American Journal of Occupational Therapy最新文献

{"title":"Occupational Therapy Intervention for Improvement of Activity and Participation in Home Rehabilitation for Community-Dwelling Older Adults: A Scoping Review.","authors":"Yuki Saito, Yusuke Kikuchi, Tatsunori Sawada, Kounosuke Tomori","doi":"10.5014/ajot.2025.051190","DOIUrl":"10.5014/ajot.2025.051190","url":null,"abstract":"<p><strong>Importance: </strong>The demand for effective home-based rehabilitation is increasing with the aging global population. Occupational therapy supports older adults in maintaining and improving activity and participation; however, standardized intervention approaches, consistent outcome measures, and goal-setting frameworks are still lacking.</p><p><strong>Objective: </strong>To systematically map current home-based occupational therapy interventions aimed at enhancing activity and participation among community-dwelling older adults and identify research gaps in intervention methods, evaluations, and designs.</p><p><strong>Data sources: </strong>PubMed, Web of Science, Scopus, Ichushi Web, and J-Stage were searched without time restrictions. Additional relevant studies were identified manually.</p><p><strong>Study selection and data collection: </strong>Studies involving community-dwelling adults age 65 yr or older were included. Data on intervention strategies, outcome measures, and research designs were extracted and categorized by using qualitative methods.</p><p><strong>Findings: </strong>Fifty-four studies were included. Interventions ranged from activities of daily living (ADLs) and instrumental ADLs (IADLs) training and environmental modifications to structured programs such as Community Aging in Place-Advancing Better Living for Elders (CAPABLE) and Reablement. However, outcome measures were highly diverse (126 unique tools), and 16 nonstandardized assessments were identified, mostly in case reports. Although many studies showed positive effects, the diversity of study designs and limited use of remote interventions hindered generalizability and long-term evidence building.</p><p><strong>Conclusions and relevance: </strong>Home-based occupational therapy can positively affect older adults' activity, participation, and quality of life. However, standardized evaluation methods, integration of remote approaches, and culturally tailored intervention programs are needed to strengthen evidence and guide clinical practice. Plain-Language Summary: This review examined studies on home-based occupational therapy for older adults. Interventions often targeted activities of daily living, instrumental activities of daily living, and environmental adaptations. Most occupational therapy interventions showed benefits in everyday function and well-being. However, a lack of standardized tools and goal-setting methods, variation in study quality, and limited evidence on remote rehabilitation remain challenges.</p>","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":"79 6","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145245726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Occupational Therapy in Athletics and Sports: A Scoping Review.","authors":"Paolo Miguel Pangue Bulan, Celine Karla Villalino, Martina Simone Y Gutierrez, Michelle Kyra S Evardo","doi":"10.5014/ajot.2025.051180","DOIUrl":"10.5014/ajot.2025.051180","url":null,"abstract":"<p><strong>Importance: </strong>Despite the growing recognition of sports as meaningful occupations, occupational therapy's contributions regarding specific populations, intervention approaches, and outcome measures remain underexplored.</p><p><strong>Objective: </strong>To map evidence on the characterization of occupational therapy in sports and types of occupational therapy interventions provided to support participation, recovery, and performance in sports-related settings.</p><p><strong>Data sources: </strong>A search was conducted across CINAHL, EBSCO, PubMed, and SCOPUS databases, covering studies published from 2000 to 2024.</p><p><strong>Study selection and data collection: </strong>Peer-reviewed studies were included if they discussed occupational therapy's role in sports, including leisure and competitive contexts, with interventions focusing on recovery, rehabilitation, or performance enhancement. Data were charted to identify key themes, study characteristics, populations, interventions, and outcomes.</p><p><strong>Findings: </strong>Thirteen studies were included. Occupational therapy in sports was characterized by its holistic focus on physical, emotional, and social rehabilitation, particularly in adaptive and competitive contexts. Interventions included assistive technology, education, and client-centered approaches, with reported outcomes such as improved quality of life, athletic performance, and psychosocial well-being. Barriers included resource limitations and stigma.