Journal of Rehabilitation Practices and Research最新文献

{"title":"Use of Cognitive Assessments across the Continuum of Care on a Single Health Care Campus","authors":"Amanda J. Blattman, Sara Stephenson","doi":"10.33790/jrpr1100114","DOIUrl":"https://doi.org/10.33790/jrpr1100114","url":null,"abstract":"s Background: This article describes occupational therapists’(OTs) use of cognitive assessments (standardized and nonstandardized) over 6 months on a healthcare campus. Also described are OTs’ use of the results of cognitive assessments to substantiate recommendations such as family education, safety, discharge disposition, and return to driving. Method: An anonymous, 10-question survey was emailed to over 50 occupational therapists on a healthcare campus in three practice settings: acute hospital, neurological rehabilitation, and outpatient. Survey questions included the use of standardized and nonstandardized cognitive assessments and how results influence occupational therapist’s recommendations and clinical decision-making. Results: Over 80% of the reported tests administered over 6 months were nonstandardized or screening assessments versus 14% standardized assessments. Trends for the use of nonstandardized over standardized tests appeared to be related to time constraints and productivity demands, although comments stated that limited inferences could be made from nonstandardized assessments. Additionally, themes emerged regarding the influence that practice setting has on clinical decision-making and the overall use of cognitive assessments. Conclusion: Across practice settings, OT on this healthcare campus use cognitive assessments and results to provide various recommendations that are influenced by the setting. In all practice settings, therapists more often implement nonstandardized versus standardized assessments to access cognition. Running the continuum of care on a healthcare campus Cognitive","PeriodicalId":413567,"journal":{"name":"Journal of Rehabilitation Practices and Research","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124272349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An Evaluative Look: Mississippi’s Response to the Olmstead V. L. C. Case Twenty-one Years Later","authors":"B. S. Booker","doi":"10.33790/jrpr1100108","DOIUrl":"https://doi.org/10.33790/jrpr1100108","url":null,"abstract":"Article Details Article Type: Research Article Received date: 14th June, 2020 Accepted date: 10th July, 2020 Published date: 15th July, 2020 *Corresponding Author: Dr. Bridgette Stasher-Booker PhD, RHIA, CHTS-IM, CPAR, MCCT, Health Information Management, 915 South Jackson Street Montgomery, 36104, United States. E-mail: bbooker@alasu.edu Citation: Booker, B. S. (2020). An Evaluative Look: Mississippi’s Response to the Olmstead V. L. C. Case Twenty-one Years Later. J Rehab Pract Res 1(2):108. https://doi.org/10.33790/jrpr1100108 Copyright: ©2020, This is an open-access article distributed under the terms of the Creative Commons Attribution License 4.0, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.","PeriodicalId":413567,"journal":{"name":"Journal of Rehabilitation Practices and Research","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130988834","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy of Kinematic Therapy on Mood Disorders, Functional Independence Recovery and Quality of Life of Stroke Survivors","authors":"Caleb Ademola Omuwa GBIRI, Maryam Tolulope Kareem","doi":"10.33790/jrpr1100141","DOIUrl":"https://doi.org/10.33790/jrpr1100141","url":null,"abstract":"Background and Aims: Mood disorders impact negatively on rehabilitation process and outcomes in stroke survivors (SSv). This study determined efficacy of Kinematic Therapy (KT) on depression, anxiety, functional independence (FI) and QoL of SSv. Methodology: Study involved 940 ambulant SSv recruited from eight health institutions in Lagos, Nigeria and were assessed for depression, anxiety, QoL and FI using Becks Depression Inventory, Becks Anxiety Inventory, Stroke-Specific-QoL questionnaire and FI Measure respectively. They were randomised into KT and Common Physiotherapy (CP) groups. The KT received 25minutes of kinematic therapy while the CP received usual physiotherapy, twice weekly for 6weeks. Results: Six hundred and seventy-four (343males) of the 940 SSv were diagnosed of depression and/or anxiety and participated in this study; 341(50.59%) were in KT while 333 were in SP. More (81.23%) of KT had mild mood disturbance before intervention while 92.36% of them had normal mood after. More (83.18%) of SP had borderline mood disorder before intervention while 84.69% had normal mood after. There was significant (p<0.05) improvement in depression, anxiety, QoL and FI except in language, personality, family role, self care, social role, thinking and upper-limb function in SP. The KT had significantly better improvement all the outcomes than SP. There was negative significant relationship (p<0.05) between depression and anxiety, and FI and QoL. There was positive significant