive impairment, and the prevalence of depression were considerably higher in this sample than expected on the basis of previous work. Further research to clarify the efficacy of occupational therapy and physiotherapy is required if access to therapy services is to be recommended in this population.Trial registration ISRCTN79859980
2008-01-01
Full Text Available.Complex regional pain syndrome (CRPS) is a neuropathic pain condition that may develop following trauma to an extremity. Clients treated for CRPS at St Joseph’s Health Care London – Hand and Upper Limb Centre, London, Ontario, were asked to evaluate their level of satisfaction with the treatment they had received by comparing their pain, functional status and emotional status before and after receiving therapy. The results indicated a high level of satisfaction among clients, attributable to the unique nature of the therapy program in use at this facility, where the occupational therapist works in close collaboration with the surgeon and pain specialists, and the therapy regimen is designed for each client individually according to his or her needs. The unique contribution of the present study to the body of clinical literature on CRPS is that it introduces a focus on client functionality and on client satisfaction with therapy received.
http://handle.uws.edu.au:8081/1959.7/694
Despite the popularity of home program interventions there is little evidence to demonstrate effectiveness, particularly when an explicit family centred framework is adopted. This single-group pre-post design study evaluates the impact of a standardised occupational therapy home program implemented with a group of 20 children (2-7 years, mean age 3.8)with spastic hemiplegic cerebral palsy. The study measured the effect of the program using: goal attainment scaling(GAS);pediatric evaluation of disability inventory (PEDI); and quality of upper extremity test(QUEST). In addition, parent participation intensity was measured through a home program log. The use of a standardised occupational therapy home program for children with cerebral palsy is recommended as an effective method to achieve therapy goals. Further research using more rigorous designs is required to fully explore treatment efficacy.Master of Science (Hons.) Format: text/xml Other identifier: uws:694 Language: eng Source: THESIS_CSHS_XXX_Novak_I.xml
2006-01-01
Objectives: The aim of the current study was to evaluate and compare two different behavioral rehabilitation programs in improving the quality of life in cardiac patients in Hong Kong. Design and setting: The current study was carried out in the outpatient unit of Occupational Therapy Department in the United Christian Hospital, Hong Kong. Convenience sampling with referral from the cardiac specialty was used in the present study. Subjects: A total of 65 subjects, with a mean age 65 (range, 42 to 76), were recruited in the study. The cardiac diseases included myocardial infarct, postcoronary intervention, valve replacement, and also ischemic heart disease. Interventions: Patients were alternately allocated to the two groups. The first group of patients received instructions and practiced o...
2009-01-01
The effectiveness of a therapist-supported Internet intervention program for tinnitus distress in an industrial setting was evaluated using a cluster randomised design. Fifty-six Australian employees of two industrial organisations were randomly assigned, based on their work site (18 work sites from BP Australia and five from BHP Billiton), to either a cognitive behavioural therapy (CBT) program or an information-only control program. Participants were assessed at pre- and postprogram, measuring tinnitus distress, depression, anxiety, stress, quality of life, and occupational health. The CBT program was not found to be superior to the information program for treating tinnitus distress. A high attrition rate and small sample size limit the generalisability of the findings, and further devel...
http://espace.library.uq.edu.au/view/UQ:135603
Occupational therapy in Iran is relatively young - established in 1971 - with a fluctuated development due to the Iranian revolution in 1979, and 8 years war from 1981 to 1989. Today, there are three Bachelor programs in Iran University of Medical Sciences (IUMS), Shaheed Beheshti Medical University (SBMU), and the University of Social Welfare and Rehabilitation Sciences (USWRS). Fast growing of occupational therapy due to social demands necessitated therapists to develop a professional organization. Therefore, Iranian Occupational Therapy Association (IROTA) was formally established in 1994 (Iranian Occupational Therapy Association, 2006b). This paper aims to present an overview about occupational therapy in Iran. Iranian context including population, health status and culture is reviewed. This follows with explanation about occupational therapy background, education and development. Finally, conception, development, purposes, and achievements of Iranian Occupational Therapy Association; present situation and future perspectives of occupational therapy are discussed. Relation: isMemberOf Faculty of Health Sciences -- Publications Format: http://espace.library.uq.edu.au/eserv/UQ:135603/History_Occupational_therapy_in_Iran_1_.pdf
Surveillance of occupational health disparities: Challenges and opportunities
2010-01-01
Increasingly, the occupational health community is turning its attention to the effects of work on previously underserved populations, and researchers have identified many examples of disparities in occupational health outcomes. However, the occupational health status of some underserved worker populations is not described due to limitations in existing surveillance systems. As such, the occupational health community has identified the need to enhance and improve occupational health surveillance to describe the nature and extent of disparities in occupational illnesses and injuries (including fatalities), identify priorities for research and intervention, and evaluate trends. This report summarizes the data sources and methods discussed at an April 2008 workshop organized by NIOSH on the t...
2008-01-01
Background The unique properties of nanoparticles (NP) qualify these colloidal systems for a wide range of medical applications, including diagnosis and treatment. Particularly in cancer therapy, NP have significantly enhanced the potential of conventional imaging, radiotherapy, and chemotherapy and, consequently, offered new avenues for early interventions. So far, breast cancer has been one of the most studied cancer types with NP research, which can benefit the occupational breast cancer for the increasing number of women in the labor force in industry.Objectives The objective of this study is to compare the experimental designs of preclinical studies that assessed the effect of doxorubicin NP (DOX-NP) on the estrogen-dependent MCF-7 breast cancer cell line using a recently established ...
2006-01-01
OBJECTIVES: To examine the effect on mobility self-efficacy of a multifactorial, individualized, occupational/physical therapy (OT/PT) intervention delivered via teletechnology or in-home visits. DESIGN: Randomized, clinical trial. SETTING: One Department of Veterans Affairs and one private rehabilitation hospital. PARTICIPANTS: Sixty-five community-dwelling adults with new mobility devices. Thirty-three were randomized to the control or usual care group (UCG), 32 to the intervention group (IG). INTERVENTION: Four, once-weekly, 1-hour OT/PT sessions targeting three mobility and three transfer tasks. A therapist delivered the intervention in the traditional home setting (trad group n=16) or remotely via teletechnology (tele group n=16). MEASUREMENTS: Ten-item Likert-scale measure of mobilit...
