Hong Kong Journal of Occupational Therapy最新文献

Validity and reliability of the functional test for hemiplegic upper Extremity–Thai version 上肢偏瘫功能测试-泰国版的有效性和可靠性

IF 0.8 4区医学

Hong Kong Journal of Occupational Therapy Pub Date : 2024-07-19 DOI: 10.1177/15691861241264046

P. Chinchai, Pheangrawee Pingmuang, Krongporn Chinchai, Anuchart Kaunnil

{"title":"Validity and reliability of the functional test for hemiplegic upper Extremity–Thai version","authors":"P. Chinchai, Pheangrawee Pingmuang, Krongporn Chinchai, Anuchart Kaunnil","doi":"10.1177/15691861241264046","DOIUrl":"https://doi.org/10.1177/15691861241264046","url":null,"abstract":"There are very few standard instruments currently available for measuring upper extremity (UE) functions for patients with stroke in Thailand. This study aims to examine the concurrent validity, construct validity, and stability reliability of the Functional Test for Hemiplegic Upper Extremity (FTHUE)-Thai version for patients with stroke. Thirty hemiplegic participants from five community rehabilitation centers in Chiang Mai province and 30 healthy subjects were recruited. The FTHUE-Thai version and the Fugl-Meyer Assessment for the Upper Extremity (FMA-UE) were the instruments used. Concurrent validity was determined by investigating the relationship between the FTHUE-Thai version and the FMA-UE. Construct validity was investigated by comparing the performance of FTHUE-Thai version between stroke participants and healthy subjects. The stability reliability of the FTHUE-Thai version, which measured the UE function of stroke participants twice in a two-week’s period, was also investigated. The statistics used were Spearman’s correlation coefficient and the Mann-Whitney test. There were significant correlations between the UE function, as measured by the FTHUE-Thai version, and the arm, and hand sub-scores, as well as the total scores of the FMA-UE ( r = 0. 93, r = 0. 84, and r = 0. 95, respectively), indicating good concurrent validity. Stability reliability was also good ( r = 0. 98, weighted kappa = 0. 94). A known group technique test revealed significantly different scores between stroke patients and healthy subjects ( p < . 001), indicating good construct validity. The FTHUE-Thai version could be a reliable measurement tool for the UE function in stroke patients in the Thai context.","PeriodicalId":55049,"journal":{"name":"Hong Kong Journal of Occupational Therapy","volume":null,"pages":null},"PeriodicalIF":0.8,"publicationDate":"2024-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141821820","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}

引用次数: 0

Stigma and the use of umbrellas, hiking poles and walking sticks to aid walking in Hong Kong 耻辱感与香港人使用雨伞、登山杖和手杖辅助行走的情况

IF 0.4 4区医学

Hong Kong Journal of Occupational Therapy Pub Date : 2024-06-01 DOI: 10.1177/15691861241254862

Tulio Maximo, Kenneth NK Fong, Newman ML Lau

{"title":"Stigma and the use of umbrellas, hiking poles and walking sticks to aid walking in Hong Kong","authors":"Tulio Maximo, Kenneth NK Fong, Newman ML Lau","doi":"10.1177/15691861241254862","DOIUrl":"https://doi.org/10.1177/15691861241254862","url":null,"abstract":"Background The use of walking aids is widely acknowledged as one of the most relied-on forms of assistive technology. Using stick-shaped devices, such as a cane, is often the entrance for many people to the world of assistive technologies, often accompanied by the negative stigma associated with ageing and disability. Objectives This study investigated the perception of disability and needs of the Hong Kong population using walking aids, aiming to inform device design and service provision. Methods We observed 391 individuals using cane-like devices in their natural environment and conducted semi-structured interviews with 28 participants to understand stigma, barriers to acquisition, training, and design requirements. Results Half of the interviewees (50%, n = 14) did not feel disabled when using a walking stick, while 39% felt slightly disabled. 56% of the observed sample used non-medical-looking aids like hiking poles or umbrellas. Most interviewees (79%) purchased off-the-shelf devices, but less than half received seller support in choosing appropriate aids. Conclusion The feelings associated with using walking sticks and similar devices are mostly positive. There is a preference in Hong Kong for using devices without a medical appearance to aid walking, such as umbrellas and hiking poles. There is a need to raise awareness of the risks of using umbrellas to aid walking and empower the user to make informed decisions when purchasing walking aid devices. In addition, there is a need to support the supply chain of walking aids, including umbrellas and hiking poles, to provide more information on device use, misuse, training, and maintenance.","PeriodicalId":55049,"journal":{"name":"Hong Kong Journal of Occupational Therapy","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141398441","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}