relationship (p<0.05) between FI and QoL except in vision domain. Conclusion: Mood disorders is common in stroke survivors. Kinematic Therapy is more effective in managing depression and anxiety symptoms and improving functional independent recovery and quality of life than conventional physiotherapy in stroke survivors.","PeriodicalId":413567,"journal":{"name":"Journal of Rehabilitation Practices and Research","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115980687","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Impact of Lymphedema Therapy on Quality of Life: A Case Report","authors":"Cleve Carter, Alexis Andrews","doi":"10.33790/jrpr1100117","DOIUrl":"https://doi.org/10.33790/jrpr1100117","url":null,"abstract":"Background and Purpose: Lymphedema is a chronic inflammatory lymphostatic disease known as the buildup of lymph fluid in the fatty tissues that can cause swelling and discomfort in the arms, legs, face, neck, trunk, abdomen, and genitals [1]. Failure of the lymphatic system causes lymphedema [1]. Lymphedema may reduce the quality of life and may progress as well as cause other complications such as cellulitis if untreated [1]. Although there is no cure for lymphedema, there are interventions to reduce or manage the swelling and the discomfort [1]. The purpose of this study is to show that a patient with lymphedema can improve their quality of life significantly with adequate lymphedema therapy interventions using Complete Decongestive Therapy (CDT). Method and Procedures: A 47-year-old African American female patient presented to outpatient physical therapy with a report of experiencing bilateral lower extremity swelling for about ten years. To determine the effects of the treatments, the lymphedema therapist examined the patient using the following tests and measures and outcome measurement tools: Bilateral Girth Measurements, the Lymphedema Life Impact Scale Version 2 (v2), and the Global Rating of Change (GRoC) Scale. The patient attended physical therapy sessions 2 times per week for 3 weeks not including the date of initial evaluation. Thus, the patient attended five treatment sessions. The patient actively participated in the creation of the current goal: to decrease bilateral lower extremity swelling. Results: On discharge assessment (6th visit), the patient reported a reduction in pain to (3/10). The patient scored a 12/68 on the Lymphedema Life Impact Scale (v2) indicating that her quality of life had improved significantly within the past three weeks since receiving lymphedema therapy services. The patient made excellent progress, demonstrated marked improvements with involved extremities lymphatic circulation, and decreased swelling with girth measurements. The patient reported significant improvements with functional activities of daily living such as standing, sitting to standing, and walking. The patient also reported that her quality of life improved significantly.","PeriodicalId":413567,"journal":{"name":"Journal of Rehabilitation Practices and Research","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117069657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of the Validity of the Timed Up and Go Test (TUG) and Activities-specific Balance Confidence Questionnaire (ABC) to the ‘Gold Standard’ Berg Balance Scale (BBS) in Assessing Fall Risk in the Elderly Population","authors":"Hunter Leger, Reagan Tittle, Sankela Dowdell, Cody Thompson","doi":"10.33790/jrpr1100133","DOIUrl":"https://doi.org/10.33790/jrpr1100133","url":null,"abstract":"Background: Falls are ranked as the leading cause of death from unintentional injury among older adults in the United States. Approximately 25% of the older adults in the U.S. experience a fall each year, which leads to excessive healthcare costs. Falls lead to serious injuries such as broken bones and head injuries hospitalizing 800,000 patients a year [1]. Based on those statistics, identifying fall risk accurately and efficiently using balance assessments is pertinent to fall prevention in the geriatric population. Therefore, the purpose of this study is to compare the validity of the Timed Up and Go Test (TUG) and Activities-Specific Balance Confidence Questionnaire (ABC) to the Berg Balance Scale (BBS) in assessing the risk of falls in the elderly population.\u0000\u0000Methods: The systematic review was conducted to highlight balance assessments including the Berg Balance Scale, Timed Up and Go Test, and Activities-specific Balance Confidence Questionnaire. Databases used in the electronic search were PubMed, Google Scholar, MedlinePlus, PTNow, PEDro, and EBSCOhost, and parameters were set at studies published from 2010 to 2021. All relevant studies were reviewed by assessing abstracts for inclusion. Studies in which participants completed and were scored on the three balance assessments were included. All participants completing the tests were required to be 65 years of age or older in order for the respective study to be included.