http://espace.library.uq.edu.au/view/UQ:66205
Evaluation of patients for rehabilitation after musculoskeletal injury involves identifying, grading and assessing the injury and its impact on the patient's normal activities. Management is guided by a multidisciplinary team, comprising the patient, doctor and physical therapist, with other health professionals recruited as required. Parallel interventions involving the various team members are specified in a customised management plan. The key component of the plan is active mobilisation utilising strengthening, flexibility and endurance exercise programs. Passive physical treatments (heat, ice, and manual therapy), as well as drug therapy and psychological interventions, are used as adjunctive therapy. Biomechanical devices or techniques (eg, orthotic devices) may also be helpful. Coexisting conditions such as depression and drug dependence are treated at the same time as the injury. Effective team communication, simulated environmental testing and, for those employed, contact with the employer facilitate a staged return to normal living, sports and occupational activities. Relation: isMemberOf Excellence in Research Australia (ERA) - Collection; isMemberOf School of Medicine Publications Coverage: 2003-03-03T00:00:00Z
Light Treatment for Neuropsychiatric Behaviors in Alzheimer’s Disease
2007-12-01
Full Text Available.Neuropsychiatric behaviors are common in people with Alzheimer’s disease (AD) and make both professional and lay caregiving difficult. Light therapy has been somewhat successful in ameliorating disruptive behaviors. This randomized trial tested the effects of morning or afternoon bright light exposure compared with usual indoor light on the presence, frequency, severity, and occupational disruptiveness of neuropsychiatric behaviors in nursing home residents with AD. Light was administered for 1 hr daily (Monday–Friday) for 10 weeks. The Neuropsychiatric Inventory–Nursing Home was used to assess behavior at baseline and end of the intervention. Analyses revealed statistically significant differences between groups on agitation/aggression, depression/dysphoria, aberrant motor behavior, and appetite/eating disorders. The magnitude of change was small and may not represent clinically significant findings. Agitation/aggression and nighttime behaviors commonly occurred and were highly correlated with occupational disruptiveness. Interventions that decrease the presence and/or severity of neuropsychiatric behaviors have the potential to significantly decrease caregiver burden.
http://handle.uws.edu.au:8081/1959.7/40395
With increasing costs and scarcity of resources, occupational therapists need to embrace outcomes research to demonstrate the effectiveness of its clinical interventions. To explore clinicians' perspectives on clinical outcomes research a qualitative study was undertaken involving three in-depth group interviews with 15 occupational therapists from the South Western Sydney Area Health Service. Five broad themes permeated participants' perception: (a) defining the process, (b) factors that impact on participation in clinical outcomes research, (c) organizational influences, (d) the value of clinical outcomes research, and (e) potential partnerships with academics. Three conceptual categories are identified: knowledge and understanding about clinical outcomes research, clinicians' experience conducting or participating in clinical outcomes research and the relevance of clinical outcomes research to occupational therapy clinical practice. Similarity to findings in the international literature on occupational therapists' engagement in clinical research suggests that the findings from this small sample of Australian therapists are robust. The implications of the findings for continuing professional education programmes and clinical supervision are presented.2002C1Yes2-s2.0-0036088440 Publisher: U.K. Whurr Format: 22 Language: eng Source: Occupational Therapy International Vol. 9, no. 2 (2002), pp. 145-166 Refereed
http://hdl.handle.net/10292/363
This thesis uncovers the rational and Romantic assumptions about the relationship between objects and identity that are embedded in occupational therapy, and critiques current practice from that perspective. It is based on an initial assumption that there is in fact a relationship between people's identity and the objects they make, have, use and are associated with. This assumption is explored through an interpretive examination of the fields of literature that are commonly identified as informing occupational therapy, supplemented by selected popular literature. The exploration takes a philosophical approach, guided by notions from philosophical hermeneutics, including pre-understandings, the hermeneutic circle and fusion of horizons. The conclusion reached is that people informed by Western philosophies interpret the identity meanings of objects in both rational and Romantic ways. To inform the study, the nature of rationalism and Romanticism are then explained, and the implications of these philosophical traditions in relation to objects and identity are teased out. This interpretation is guided by a history of ideas methodology, which entails approaching historical texts from a new perspective, in this case the identity meanings of objects. Thus informed, occupational therapy literature, primarily that published in Britain between 1938 and 1962 is examined from the perspective of objects and identity. What is revealed is that rational and Romantic understandings of objects, and of patients' and their own identity are clearly discernible. Such understandings afforded early occupational therapists both ways to organise their growing knowledge of the therapeutic application of crafts and the transformative outcomes of occupational therapy intervention. Gradually however, factors both internal and external to the profession served to undermine therapists' Romanticism. Primary amongst these were World War II, which saw a redeployment of occupational therapists from mental health to physical rehabilitation settings; advances in rehabilitative medicine, which brought a reduction in secondary complications and the adoption of teamwork; and the development of new practice areas including domestic rehabilitation using gadgets to enhance function and pre-vocational rehabilitation. As a result, tensions between rational and Romantic understandings crystallised around two long-standing controversies. These were whether or not craft equipment such as weaving looms should be adapted to serve specific remedial purposes, and whether it was the process of making a crafted object or the quality of the finished product that was more important. In the event, these contested ideologies became largely irrelevant as craftwork was sidelined from mainstream practice. With it, occupational therapists' Romantic vision of transforming people's lives through creative activity also slipped away. Several reasons for this loss of one of the profession's founding philosophies are proposed. They include the substantial absence of the professions' philosophical foundations from its education, and the paucity of theory and research methodologies that might have informed the nature and process of transformative change that earlier occupational therapists had observed and reported. The thesis concludes by arguing for the importance of recovering a balance between rationalism and Romanticism. A call to action is issued, addressing change in educational practice, concerted research effort to identify and articulate transformative processes within occupational therapy, and political action focusing on the inclusion of Romantic perspectives within policy and strategic documents. Publisher: AUT University Rights: All items in ScholarlyCommons@AUT are provided for private study and research purposes and are protected by copyright with all rights reserved unless otherwise indicated.