</p><p><strong>Conclusions and relevance: </strong>Occupational therapy plays a multifaceted role in sports, enhancing participation, recovery, and performance through client-centered and adaptive interventions. Addressing systemic barriers and expanding culturally tailored approaches can further advance occupational therapy's integration into sports contexts. Future research should focus on underrepresented populations and long-term intervention outcomes to strengthen evidence-based practice. Plain-Language Summary: Occupational therapy helps athletes and sports participants recover, perform, and engage meaningfully in sports activities. This study reviews evidence on how occupational therapy supports sports participation, including using adaptive tools and education to improve performance and quality of life. Occupational therapy can address athletes' physical and emotional challenges, but more research is needed to expand occupational therapy's role in diverse sports settings and ensure accessibility for all.</p>","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":"79 6","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145245729","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Vestibular Rehabilitation and the Role of Occupational Therapy.","authors":"","doi":"10.5014/ajot.2025.79S109","DOIUrl":"https://doi.org/10.5014/ajot.2025.79S109","url":null,"abstract":"<p><p>This AOTA Position Statement defines the distinct role and value of occupational therapy in supporting vestibular functioning across the lifespan.</p>","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":"79 Suppl 3","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145795276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Occupational Participation and Physical Activity Among Adults Who Recovered From COVID-19 and Those Who Did Not.","authors":"Yeasir A Alve, Renée R Taylor","doi":"10.5014/ajot.2025.051161","DOIUrl":"10.5014/ajot.2025.051161","url":null,"abstract":"<p><strong>Background: </strong>Although substantial evidence exists regarding persistent symptoms and functional impairment in hospital settings following COVID-19, there is a noticeable lack of data on occupational participation and physical activity in community-based settings.</p><p><strong>Objective: </strong>To compare the levels of occupational participation and physical activity among adults who had recovered from acute COVID-19 infection and those who had not recovered.</p><p><strong>Design: </strong>Retrospective comparative cohort descriptive study.</p><p><strong>Participants: </strong>Fifty English-speaking adults age 18 yr or older who tested positive for COVID-19 within the past 4 yr but not within the past 6 mo were enrolled, including participants who had not recovered and those who had fully recovered.</p><p><strong>Outcomes and measures: </strong>Measures included the Occupational Self-Assessment-Short Form and Modifiable Activity Questionnaire. Chi-square tests and independent-samples t tests were used for data analysis.</p><p><strong>Results: </strong>Individuals who did not fully recover from COVID-19 displayed significant differences in age (p = .002), marital status (p = .026), body mass index (p = .003), and disability income (p = .034) compared with those who recovered. They also reported lower competence (p = .049) in occupational participation and spent less time (p < .001) and effort (p < .001) on occupational activities.</p><p><strong>Conclusions and relevance: </strong>The results confirm the Model of Human Occupation theory that physical limitations can impede a person's daily activities and restrict their participation in more strenuous tasks. Nonetheless, this does not diminish the value of occupational participation, even if they are presently engaged in lighter indoor leisure activities. Plain-Language Summary: The Model of Human Occupation theory highlights that occupational participation-how individuals engage in work, play, and daily activities within their social and cultural environments-is vital for well-being. After COVID-19, many people continue to face lingering symptoms, yet understanding of its effects on occupational participation and physical activity in community settings is limited. This study compared occupational participation and physical activity levels between adults fully recovered from acute COVID-19 and those still recovering. The results showed clear differences, with those not fully recovered feeling less competent in managing daily tasks and participating less in physically or mentally demanding activities. These findings suggest that rehabilitation programs should focus not only on improving physical abilities but also on addressing the psychological factors involved in returning to daily life.