\u0000\u0000Results: 62 studies were identified for further review after the initial search. After a more extensive screening process, several studies were excluded for reasons such as study design, age of participants, or insufficient testing measures. 16 studies were included for data analysis with a total of 1,376 participants. The validity of the BBS, TUG, and ABC were measured in the 16 studies with strong negative correlation between BBS and TUG (rho (22) = -.756, p < .01), and moderate positive correlation between BBS and ABC (rho (22) = .591, p < .01).\u0000\u0000Conclusions: The Timed Up and Go test may be an effective and valid tool assessing balance and a participant’s fall risk. It has been shown to have a strong correlation with the Berg Balance Scale. Meanwhile, the Activities-specific Balance Confidence Questionnaire, a subjective measure, has a moderate correlation with the Berg Balance Scale indicating that it is capable of identifying fall risk but not as accurately or efficiently as the Timed Up and Go Test. This research advocates for the appropriateness of the TUG test and ABC questionnaire, and therefore widens clinicians’ choices of valid balance assessment tools during fall risk examinations.","PeriodicalId":413567,"journal":{"name":"Journal of Rehabilitation Practices and Research","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122217379","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of the Use of the Information and Communication Technology on Social Participation in Older Adults: Review of Literature","authors":"Ryosuke Miyadera","doi":"10.33790/jrpr1100123","DOIUrl":"https://doi.org/10.33790/jrpr1100123","url":null,"abstract":"Purpose: With the aging of the population, the development of Information and communication Technology (ICT) infrastructure and education systems attention is being paid to that can maintain social network in older adults. The objective of the review was to explore how effects of ICT use on social participation.\u0000\u0000Participants and Methods: The studies included in this literature review were searched in three databases: PubMed®, MEDLINE with Full Text, CINAHL® with Full Text, Educational Resource Information Center, eBook Collection (ERIC). English language articles were searched using the terms ‘older adults’, ‘information and communication technology’, ‘internet’, ‘information literacy’, ‘social networking’, and “social participation”.\u0000\u0000Results: A total of 22 papers met the inclusion criteria, findings were fourfold, suggesting that: (i) more research is focused on the uses of internet technology, social network, digital health (ii); social participation was evaluated by ICT use, loneliness, social network, sociodemographic; (iii) the technology of using ICT is related to the growth background of the older adults; and (iv) improving device operability contributes to increased ICT acceptance.\u0000\u0000Conclusion: Results suggest a need for studies that examine new and innovative forms of technology and meaningful of ICT use, highlighting the importance of learning skill of ICT use as one way to encourage social participation in older adults.\u0000\u0000Key words: Information and communication technology, older adults, social participation","PeriodicalId":413567,"journal":{"name":"Journal of Rehabilitation Practices and Research","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115027406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Subluxed Shoulders Need “TLC”: A Pilot Study of T-L-C Elastic Taping to Address Hemiplegic Shoulder Pain, Passive Range of Motion, and Sub-luxation","authors":"Sara Stephenson, S. Frey, Mark P. Stumpf, Jacob D. Wright, Lauren B. Loges, John Wong","doi":"10.33790/jrpr1100116","DOIUrl":"https://doi.org/10.33790/jrpr1100116","url":null,"abstract":"Shoulder subluxation, abnormal tone, and hemiplegic shoulder pain are common sequelae for patients with neurological conditions. Therapists have used elastic taping to treat these consequential conditions in rehabilitation settings with inconsistent techniques and results. The use of elastic tape to treat shoulder subluxation, abnormal tone, and hemiplegic shoulder pain may result in increased participation in activities of daily living and functional activities; however, evidence-based approaches to guide taping are still emerging. An elastic taping method called the \"T-L-C\" method has been developed to establish a consistent approach for the assessment and taping to ensure patients are being treated with evidence-based techniques.","PeriodicalId":413567,"journal":{"name":"Journal of Rehabilitation Practices and Research","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116271439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Initiation of Body Segment Reorientation in Steering is not Altered While Dual Tasking","authors":"V. N. Pradeep Ambati, Guillermo Escalante, F. Saucedo, Rebecca J. Reed-Jones, Ivy Garcia-Guevara","doi":"10.33790/jrpr1100134","DOIUrl":"https://doi.org/10.33790/jrpr1100134","url":null,"abstract":"Changing the direction of locomotion, often