http://espace.library.uq.edu.au/view/UQ:142164
Aim. To evaluate the efficacy of a short-term alcohol-focused intervention for maritally distressed women, and to explore changes in relationship functioning. Design. Participants were assigned randomly to an alcohol-focused treatment or to a waiting-list control group. The waiting-list control group began the intervention at 1-month follow-up. Setting. The intervention took place at a research and training centre offering outpatient psychology services to the community. Participants. A sample of 32 women with alcohol and marital problems were recruited through the media. Participants reported protracted alcohol problems, moderate to severe impact of alcohol on social and occupational functioning, and moderate to severe marital distress. Measurements. Measures of average alcohol consumption, marital distress, relational efficacy and depression were administered at pre- and post-therapy, and at 1, 6 and 12-month follow-up. Intervention. The intervention involved six 1-hour sessions, consisting of clinical assessment, motivational interviewing, cognitive-behavioural strategies and relapse prevention. Results. At 1-month follow-up, the intervention was associated with statistically significant improvements in alcohol consumption, marital satisfaction, relational efficacy and depression, and these effects were sustained at 12-month follow-up. Conclusions. At 1-month follow-up the intervention was associated with decreased alcohol consumption and depression, and increased marital satisfaction and relational efficacy, with evidence of maintained effects at 12-month follow-up. However, it is unlikely that reduced problem drinking and improved confidence in resolving problems were the only factors producing low marital quality in these couples. Further research is needed to identify those individuals who might benefit from marital interventions. Publisher: Carfax Contributor: G. Edwards Coverage: 2000-10-01T00:00:00Z
Non-invasive Brain Stimulation and Occupational Therapy To Enhance Stroke Recovery
Stroke; Cerebrovascular Accident; CVA; Acute Stroke; Acute Cerebrovascular Accident; Apoplexy
1994-09-01
Full Text Available.OBJECTIVES--The aim was to combat occurrence of chronic occupational back pain. METHODS--A multidisciplinary model to manage back pain that includes both clinical and ergonomic approaches has been developed. Early detection, early clinical and ergonomic evaluations, and early active treatment make up the cornerstone of management. Detection of cases starts after four weeks of absence from work. An ergonomic intervention is implemented at six weeks. A medical specialist is involved at eight weeks. If return to work is not possible after 12 weeks, a functional recovery therapy followed by a therapeutic return to work is implemented. A multidisciplinary team decides if return to original or modified work is possible or if vocational rehabilitation is necessary. This model has been implemented by the investigators in the Sherbrooke (Quebec, Canada) area, and is presently being evaluated through a randomised trial in 31 industrial settlements (about 20,000 workers). A cluster randomisation of industries and workers will allow separate testing of ergonomic and clinical interventions. RESULTS--One year after implementation, 31 of 35 of the eligible industrial sites participated in the study and 79 of 88 of the eligible workers affected by recent back pain had agreed to participate. Ergonomic and clinical interventions have been implemented as planned. Only three workers dropped out. Hence this global clinical and ergonomic management programme has been shown to be feasible in a general population. CONCLUSION--A global management programme of back pain joining ergonomic and clinical intervention with a multidisciplinary approach has not been tested yet. Linking these two strategies in a same multidisciplinary team represents a systemic approach to this multifactorial ailment. During the first year of this trial we did not find any conflict between these two interventions from the employer's or worker's point of view.
http://arrow.unisa.edu.au:8081/1959.8/45147
The overall objective of the thesis was to research and establish a better understanding of occupational therapy home assessments, in order to provide a framework for other researchers to test its effectiveness in different patient groups. Contributor: School of Occupational Therapy, University of South Australia Relation: ; Other identifier: unisa:32719 Coverage: School of Occupational Therapy; ARROW@UNISA Language: EN-AUS Rights: Copyright Sarah Barras 2007
Managing early presentation of rheumatoid arthritis. Systematic overview.
1996-05-01
Full Text Available.OBJECTIVE: To describe evidence-based management of patients presenting to family physicians with typical signs and symptoms of recent onset of rheumatoid arthritis (RA). STUDY SELECTION: Articles for critical review were included if relevant to primary care management of early RA (less than 1 year duration). Sources included MEDLINE from 1966 to December 1995, the reference library of the Arthritis Community Research and Evaluation Unit, and conference abstracts. FINDINGS: Evidence from randomized, controlled trials supports the short-term benefit of nonsteroidal anti-inflammatory drugs, disease-modifying agents for rheumatic diseases, intravenous pulse corticosteroid therapy, intra-articular therapy, aerobic exercise, patient education, psychologic intervention, home physiotherapy, home occupational therapy, and rehabilitation programs. Some evidence favours acetaminophen for analgesia, low-dose oral corticosteroids for symptom control, and referral to a rheumatologist. Evidence for rest, ice, and heat for symptom control is conflicting and based on low-quality studies. CONCLUSION: Family physicians play an important role in establishing early and accurate diagnosis of RA, coordinating therapy, and providing ongoing support, education, and monitoring to patients and their families.
1987-04-01
The author addresses the attribution of lung cancer to cigarette smoking and the problems of confounding synergistic effects of occupational and other carcinogenic risk factors, as well as the divergent trends of declining smoking rates and increasing rates of lung cancer. He also reviews the existing literature to document associations between lung cancer and occupational exposures. Finally, interventions for prevention of occupational lung cancer are discussed.
2007-10-15
Surrogate markers and biomarkers based on imaging readouts providing predictive information on clinical outcome are of increasing importance in the preclinical and clinical evaluation of novel therapies. They are primarily used in studies designed to establish evidence that the therapeutic principle is valid in a representative patient population or in an individual. A critical step in the development of (imaging) surrogates is validation: correlation with established clinical endpoints must be demonstrated. Biomarkers must not fulfill such stringent validation criteria; however, they should provide insight into mechanistic aspects of the therapeutic intervention (proof-of-mechanism) or document therapy efficacy with prognostic quality with regard to the long-term clinical outcome (proof of concept). Currently used imaging biomarkers provide structural, physiological and metabolic information. Novel imaging approaches annotate structure with molecular signatures that are tightly linked to the pathophysiology or to the therapeutic principle. These cellular and molecular imaging methods yield information on drug biodistribution, receptor expression and occupancy, and/or intra- and intercellular signaling. The design of novel target-specific imaging probes is closely related to the development of the therapeutic agents and should be considered early in the discovery phase. Significant technical and regulatory hurdles have to be overcome to foster the use of imaging biomarkers for clinical drug evaluation. (orig.)
Obesity; Diet Therapy; Weight Loss
Variability and Autonomy in Music Therapy Interaction : Evidence for Diagnosis and Therapeutic Intervention with Autism and Asperger Syndrome
1998-01-01
Variability and Autonomy in Music Therapy Interaction : Evidence for Diagnosis and Therapeutic Intervention for Children with Autism and Asperger Syndrome
1999-01-01
The Social Structure of Music : Research and Clinical Intervention in Music Therapy for Autism Spectrum Disorder
2006-01-01
Pilot Clinical Trial of Computer-Based Motivational Intervention - 1
Behavior Therapy; Substance-Related Disorders
Impact of pharmacist's interventions on cost of drug therapy in intensive care unit
2009-06-01
Full Text Available
Effectiveness of Internet Cognitive Behavioral Therapy Intervention for Treating Insomnia
Sleep Initiation and Maintenance Disorders
The Social Structure of Music: Research and Clinical Intervention in Music Therapy for Autism Spectrum Disorder
2007-01-01
Society of Interventional Radiology hosts oncology therapies Webinar, offers resources
Registration is now open for the Society of Interventional Radiology's "Image-Guided Interventional Oncology Therapies" webinar, which will provide the latest updates on percutaneous and transcatheter treatment of liver ...
