Effect of Occupation-Based Intervention Using the ADOC-H Combined With Physical Function-Based Intervention on Patients With Distal Radius Fractures: A Retrospective Case-Control Study.

IF 0.8 4区 医学 Q4 REHABILITATION
Hong Kong Journal of Occupational Therapy Pub Date : 2023-12-01 Epub Date: 2023-06-30 DOI:10.1177/15691861231187240
Wataru Kukizaki, Kanta Ohno, Michio Maruta, Suguru Shimokihara, Hiroyuki Iida, Takayuki Tabira
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引用次数: 0

Abstract

Objectives: Occupation-based intervention (OBI) involves daily and meaningful activities for evaluation and intervention. Recently, the "aid for decision-making in occupation choice for hand" (ADOC-H) was developed to facilitate OBI in patients with hand injuries. We aimed to examine the efficacy of OBI using the ADOC-H combined with physical function-based interventions (PBI) for patients with distal radius fractures (DRF).

Material and methods: Patients with DRF were retrospectively allocated to two groups, ADOC-H group (n = 14) and PBI group (n = 14), and compared.

Results: Improvements in the Pain Catastrophizing Scale magnification and Hospital Anxiety and Depression Scale and Disabilities of the Arm, Shoulder, and Hand questionnaire scores were significantly higher in the ADOC-H group than in the PBI group (p < .05). The groups showed no differences in measure of physical function, such as range of motion and grip strength.

Conclusion: OBI using the ADOC-H combined with PBI is clinically useful for patients with DRF as it promotes use of the injured hand for daily activities in a step-by-step approach, improving psychological difficulties in using the hand.

基于职业的ADOC-H联合基于身体功能的干预对桡骨远端骨折患者的影响:回顾性病例对照研究
基于职业的干预(OBI)包括日常和有意义的评估和干预活动。最近,开发了“手部职业选择决策辅助工具”(ADOC-H),以促进手部损伤患者的OBI。我们的目的是检查使用ADOC-H联合基于身体功能的干预措施(PBI)对桡骨远端骨折(DRF)患者进行OBI的疗效。DRF患者被回顾性地分为两组,ADOC-H组(n=14)和PBI组(n=14),并进行比较。ADOC-H组的疼痛灾难量表放大倍数、医院焦虑和抑郁量表以及手臂、肩膀和手部残疾问卷得分的改善显著高于PBI组(p<0.05)。两组在运动范围和握力等身体功能指标上没有差异。使用ADOC-H和PBI的OBI对DRF患者具有临床实用性,因为它可以促进受伤手以循序渐进的方式进行日常活动,改善使用手的心理困难。
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来源期刊
CiteScore
1.10
自引率
0.00%
发文量
18
审稿时长
>12 weeks
期刊介绍: The Hong Kong Journal of Occupational Therapy is the official peer-reviewed open access publication of the Hong Kong Occupational Therapy Association. The Journal aims to promote the development of theory and practice in occupational therapy (OT), and facilitate documentation and communication among educators, researchers and practitioners. It also works to advance availability, use, support and excellence of OT and maintain professional standards to promote better understanding of OT.
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