</p>","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":"79 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876091","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Describing the Dose of Outpatient Occupational Therapy Services for Children With Myelomeningocele.","authors":"Elizabeth Mance, Kristen Martin, Kelly Tanner","doi":"10.5014/ajot.2025.051123","DOIUrl":"https://doi.org/10.5014/ajot.2025.051123","url":null,"abstract":"<p><strong>Importance: </strong>Occupational therapy can help children with myelomeningocele (CWM) maximize their independence. However, the current dose of usual-care occupational therapy services provided is unknown. Defining the dose of occupational therapy services will lay the groundwork for future intervention studies by providing a starting point for the development of intervention protocols.</p><p><strong>Objective: </strong>To investigate the demographics and dosage (frequency, intensity, time, and type) of occupational therapy sessions for CWM and describe the usual-care outpatient hospital-based occupational therapy dosage at one institution.</p><p><strong>Design: </strong>Retrospective cohort study.</p><p><strong>Setting: </strong>Large urban-suburban pediatric hospital with eight outpatient clinics.</p><p><strong>Participants: </strong>Twenty CWM, ages 0 to 18 yr (median = 4.85, interquartile range [IQR] = 3.75), receiving services from December 2021 through November 2023.</p><p><strong>Intervention: </strong>Usual care.</p><p><strong>Outcomes and measures: </strong>Occupational therapy dose included frequency (total number of therapy sessions), intensity (Child Effort Rating Scale [CERS] scores), time (timed billing charges), and type (interventions and services).</p><p><strong>Results: </strong>Participants received 258 total occupational therapy treatment sessions during the study period. Median frequency of sessions was 5.0 (IQR = 9.75). The mean CERS score was 3.01 (SD = 0.27), indicating average effort toward goals. Each therapy appointment averaged 51.87 min (SD = 7.82). Neuromuscular and musculoskeletal approaches were the most frequently used intervention type for general visits.</p><p><strong>Conclusions and relevance: </strong>Participants' outpatient occupational therapy dosage at one pediatric hospital varied. This population has no dosage guidelines, and this article represents a step forward for the field by thoroughly describing the dose of usual-care therapy provided over 2 yr. Plain-Language Summary: Occupational therapy can help children with myelomeningocele (CWM) maximize their independence. However, the current dose of usual-care occupational therapy services that are provided is unknown. This study describes the outpatient occupational therapy dose for CWM at a large hospital with multiple clinic sites. The information gathered from this study can assist occupational therapy practitioners in understanding common intervention strategies for CWM. The study results also lay the groundwork for future intervention studies by providing a starting point for the development of intervention protocols.</p>","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":"79 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974559","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Metacognitive Strategy Intervention for People With Parkinson's Disease: Pilot and Feasibility Trial.","authors":"Erin R Foster, Tasha Doty, Meghan C Campbell, Ken Schechtman, Joan Toglia","doi":"10.5014/ajot.2025.051200","DOIUrl":"10.5014/ajot.2025.051200","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Importance: &lt;/strong&gt;Cognitive impairment is a common and disabling feature of Parkinson's disease (PD), and interventions to mitigate its negative functional consequences are in high demand. Metacognitive strategy interventions, such as the Multicontext (MC) Approach, may support daily function among people with PD (PwPD).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;To determine feasibility, participant acceptance, and preliminary estimates of the MC Approach's treatment effect for PwPD.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Design: &lt;/strong&gt;Quasi-randomized controlled pilot trial. Participants underwent pretreatment assessment, allocation to treatment group (MC, n = 29; control, n = 28), 10 treatment sessions, 1-wk posttreatment assessment, and 3-mo questionnaire follow-up.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Setting: &lt;/strong&gt;Participants' homes.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Participants: &lt;/strong&gt;PwPD without dementia but with subjective cognitive concerns.