SCIRehab Project Series: The Occupational Therapy Taxonomy
2009-06-01
Full Text Available.Background/Objective:Lack of a classification system for occupational therapy (OT) rehabilitation interventions for traumatic spinal cord injury (SCI) rehabilitation in the United States makes conducting outcomes research difficult. This article describes an OT SCI rehabilitation taxonomy (system to categorize and classify treatments).Methods:OT clinicians and researchers from 6 SCI rehabilitation centers developed a taxonomy to describe details of each OT session. This effort is part of the SCIRehab study, which uses the practice-based evidence, observational research methodology to examine current treatment processes without changing existing practice.Results:The OT taxonomy consists of 26 OT activities (eg, training on activities of daily living, communication, home management skills, wheelchair mobility, bed mobility, transfers, balance, strengthening, stretching, equipment evaluation, and community reintegration). Time spent on each activity is documented along with therapeutic interventions used to facilitate the activity. Treatment descriptions are enhanced further with identification of assistance needs, patient direction of care, and family involvement, which help to describe and guide OT activity selection. The OT taxonomy documentation process includes all OT rehabilitation interventions for patients with SCI while maintaining efficiency in data collection.Conclusion:The electronic documentation system is being used at 6 centers for all OT sessions with 1,500 patients with acute traumatic SCI. It is the largest known attempt to document details of the comprehensive OT rehabilitation process for patients with SCI in the United States.
1996-09-15
Full Text Available.OBJECTIVE: To examine primary care physicians' management of rheumatoid arthritis, ascertain the determinants of management and compare management with that recommended by a current practice panel. DESIGN: Mail survey (self-administered questionnaire). SETTING: Ontario. PARTICIPANTS: A stratified computer-generated random sample of 798 members of the College of Family Physicians of Canada. OUTCOME MEASURES: Proportions of respondents who chose various items in the management of two hypothetical patients, one with early rheumatoid arthritis and one with late rheumatoid arthritis. Scores for investigations, interventions and referrals for each scenario were generated by summing the recommended items chosen by respondents and then dividing by the total number of items recommended in that category. The scores were examined for their association with physician and practice characteristics and physician attitudes. RESULTS: The response rate was 68.3% (529/775 eligible physicians). Recommended investigations were chosen by more than two thirds of the respondents for both scenarios. Referrals to physiotherapy, occupational therapy and rheumatology, all recommended by the panel, were chosen by 206 (38.9%), 72 (13.6%) and 309 (58.4%) physicians respectively for early rheumatoid arthritis. These proportions were significantly higher for late rheumatoid arthritis (p < 0.01). In multiple regression analysis, for early rheumatoid arthritis, internship or residency training in rheumatology was associated with higher investigation and intervention scores, for late rheumatoid arthritis, older physicians had higher intervention scores and female physicians had higher referral scores. CONCLUSIONS: Primary care physicians' investigation of rheumatoid arthritis was in accord with panel recommendations. However, rates of referral to rheumatologists and other health care professionals were very low, especially for the early presentation of rheumatoid arthritis. More exposure to rheumatology and to the role of physiotherapy, occupational therapy and social work during primary care training is strongly recommended.
2009-01-01
The Interaction with Disabled Persons scale (IDP) has been used in research into baseline attitudes and to evaluate whether a shift in attitudes towards people with developmental disabilities has occurred following some form of intervention. This research has been conducted on the assumption that the IDP measures attitudes as a multidimensional construct and has good internal consistency. Such assumptions about the IDP appear flawed, particularly in light of failures to replicate its underlying factor structure. The aim of this study was to evaluate the construct validity and dimensionality of the IDP. This study used a prospective survey approach. Participants were recruited from first and second year undergraduate university students enrolled in health sciences, occupational therapy, phy...
Personal dose monitoring in hospitals: global assessment, critical applications and future needs
2007-01-01
It is known that medical applications using ionising radiation are wide spread and still increasing. Physicians, technicians, nurses and others constitute the largest group of workers occupationally exposed to man-made sources of radiation. Many hospital workers are consequently subjected to routine monitoring of professional radiation exposures. in the university hospital, UZ Brussel, 600 out of 4000 staff members are daily monitored for external radiation exposures. The most obvious applications of ionising radiation are diagnostic radiology, diagnostic or therapeutic use of radionuclides in nuclear medicine and external radiation therapy or brachytherapy in radiotherapy departments. Other important applications also include various procedures in interventional radiology (IR), in vitro b...
2007-01-01
The number of people suffering from chronic obstructive pulmonary disease (COPD) is increasing. From an occupational therapy perspective, it is important to estimate dyspnea, fatigue and activity performance in daily activities to be able to use the most effective interventions. In Sweden, there are several assessments for evaluating activities in daily living, but none of them are diagnosis specific for this group. The Pulmonary Functional Status & Dyspnea Questionnaire-Modified (PFSDQ-M) is a self-completion assessment, which takes a short time to complete. The aim of this study was to translate the PFSDQ-M into Swedish and test it twice on 30 people to make a test-retest assessment. The aim was also to evaluate the interviewees' experience of filling in the form. Agreement between ...
Non-drug treatment (excluding surgery) in rheumatoid arthritis: Clinical practice guidelines
2009-01-01
Objectives: Because drugs do not halt joint destruction in rheumatoid arthritis (RA), non-drug treatments are an important adjunct to drug treatment. Establishing rules governing their use is difficult because treatment is multidisciplinary, complex, and difficult to assess. The aims of these guidelines were to (a) establish the indications for physical therapies and for educational, psychological, and other non-drug interventions, (b) address social welfare, occupational, and organizational issues. Methods: A systematic literature search (MEDLINE, EMBASE, CINAHL, Pascal, Cochrane Library, HTA database) (1985-2006) was completed with information obtained from specialty societies and the grey literature. A review of the studies meeting inclusion criteria, with evidence levels, was used by a...
2010-01-01
Objective A biopsychosocial model was used to treat pain-associated disability in children and adolescents. We assessed the clinical outcomes of children and adolescents (8-21 years of age) with pain-associated disability who were treated in an interdisciplinary inpatient rehabilitation program which included physical, occupational, and recreational therapy, medicine, nursing, pediatric psychology, neuropsychology, psychiatry, social work, and education. Psychological treatment emphasized cognitive-behavioral intervention for pain and anxiety management, and behavioral shaping to increase functioning. Methods We conducted a retrospective chart review of 41consecutive patients. School attendance, sleep, and medication usage were assessed at admission and discharge; functional disability and...
The effect of renovating an office building on occupants' comfort and health
1999-01-01
An intervention study was performed in an office building in which there were severe indoor climate complaints among the occupants. In one part of the building a new heating and ventilation strategy was implemented by renovating the HVAC system, and a carpet floor material was replaced with a low-emitting vinyl floor; the other part of the building was kept unchanged, serving as a control. A comprehensive indoor climate investigation, including a questionnaire study of the occupants' comfort and health, was performed before and after the intervention. The intervention was performed after detailed laboratory studies on alternative flooring materials and alternative ventilation strategies. The occupants' adverse perceptions and symptoms were significantly reduced by the intervention. The improvement of the indoor climate was most pronounced in the cellular offices, where both the floor material and the ventilation and heating conditions had been changed, compared to the improvement in the open-plan offices where only the ventilation and heating system had been changed.