referred to as “steering”, is an integral component of human locomotion. This study sought to investigate the role of cognition in steering using a dual task paradigm in healthy young and healthy older adults. Twenty-five healthy young adults and nineteen healthy older adults completed a 900 walking turn at a comfortable pace under single and dual task conditions. Dependent variables included the time taken to turn and the turn onset of the head, trunk, and pelvis segments. Results indicate dual tasking increases the time taken to turn but does not alter the sequence of initiation of segment reorientation into the turn. The effects of aging on these behaviors were minimal. Most notable was that the older adults did not slow their turns as much as the young adults did during dual tasking. These results suggest that initiation of segment reorientation is independent of cognitive influence but that increased cognitive load is considered when planning movement time.","PeriodicalId":413567,"journal":{"name":"Journal of Rehabilitation Practices and Research","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129172982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects and Motivation/Engagement of an Interactive Digital Game for Special Education Students in Elementary School: A Case Study Analysis","authors":"Jong-Chao Hong, C. Chuang, Yung-Ji Sher","doi":"10.33790/jrpr1100118","DOIUrl":"https://doi.org/10.33790/jrpr1100118","url":null,"abstract":"Objective: The rapid changes in and development of information technology have made life convenient. Tablets are used in classrooms, allowing students to learn through digital games. This study aimed to explore the learning effects and learning interests of special education students, to whom a lively interactive digital game along with an appropriate course design were applied.\u0000Materials and Methods: This study applied the case study method to eight students with autism spectrum disorder (ASD) and cerebral palsy from a special education class in an elementary school. The effects of an interactive digital game on learning outcomes and learning interest (motivation/engagement) were analyzed through observation and documentation by the researchers.\u0000Results: The findings revealed that the composition of the special education students was highly heterogeneous, and the learning effect varied among individuals. The learning effect and time-series analyses on participants’ learning interest indicated more or fewer effects and outcomes in the eight participants. In addition to discovering the learning traits of each case, behavioral patterns and characters that differed from those in traditional teaching were observed for each participant, and involved some facets the researchers had never observed in other courses. In addition, the students with attention deficit hyperactivity disorder were observed to sit well on their seats to operate the game; they watched with concentration, and their eyes moved following the protagonist in the game. In addition to operating the tablets in their hands, they occasionally looked at other classmates to see the parts they were playing, and they were attentive to others.\u0000Conclusion: All of them could accomplish the mission by following game instructions, and their motivation and engagement significantly improved during the game.","PeriodicalId":413567,"journal":{"name":"Journal of Rehabilitation Practices and Research","volume":"222 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115320125","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Integrating Occupation-Based/Focused Assessments During the Evaluation Process. Opportunity to Revisit the Topic in a Post COVID-19 Practice Setting?","authors":"John S. Luna","doi":"10.33790/jrpr1100125","DOIUrl":"https://doi.org/10.33790/jrpr1100125","url":null,"abstract":"Occupational therapists treat clients across the lifespan, and every successful intervention begins with a successful evaluation. Incorporating a variety of norm-referenced standardized assessments into the assessment process has become increasingly important to justify services to third party payors identification of goals, and intervention strategies. However, occupational therapists tend to select assessments that are focused and measuring performance skills and client factors versus occupations and performance of occupations. The purpose of this article is to examine the topic of occupation based and occupation focused assessments. While using occupation-based/ occupation-focused assessments is not a new topic, the COVID-19 pandemic has changed how many Americans perform their daily occupations. These changes may be an opportunity for practitioners to consider integrations of standardized Occupation based and occupation focused assessments in daily practice.","PeriodicalId":413567,"journal":{"name":"Journal of Rehabilitation Practices and Research","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129201125","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}