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Intervention: &lt;/strong&gt;Ten weekly sessions of the MC Approach, which aimed to develop awareness and strategies to control cognitive performance across activities via therapist mediation, functional activity performance, and homework. The control intervention used the same structure and treatment activities but did not address awareness or strategy use or use mediated learning.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Outcomes and measures: &lt;/strong&gt;Indicators of trial feasibility (recruitment, retention, study duration), participant acceptance (satisfaction, homework completion), and treatment effect (self-rated functional cognitive goal performance).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;We enrolled 3 participants/mo and had 87% retention. Both groups' satisfaction and homework completion were high. Compared with control participants, MC participants reported greater improvement in functional cognitive goal performance from preintervention to postintervention that was maintained at follow-up.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions and relevance: &lt;/strong&gt;The MC Approach is a feasible, acceptable, and potentially efficacious intervention to address the functional cognitive goals of PwPD without dementia. A larger, fully randomized trial is required to provide definitive efficacy data. Plain-Language Summary: Cognitive impairment is one of the most common and disabling features of Parkinson's disease. As such, cognitive interventions that support daily function for this population are in high demand. The purpose of this study was to establish the feasibility of one such potential intervention, the Multicontext (MC) Approach, among people with Parkinson's disease (PwPD) without dementia. We also wanted to generate preliminary estimates of its effect on everyday cognitive function to inform future definitive trials. In a pilot quasi-randomized controlled trial, we found that the MC Approach is feasible, safe, and acceptable for people with PwPD. We also found that it may improve self-rated performance of daily cognitive goals. We can now proceed with a full-scale randomized controll","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":"79 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cognitive Assessment in Occupational Therapy: A Qualitative Analysis.","authors":"Anna E Boone, Timothy S Marks, Timothy J Wolf, Gordon M Giles, Dorothy Farrar-Edwards","doi":"10.5014/ajot.2025.051112","DOIUrl":"10.5014/ajot.2025.051112","url":null,"abstract":"<p><strong>Importance: </strong>Standardized evidence-based cognitive assessments, including functional cognitive assessments, are key to the identification of cognitive impairments and provision of occupational therapy services.</p><p><strong>Objective: </strong>To explore the current practices related to cognitive assessments and barriers to their use in acute care and inpatient rehabilitation occupational therapy services.</p><p><strong>Design: </strong>We used a cross-sectional, qualitative approach that included five focus groups conducted with occupational therapy practitioners and key informant interviews with occupational therapy supervisors (n = 5). Data were analyzed by two coders using an inductive content analysis approach.</p><p><strong>Setting: </strong>Acute care and inpatient rehabilitation hospitals.</p><p><strong>Participants: </strong>Occupational therapy practitioners (N = 31).</p><p><strong>Results: </strong>Customary cognitive assessment included use of self- and proxy report measures, neurocognitive screening tools, and skilled observation. Use of standardized tests, including performance-based tests (PBTs), was limited. Barrier-related themes endorsed by most participants included organizational pressures, accessing and using evidence, conforming to the setting's culture, characteristics of the built environment, and assessment complexity. An outlier group that relied heavily on performance-based functional cognitive tests was identified.</p><p><strong>Conclusions and relevance: </strong>Current occupational therapy practice primarily consists of informal, unstandardized methods of identifying cognitive impairments. Use of standardized assessment is infrequent. Personal and organizational barriers identified were consistent with those identified in the literature. Despite endorsing identified barriers that are perceived as constraining their use, an outlier group consistently used PBTs of functional cognition. This outlier group's negotiation of barriers presents opportunities for how to target evidence-based implementation efforts. Plain-Language Summary: This article describes occupational therapists' current practices related to the use of cognitive tests. We asked therapists about factors that affect their use of different types of formal cognitive tests; specifically, we looked at the use of pencil-and-paper cognitive tests versus tests that use simulated real-world activities to assess function. Occupational therapists reported many barriers to using cognitive tests of either type, including a lack of time, difficulty accessing tests, and unfamiliar tests that are hard to learn. Most therapists predominantly use informal methods of assessing client's cognition or pencil-and-paper screening methods. One group differed in that its members mostly used formal assessments of simulated real-world tasks to evaluate the ability to perform everyday life tasks.