The effect of renovating an office building on occupants' comfort and health
1999-01-01
An intervention study was performed in an office building in which there were severe indoor climate complaints among the occupants. In one part of the building a new heating and ventilation strategy was implemented by renovating the HVAC system, and a carpet floor material was replaced with a low-emitting vinyl floor; the other part of the building was kept unchanged, serving as a control. A comprehensive indoor climate investigation, including a questionnaire study of the occupants' comfort and health, was performed before and after the intervention. The intervention was performed after detailed laboratory studies on alternative flooring materials and alternative ventilation strategies. The occupants' adverse perceptions and symptoms were significantly reduced by the intervention. The improvement of the indoor climate was most pronounced in the cellular offices, where both the floor material and the ventilation and heating conditions had been changed, compared to the improvement in the open-plan offices where only the ventilation and heating system had been changed.
http://espace.library.uq.edu.au/view/UQ:159051
Purpose: To determine the feasibility of family-focused, modified constraint-induced therapy with children with hemiplegic cerebral palsy and test study procedures in preparation for a randomized controlled trial. Design: Prospective pre-post feasibility study. Methods and procedures: Ten children (median age: 3 years 6 months) were assessed at baseline, at completion of intervention and at 6 months post-baseline. Intervention consisted of a mitt worn on the unaffected hand for 2 hours per day for 8 weeks. Targeted adjunct therapy was provided during the time the mitt was worn. Primary assessments included the Canadian Occupational Performance Measure, Goal Attainment Scaling, Assisting Hand Assessment and the Melbourne Assessment of Unilateral Upper Limb Function. Outcomes: Modified constraint-induced therapy as implemented in this study was acceptable to participants. Over the intervention period, participants experienced improvements in the performance of important daily activities as determined by the primary outcome measures. Conclusions: Modified constraint-induced therapy which targets participant-identified goals and which is family-focused warrants further investigation utilizing randomized trial methodology. Relation: isMemberOf School of Health and Rehabilitation Sciences Publications Coverage: 2007-10-15T00:00:00Z
2006-01-01
As part of a project conducted for establishing the biological markers of occupational lead poisoning this report proves how important collaboration of the OHS professionals is for the understanding of the risks in occupational settings and for the development of preventive interventions. The biostatistics specialist plays an important role within the activity of the multidisciplinary team made up of occupational physician, safety engineer and industrial hygienist. He/She can process all the medical and environmental data in order to make possible the communication of occupational risks to the employers and employees.
http://hdl.handle.net/10072/21528
As the number of women surviving breast cancer increases, with implications for the health system, research into the physical and psychosocial sequelae of the cancer and its treatment is a priority. This research estimated self-reported health-related quality of life (HRQoL) associated with two rehabilitation interventions for breast cancer survivors, compared to a non-intervention group. Women were selected if they received an early home-based physiotherapy intervention (DAART, n = 36) or a group-based exercise and psychosocial intervention (STRETCH, n = 31). Questionnaires on HRQoL, using the Functional Assessment of Cancer Therapy – Breast Cancer plus Arm Morbidity module, were administered at pre-, post-intervention, 6- and 12-months post-diagnosis. Data on a non-intervention group (n = 208) were available 6- and 12-months post-diagnosis. Comparing pre/post-intervention measures, benefits were evident for functional well-being, including reductions in arm morbidity and upper-body disability for participants completing the DAART service at one-to-two months following diagnosis. In contrast, minimal changes were observed between pre/post-intervention measures for the STRETCH group at approximately 4-months post-diagnosis. Overall, mean HRQoL scores (adjusted for age, chemotherapy, hormone therapy, high blood pressure and occupation type) improved gradually across all groups from 6- to 12-months post-diagnosis, and no prominent differences were found. However, this obscured declining HRQoL scores for 20–40% of women at 12 months post-diagnosis, despite receiving supportive care services. Greater awareness and screening for adjustment problems among breast cancer survivors is required throughout the disease trajectory. Early physiotherapy after surgery has the potential for short-term functional, physical and overall HRQoL benefits. Publisher: http://dx.doi.org/10.1007/s10549-005-5151-5; Springer; New York Relation: 3; Breast Cancer Research and Treatment; 217; 226; N; 93 Other identifier: 0167-6806 Language: en_AU Rights: Y
2010-01-01
Abstract Background and Aims: To evaluate and compare laparoscopic splenectomy and partial splenic embolization as supportive intervention for cirrhotic patients with hypersplenism to overcome peripheral cytopenia before the initiation of and during interferon therapy or anticancer therapy for hepatocellular carcinoma. Methods: Between December 2000 and April 2008, 43 Japanese cirrhotic patients with hypersplenism underwent either laparoscopic splenectomy or partial splenic embolization as a supportive intervention to facilitate the initiation and completion of either interferon therapy or anticancer therapy for hepatocellular carcinoma. We reviewed the peri- and post-intervention outcomes and details of the subsequent planned main therapies. For interferon therapy, the rate of completion,...
http://espace.library.uq.edu.au/view/UQ:140901
This article describes a literature review that examined the topic of the post-discharge compliance of individuals with prescribed adaptive equipment. Assisting individuals to accomplish tasks relevant to their activities of daily living and thereby achieve functional independence is central to the role of occupational therapy. The prescription of adaptive equipment is a frequently used intervention. The rationale for prescribing adaptive equipment is that it maximises a client's functional potential, allows for independence in activities of daily living and fosters confidence as a result of being able to accomplish such tasks. All studies that surveyed compliance with prescribed adaptive equipment between 1963 and 1996 were reviewed. The factors that reportedly affect compliance by individuals can be considered under five discrete categories: medical-related, client-related, equipment-related, assessment-related and training-related. On the basis of the findings of this literature review, recommendations are made for further research, specifically investigating methods that therapists could incorporate into current practice to address the problem of non-compliance with prescribed adaptive equipment. Publisher: College of Occupational Therapists Contributor: Upma Barnett Coverage: 2000-02-01T00:00:00Z
http://espace.library.uq.edu.au/view/UQ:137745
Despite a philosophical belief in the health benefits of balanced participation in everyday activities, occupational therapists have devoted scant research attention to the relationship between mental health and activity participation in childhood and adolescence. Time use studies offer valuable insights into this relationship. In this literature review the methodologies employed in time use studies are described, and empirical findings linking depression to the distribution of time to leisure, productive and self-care activities, and sleep are then outlined. The relevance of findings to occupational therapy assessment and intervention is discussed. Therapists are challenged to further research the area, as gaining thorough knowledge of young people's time use has implications for both professional practice and broader public health policy. Publisher: Blackwells Relation: isMemberOf 2008 Higher Education Research Data Collection; isMemberOf School of Health and Rehabilitation Sciences Publications; isMemberOf Excellence in Research Australia (ERA) - Collection
Efficacy of motor imagery in post-stroke rehabilitation: a systematic review
Full Text Available.BackgroundEvaluation of how Motor Imagery and conventional therapy (physiotherapy or occupational therapy) compare to conventional therapy only in their effects on clinically relevant outcomes during rehabilitation of persons with stroke.DesignSystematic review of the literatureMethodsWe conducted an electronic database search in seven databases in August 2005 and also hand-searched the bibliographies of studies that we selected for the review.Two reviewers independently screened and selected all randomized controlled trials that compare the effects of conventional therapy plus Motor Imagery to those of only conventional therapy on stroke patients.The outcome measurements were: Fugl-Meyer Stroke Assessment upper extremity score (66 points) and Action Research Arm Test upper extremity score (57 points).Due to the high variability in the outcomes, we could not pool the data statistically.ResultsWe identified four randomized controlled trials from Asia and North America. The quality of the included studies was poor to moderate. Two different Motor imagery techniques were used (three studies used audiotapes and one study had occupational therapists apply the intervention). Two studies found significant effects of Motor Imagery in the Fugl-Meyer Stroke Assessment: Differences between groups amounted to 11.0 (1.0 to 21.0) and 3.2 (-4 to 10.3) respectively and in the Action Research Arm Test 6.1 (-6.2 to 18.4) and 15.8 (0.5 to 31.0) respectively. One study did not find a significant effect in the Fugl-Meyer Stroke Assessment and Color trail Test (p = 0.28) but in the task-related outcomes (p > 0.001).ConclusionCurrent evidence suggests that Motor imagery provides additional benefits to conventional physiotherapy or occupational therapy. However, larger and methodologically sounder studies should be conducted to assess the benefits of Motor imagery.
Predictors of Resuming Therapy Within Four Weeks after Discharge from Inpatient Rehabilitation
2009-01-01
Full Text Available.Purpose1) Identify the percentage of persons with stroke resuming therapy within four weeks of inpatient rehabilitation discharge, 2) compare the characteristics of those who did and did not resume therapy, and 3) determine the predictors of resuming physical (PT), occupational (OT), and speech (ST) therapy.MethodSocio-demographic, stroke-related, and therapy data for persons with stroke (n=131) were abstracted from inpatient rehabilitation charts. Functional Independence Measure, Stroke Impact Scale, Geriatric Depression Scale and data on therapy received after discharge were also collected.ResultsLogistic regression models demonstrated that minorities were less likely to resume PT (OR=.30) and OT (OR=.25). Survivors with neglect/visual-field cut/spatial-perceptual loss were 2–3 times more likely to resume PT, OT, and ST. Survivors with higher scores on the SIS Physical domain sub-scale were less likely to resume PT (OR=0.98) and OT (OR=0.97). Men were 3.3 times more likely to have OT than women. Those with comprehensive health insurance were 11.2 times more likely to receive ST.ConclusionsThe benefits of outpatient therapy are not universally available to all persons with stroke. Further research needs to explore the factors that hinder the prompt resumption of therapy for minority and female persons with stroke and to test appropriate interventions.
2009-01-01
Background/aim: A timely evaluation of the Australian Competency Standards for Entry-Level Occupational TherapistsCopyright (1994) was conducted. This thorough investigation comprised a literature review exploring the concept of competence and the applications of competency standards; systematic benchmarking of the Australian Occupational Therapy Competency Standards (OT AUSTRALIA, 1994) against other national and international competency standards and other affiliated documents, from occupational therapy and other cognate disciplines; and extensive nationwide consultation with the professional community. This paper explores and examines the similarities and disparities between occupational therapy competency standards documents available in English from Australia and other countries. Meth...
http://espace.library.uq.edu.au/view/UQ:64595
The play of children with autistic spectrum disorder (ASD) is a valuable medium for assessment and intervention, and its analysis has the potential to aid diagnosis. This study investigated spontaneous play behavior and play object preferences for 24 preschool children with ASD in a typical occupational therapy clinical environment. Play behavior was rated and choice of play object noted at 10-second intervals from a 15-minute video recording of unstructured play. Statistical analyses indicated that play behavior was consistent with descriptions in the literature. In addition, the children demonstrated clear preferences for play objects in the form of popular characters (e.g., Thomas the Tank Engine) and those with sensorimotor properties. We propose that the inclusion of preferred play objects in a clinical environment may increase intrinsic motivation to play, and thereby enhance assessment and intervention. Relation: isMemberOf School of Health and Rehabilitation Sciences Publications; isMemberOf Excellence in Research Australia (ERA) - Collection Coverage: 2003-01-01 00:00:00
Occupational doses in interventional radiology
2006-07-01
Full text of publication follows: Purpose: The purpose of this study is to analyze the current situation of an Interventional Radiology installation. A retrospective study of the doses received by interventional radiology specialists was carried out in order to optimize the radiologic protection activities. Material And Methods: Interventional Radiology is a speciality in which staff involved can be exposed to significant occupational radiation risks. The dosimetric data gathered since the incorporation date in the installation of three interventional radiologists are reported. Relations between doses and workload are studied. A retrospective estimation of effective doses and dose to lens was performed using dosimetric records. The variety of interventional procedures are analyzed in order to determine if radiation protection activities has been taken to minimize risk, and the benefits of carrying out these activities are also evaluated. Results And Conclusions: The workload increase and different activity of the three radiologists has derived in an occupational dose increase. Training and quality assurance are indispensable in interventional radiology to minimize occupational risk. (authors)
2010-01-01
Full Text Available.Objective To evaluate the effectiveness of an integrated care programme, combining a patient directed and a workplace directed intervention, for patients with chronic low back pain.Design Population based randomised controlled trial.Setting Primary care (10 physiotherapy practices, one occupational health service, one occupational therapy practice) and secondary care (five hospitals).Participants 134 adults aged 18-65 sick listed for at least 12 weeks owing to low back pain.Intervention Patients were randomly assigned to usual care (n=68) or integrated care (n=66). Integrated care consisted of a workplace intervention based on participatory ergonomics, involving a supervisor, and a graded activity programme based on cognitive behavioural principles.Main outcome measures The primary outcome was the duration of time off work (work disability) due to low back pain until full sustainable return to work. Secondary outcome measures were intensity of pain and functional status.Results The median duration until sustainable return to work was 88 days in the integrated care group compared with 208 days in the usual care group (P=0.003). Integrated care was effective on return to work (hazard ratio 1.9, 95% confidence interval 1.2 to 2.8, P=0.004). After 12 months, patients in the integrated care group improved significantly more on functional status compared with patients in the usual care group (P=0.01). Improvement of pain between the groups did not differ significantly.Conclusion The integrated care programme substantially reduced disability due to chronic low back pain in private and working life.Trial registration Current Controlled Trials ISRCTN28478651.
Prevention through pre-review in occupational health and safety.