</p>","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":"79 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of Lateral Elbow Pain on Pronation and Supination Torques and Influence of Forearm Rotation Angle.","authors":"Cristina Herrera-Ligero, Daniel Sánchez-Zuriaga, Úrsula Martínez-Iranzo, Helios De Rosario","doi":"10.5014/ajot.2025.051118","DOIUrl":"10.5014/ajot.2025.051118","url":null,"abstract":"<p><strong>Importance: </strong>Lateral elbow pain (LEP) is associated with damage to the accessory rotator muscles of the forearm, but there is little evidence of the effect of LEP on pronosupination torques and its influencing factors.</p><p><strong>Objective: </strong>To analyze the differences in forearm pronosupination torques between affected and sound limbs in patients with LEP and to investigate the influence of sex, age, dominance, and forearm position.</p><p><strong>Design: </strong>A cross-sectional study, using a stepwise selection algorithm for analysis of variance, to assess torque variations on the basis of the considered factors.</p><p><strong>Setting: </strong>Biomechanical analysis laboratory in a university research institute.</p><p><strong>Participants: </strong>A convenience sample of 36 people with LEP, predominantly middle-aged, with a majority presenting with dominant upper limb involvement.</p><p><strong>Outcomes and measures: </strong>Torque measurements for pronation and supination in multiple forearm positions.</p><p><strong>Results: </strong>Participants had significant deficits in pronosupination torques in affected limbs compared with sound limbs, particularly in extreme positions. The largest differences were observed in the supination direction with 60° of forearm pronation and the pronation direction with 60° of forearm supination. Sex and dominance significantly influenced torque production, but age did not.</p><p><strong>Conclusions and relevance: </strong>The greatest values and differences in torque between sound and affected limbs occurred for extreme rotations of the forearm opposite to the direction of the movement, with significant amplifications on torque reduction for the affected side, nondominant limb, and female patients. Those results can be used to define assessment methods and to design training and evaluation methods that address relevant strength deficits of patients affected by LEP. Plain-Language Summary: Understanding the torque profiles of pronation and supination in lateral elbow pain can provide insights into functional impairments and guide occupational therapy rehabilitation strategies as well as progressive reincorporation into certain activities of daily living and work-related manual tasks. Our findings highlight the importance of assessing forearm movement in rehabilitation settings and emphasize the need for targeted interventions that focus on pronosupination function in patients with lateral elbow pain.</p>","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":"79 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144884066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Occupational Therapy Practice Guidelines for Nonoperative Management of Osteoarthritis and Rheumatoid Arthritis.","authors":"Brocha Z Stern, Patricia Siegel, Elizabeth G Hunter","doi":"10.5014/ajot.2025.790510","DOIUrl":"10.5014/ajot.2025.790510","url":null,"abstract":"<p><strong>Importance: </strong>Occupational therapy practitioners play an essential role in supporting the occupational performance needs of people with osteoarthritis (OA) and rheumatoid arthritis (RA).</p><p><strong>Objective: </strong>These Practice Guidelines aim to assist occupational therapy practitioners, educators, and researchers in applying evidence-based clinical recommendations within the scope of occupational therapy for people with OA and RA. These guidelines can also serve as a reference for people with arthritis as well as other health care professionals, health care managers, regulators, policymakers, third-party payers, and managed-care organizations.