1980-02-01
Full Text Available.Occupational health problems have needlessly been produced at many worksites as a consequence of their not having been anticipated during design and construction. Pre-review may be an effective and efficient mechanism for preventive intervention in occupational health and safety. Legal and administrative precedents are cited from the United States and other countries. Proposals are presented, with Israel as an example, which aim to implement the principle of pre-review.
http://apo.org.au/?q=node/8327
The census presents the results of a comprehensive national data collection of Day Therapy Centres and their care recipients. The Day Therapy Centre Program subsidises a range of therapies for frail older people living in the community and for residents of Australian government funded residential aged care. Therapies include physiotherapy, occupational therapy, speech therapy, and podiatry. The data collected provide an insight into the needs and circumstances of those accessing this care and provide information on current service delivery patterns. Coverage: Australia
2009-01-01
Objective: There is a need for a comprehensive instrument to assess a person's ability to function with chronic pain. In response to this, the Pain and Functional Performance Assessment-Final Version [PFPA-FV] was developed to enable individuals and healthcare professionals to identify the extent to which daily occupations are affected by pain. Method: First, an initial version of the assessment, the PFPA, was developed using the American Occupational Therapy Association Practice Framework as a guide [American Occupational Therapy Association: Occupational therapy practice framework: Domain and process. Am J Occup Ther 56(6): 609-639, 2002]. The PFPA was then administered through face-to-face interviews to a convenience sample of 25 participants who reported having chronic pain. All partic...
http://hdl.handle.net/10072/3346
Aim. To evaluate the efficacy of a short-term alcohol-focused intervention for maritally distressed women, and to explore changes in relationship functioning. Design. Participants were assigned randomly to an alcohol-focused treatment or to a waiting-list control group. The waiting-list control group began the intervention at 1-month follow-up. Setting. The intervention took place at a research and training centre offering outpatient psychology services to the community. Participants. A sample of 32 women with alcohol and marital problems were recruited through the media. Participants reported protracted alcohol problems, moderate to severe impact of alcohol on social and occupational functioning, and moderate to severe marital distress. Measurements. Measures of average alcohol consumption, marital distress, relational efficacy and depression were administered at pre- and post-therapy, and at 1, 6 and 12-month follow-up. Intervention. The intervention involved six 1-hour sessions, consisting of clinical assessment, motivational interviewing, cognitive-behavioural strategies and relapse prevention. Results. At 1-month follow-up, the intervention was associated with statistically significant improvements in alcohol consumption, marital satisfaction, relational efficacy and depression, and these effects were sustained at 12-month follow-up. Conclusions. At 1-month follow-up the intervention was associated with decreased alcohol consumption and depression, and increased marital satisfaction and relational efficacy, with evidence of maintained effects at 12-month follow-up. However, it is unlikely that reduced problem drinking and improved confidence in resolving problems were the only factors producing low marital quality in these couples. Further research is needed to identify those individuals who might benefit from marital interventions. Publisher: http://www.blackwell-synergy.com/links/doi/10.1046%2Fj.1360-0443.2000.951015378.x; Blackwell Science; UK; http://www.blackwell-synergy.com/doi/abs/10.1046/j.1360-0443.2000.951015378.x Relation: Addiction; 1537; 1549; 95 Other identifier: 0965-2140 Language: en_AU Rights: Copyright 2000 Blackwell Publishing. The definitive version is available at [www.blackwell-synergy.com.]
Promoting mental health in small-medium enterprises: An evaluation of the "Business in Mind" program
Full Text Available.BackgroundWorkplace mental health promotion (WMHP) aims to prevent and effectively manage the social and economic costs of common mental illnesses such as depression. The mental health of managers and employees within small-medium enterprises (SMEs) is a neglected sector in occupational health research and practice, despite the fact that this sector is the most common work setting in most economies. The availability and propensity of SME staff to attend face-to-face training/therapy or workshop style interventions often seen in corporate or public sector work settings is a widely recognised problem. The 'Business in Mind' program employs a DVD mode of delivery that is convenient for SME managers, particularly those operating in regional and remote areas where internet delivery may not be optimal. The objective of the intervention program is to improve the mental health of SME managers, and examine whether employees of managers' whose mental health improves, report positive change in their psychosocial work environment. The mechanisms via which we aim to improve managers' mental health are through the development of their psychological capital (a higher order construct comprised of hope, self efficacy, resilience and optimism) and their skills and capacities for coping with work stress.Methods/DesignThe effectiveness of two versions of the program (self administered and telephone facilitated) will be assessed using a randomised trial with an active control condition (psychoeducation only). We aim to recruit a minimum of 249 managers and a sample of their employees. This design allows for 83 managers per group, as power analyses showed that this number would allow for attrition of 20% and still enable detection of an effect size of 0.5. The intervention will be implemented over a three month period and postal surveys will assess managers and employees in each group at baseline, intervention completion, and at 6 month follow up. The intervention groups (managers only) will also be assessed at 12 and 24 month follow-up to examine maintenance of effects. Primary outcomes are managers' levels of psychological capital (hope, resilience, self-efficacy and optimism), coping strategies, anxiety and depression symptoms, self-reported health, job satisfaction and job tension. Secondary outcomes are participating managers subordinates' perceptions of manager support, relational justice, emotional climate and job tension. In order to provide an economic evaluation of the intervention, both employees and manager rates of absenteeism and presenteeism will also be assessed.DiscussionThe intervention being trialled is expected to improve both primary and secondary outcomes. If proven efficacious, the intervention could be disseminated to reach a much larger proportion of the business community.Trial registrationCurrent controlled trials ISRCTN 62853520
Italian occupational health: concepts, conflicts, implications.
1984-09-01
Full Text Available.This paper examines Italy's worker-based model for occupational health, especially its key concepts and its relation to social conflict. It briefly reviews the history of three approaches to occupational health in Italy: university-based, industry-based, and government-based. It then analyzes the worker-based approach, which emerged in the late 1960s and early 1970s as worker groups and trade unions mobilized around new concepts of occupational health. Five key concepts are discussed: the workers' homogeneous group; workers' subjectivity; the use of contract language; the development of local occupational health institutions; and the use of occupational hazard risk maps. The analysis illustrates how the social processes of mobilization and institutionalization affected the ideas and structures of Italian occupational health. Worker mobilization in Italy produced ideological changes in the nation's occupational health system, institutional changes in universities and governments, and legislative changes at national and local levels. The institutionalization of reforms, however, created new conflicts and problems and tended to restrict worker participation and promote expert intervention. The paper concludes with a brief outline of the history of occupational health approaches in the United States and then discusses the implications of the five Italian concepts for US occupational health policy.
Prevention of occupational skin disease: a workplace intervention study in geriatric nurses
2009-01-01
Summary Background Health care workers have an increased risk of occupational dermatosis. Objectives To determine whether a skin care programme reduces skin disease on the hands of geriatric nurses and increases protective behaviour and the provision of skin care products at the workplace. The intervention was based on a 2-h skin care training session and an occupational advisory service. Methods The study design was a randomized intervention study with a control group. Three hundred and eighty-eight geriatric nurses were included in the intervention group exposed to a skin care programme (IG; n = 146) and in the control group (CG; n = 242). Both groups completed questionnaires on exposure and underwent clinical examinations of their hands at the beginning and after a 12-month period. Prev...