</p><p><strong>Method: </strong>The ADAPTE methodology was the basis for the development of these Practice Guidelines. It supported efficiency by allowing us to systematically adapt existing clinical practice guidelines (CPGs) to occupational therapy practice. We selected existing CPGs for inclusion, extracted relevant evidence-based clinical recommendations, and developed associated action statements to align the recommendations with occupational therapy practice. We evaluated the quality of all the included CPGs using the Appraisal of Guidelines for Research and Evaluation (AGREE) II and AGREE-Recommendations Excellence instruments.</p><p><strong>Results: </strong>Seven existing CPGs were included, from which 53 evidence-based clinical recommendations were extracted.</p><p><strong>Conclusions and relevance: </strong>Six action statements were developed related to (1) client education and self-management interventions, (2) psychosocial interventions, (3) lifestyle management interventions, (4) physical activity and exercise interventions, (5) interventions to support occupation, and (6) interventions for work participation. These statements can guide the application of the evidence-based clinical recommendations to develop personalized care solutions to support people with OA and RA so they can live well with these chronic conditions. Plain-Language Summary: These Practice Guidelines provide strategies for occupational therapy practitioners to help people with osteoarthritis and rheumatoid arthritis live well with their chronic condition. The guidelines include specific recommendations that have been published by other professional groups. The guidelines also provide examples of how to apply these recommendations in ways that are relevant for occupational therapy practitioners. The strategies focus on educating clients with arthritis and supporting them in managing pain, fatigue, well-being, health, and participation in daily activities.</p>","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":"79 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144795868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of Mirror Therapy Versus Cognitive Therapeutic Exercise on Upper Limb Functionality, Autonomy, and Poststroke Quality of Life: A Randomized Trial.","authors":"Jessica Fernández-Solana, Rodrigo Vélez-Santamaría, Adrián Moreno-Villanueva, Sergio Álvarez-Pardo, Jerónimo González-Bernal, Mirian Santamaría-Peláez, Josefa González-Santos","doi":"10.5014/ajot.2025.050834","DOIUrl":"10.5014/ajot.2025.050834","url":null,"abstract":"<p><strong>Importance: </strong>A combination of rehabilitation techniques may be useful to optimize individualized treatment and efficient resource utilization.</p><p><strong>Objective: </strong>To assess the effect of cognitive therapeutic exercise (CTE) and mirror therapy (MT) combined with task-oriented training (TOT) on upper limb functionality, fine and gross motor skills, use of the paretic arm, functional independence in activities of daily living (ADLs), and quality of life among people with subacute stroke.</p><p><strong>Design: </strong>Randomized trial, longitudinal, and multicenter study with one control group (CG) and two experimental groups (EGs) who were assessed before, after, and 3 mo posttreatment.</p><p><strong>Setting: </strong>University of Burgos and Burgos University Hospital, Burgos, Spain.</p><p><strong>Participants: </strong>One hundred twenty patients with subacute stroke and motor symptoms in the upper limb recruited through consecutive nonprobabilistic sampling and excluding those with tremor due to another neurological disease or cognitive impairment.</p><p><strong>Intervention: </strong>MT + TOT (EG1) and CTE + TOT (EG2) over 20 1-hr sessions. T3he CG received usual therapy (TOT) that simulated everyday situations.</p><p><strong>Outcomes and measures: </strong>The studied variables were evaluated with the Action Research Arm Test, Box and Block Test, Motor Activity Log, FIM™-Functional Assessment Measure, and Stroke-Specific Quality of Life Scale.</p><p><strong>Results: </strong>Statistically significant differences were found between the CG group and both EGs, with improvements in upper limb functionality, fine and gross motor skills, use of the paretic arm, functional independence in ADLs, and quality of life. No differences were found between EGs.</p><p><strong>Conclusions and relevance: </strong>Application of these combined interventions improved all variables studied. Plain-Language Summary: This study found that the use of cognitive therapeutic exercise and mirror therapy combined with task-oriented training may improve upper limb functionality, fine and gross motor skills, the use of the paretic arm, functional independence in activities of daily living, and quality of life among people with subacute stroke.</p>","PeriodicalId":48317,"journal":{"name":"American Journal of Occupational Therapy","volume":"79 5","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}