2007-06-02
Full Text Available.Objective To evaluate the effectiveness of cognitive therapy for post-traumatic stress disorder related to terrorism and other civil conflict in Northern Ireland.Design Randomised controlled trial.Setting Community treatment centre, Northern Ireland.Participants 58 consecutive patients with chronic post-traumatic stress disorder (median 5.2 years, range 3 months to 32 years) mostly resulting from multiple traumas linked to terrorism and other civil conflict.Interventions Immediate cognitive therapy compared with a waiting list control condition for 12 weeks followed by treatment. Treatment comprised a mean of 5.9 sessions during 12 weeks and 2.0 sessions thereafter.Main outcome measures Primary outcome measures were patients' scores for post-traumatic stress disorder (post-traumatic stress diagnostic scale) and depression (Beck depression inventory). The secondary outcome measure was scores for occupational and social functioning (work related disability, social disability, and family related disability) on the Sheehan disability scale. Results At 12 weeks after randomisation, immediate cognitive therapy was associated with significantly greater improvement than the waiting list control group in the symptoms of post-traumatic stress disorder (mean difference 9.6, 95% confidence interval 3.6 to 15.6), depression (mean difference 10.1, 4.8 to 15.3), and self reported occupational and social functioning (mean difference 1.3, 0.3 to 2.5). Effect sizes from before to after treatment were large: post-traumatic stress disorder 1.25, depression 1.05, and occupational and social functioning 1.17. No change was observed in the control group.Conclusion Cognitive therapy is an effective treatment for post-traumatic stress disorder related to terrorism and other civil conflict.Trial registration Current Controlled Trials ISRCTN16228473.
http://handle.uws.edu.au:8081/1959.7/34621
This study used a Delphi survey method to identify research priorities of occupational therapists working in mental health. Twenty-two subjects were initially surveyed for their suggestions regarding research topics they thought were important. These 22 subjects represent a random sample of 12.4% of national OT-Australia membership of occupational therapists working in mental health. After three “rounds” of the Delphi methodology, consensus research priorities were obtained in six areas: research of value to clients (5 topics); research of value to occupational therapists working in mental health (4 topics); research related to providing community care for clients (2 topics); research that facilitates health promotion and disease prevention (6 topics); research that is of value to the profession of occupational therapy (6 topics); and research that is of value to occupational therapy education (4 topics). Implications for occupational therapy practice and research are discussed.2001C1Yes Publisher: New York Haworth Press Format: Language: eng Source: Occupational Therapy in Health Care Vol. 14, no. 2 (2001), pp. 1-19 Refereed
Occupational therapy research priorities in mental health
2001-01-01
This study used a Delphi survey method to identify research priorities of occupational therapists working in mental health. Twenty-two subjects were initially surveyed for their suggestions regarding research topics they thought were important. These 22 subjects represent a random sample of 12.4% of national OT-Australia membership of occupational therapists working in mental health. After three “rounds” of the Delphi methodology, consensus research priorities were obtained in six areas: research of value to clients (5 topics); research of value to occupational therapists working in mental health (4 topics); research related to providing community care for clients (2 topics); research that facilitates health promotion and disease prevention (6 topics); research that is of value to the profession of occupational therapy (6 topics); and research that is of value to occupational therapy education (4 topics). Implications for occupational therapy practice and research are discussed.2001C1Yes
Biofield therapies: Helpful or full of hype?
Biofield therapies are promising complementary interventions for reducing the intensity of pain in diverse conditions, anxiety for hospitalized patients and agitated behaviors in dementia. Dr. Shamini Jain and Dr. Paul ...
Reliability reconsidered: Cronbach's alpha and paediatric assessment in occupational therapy
2009-01-01
Background/aim: Using reliable outcome measures is a necessity for the occupational therapy profession in enabling valid assessments of clients. Although Cronbach's alpha is the most widely applied index of internal consistency reliability, there are misconceptions about its use and interpretation. This paper aims to guide assessment developers in paediatric occupational therapy, as well as practitioners who are evaluating outcome measures in using and interpreting the Cronbach's alpha estimates appropriately. This will enable them to decide on the tools' clinical value and incorporate them into their practice with children. Method: Previously published papers reporting on internal consistency issues of outcome measures in paediatric occupational therapy were searched through the Allied an...
2010-01-01
This international, cross-cultural study investigated the attitudes of occupational therapy students from Australia, United Kingdom, United States and Taiwan towards inclusive education for students with disabilities. The possible impact of professional education on students attitudes was also explored. A total of 485 students from 11 entry-level occupational therapy education programmes from Australia, the United Kingdom, the United Sates and Taiwan participated in the study. Among them, 264 were freshmen (first-year students) and 221 were seniors (final-year students). Data collected from a custom-designed questionnaire were analysed both quantitatively and qualitatively. In general, the occupational therapy students reported having positive attitudes towards inclusion. Considerable diff...
2008-01-01
Summary Background: In the so far published trials on qigong and exercise therapies, the methods and especially the interventions applied are rarely described in detail. Therefore, we report on the development of the interventions, the study design and protocols of a randomised controlled multi-centre trial. Objective: The aim of the study was to develop a qigong intervention and an exercise therapy for elderly patients and to evaluate whether qigong is more effective than (1) no treatment or (2) the exercise therapy. Development of the Interventions: In a consensus process with qigong experts and physiotherapists special interventions for elderly patients were developed allowing most exercises to be performed in a sitting position. Both interventions will be held by qualified therapists f...
2007-01-01
Objective: To investigate the clinical significance of changes of serum IGF-II, CA19-9 and AFP levels after intervention therapy in patients with primary hepatic cancer. Methods: Serum levels of IGF-II, CA19-9 and AFP (with RIA) were repeatedly determined in 35 patients with primary hepatic cancer before intervention therapy, 1 month after intervention therapy and 6 months after intervention therapy as well as in 30 controls. Results: Before intervention therapy, serum levels of IGF-II, CA19-9 and AFP in the patients were significantly higher than those in the controls (P intervention therapy, all the serum levels were approaching normal. Six months later, the levels in the patients without recurrence remained normal. However, the levels in the 6 patients with recurrence returued to those before intervention therapy again. Conclusion: Changes ... >>
Treatment of Anal Fissure by Activated Human Macrophages
Biological Therapy for Chronic Anal Fissure; Treatment by Biological Factors - Activated Macrophages; Interventional Study
Emergency myocardial scintigraphy after successful percutaneous coronary intervention therapy of myocardial infarction[Akut myokardiescintigrafi efter succesfuld perkutan koronarinterventionsbehandling afmyokardieinfarkt]
2002-01-01
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