引用次数: 0

Smartwatch-based functional assessment for upper extremity impairment after musculoskeletal injuries: A pilot study 基于智能手表的肌肉骨骼损伤后上肢功能障碍评估：试点研究

IF 0.4 4区医学

Hong Kong Journal of Occupational Therapy Pub Date : 2024-03-25 DOI: 10.1177/15691861241241775

Hyung Seok Nam, Sol Han, J. Leigh, Moon Suk Bang

{"title":"Smartwatch-based functional assessment for upper extremity impairment after musculoskeletal injuries: A pilot study","authors":"Hyung Seok Nam, Sol Han, J. Leigh, Moon Suk Bang","doi":"10.1177/15691861241241775","DOIUrl":"https://doi.org/10.1177/15691861241241775","url":null,"abstract":"Wearable sensors are increasingly applied to rehabilitation for arm movement analysis. However, simple and clinically relevant applications are scarce. To investigate the feasibility of single smart watch-based parameters for functional assessment in upper limb rehabilitation for musculoskeletal injuries using a commercial smart watch. Ten patients with unilateral shoulder pain and range-of-motion limitations were enrolled. They wore Galaxy Watch® and performed three sets of upper extremity tasks consisting of gross activities-of-daily-living tasks, Wolf Motor Function Test (WMFT), and Upper Extremity Functional Index (UEFI), and the acceleration and angular velocities were acquired. The motion segment size (MSS), representing motion smoothness from a clinical perspective, and various sensor-based parameters were extracted. The correlation between the parameters and clinical outcome measures were analyzed. The percent relative range (PRR) of the significant parameters was also calculated. For overhead and behind body activity task set, mean MSS for elbow flexion/extension axis significantly correlated with WMFT score (R = 0.784, p = .012). For planar tasks, mean MSS for the forearm supination/pronation (R = 0.815, p = .007) and shoulder rotation (R = 0.870, p = .002) axes significantly correlated with WMFT score. For forearm and fine movement task set, mean MSS of the elbow flexion/extension angle showed significant correlation with WMFT (R = 0.880, p < .001) and UEFI (R = 0.718, p = .019). The total performance time (R = −0.741, p = .014) also showed significant correlation with WMFT score. The PRR for mean MSS in forearm supination (71.5%, planar tasks) and mean MSS in x-direction (49.8%, forearm and fine motor movements) were similar to the PRR of WMFT (58.5%), suggesting sufficient variation range across different degree of impairments. The commercial smart watch-based parameters showed consistent potential for use in clinical functional assessments.","PeriodicalId":55049,"journal":{"name":"Hong Kong Journal of Occupational Therapy","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2024-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140383929","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}

引用次数: 0

Application of the participatory design in the testing of a baropodometric insole prototype for weight-bearing asymmetry after a stroke: A qualitative study 在测试针对中风后负重不对称的气压测量鞋垫原型中应用参与式设计：定性研究

IF 0.4 4区医学

Hong Kong Journal of Occupational Therapy Pub Date : 2024-03-25 DOI: 10.1177/15691861241241776

Wagner Rodrigues Galvão, Luana Karoline Castro Silva, R. T. Viana, Pedro Henrique Avelino Oliveira, Renata Viana Brígido de Moura Jucá, Henrique Resende Martins, Michelle Rabelo, E. Fachin-Martins, L. Lima

{"title":"Application of the participatory design in the testing of a baropodometric insole prototype for weight-bearing asymmetry after a stroke: A qualitative study","authors":"Wagner Rodrigues Galvão, Luana Karoline Castro Silva, R. T. Viana, Pedro Henrique Avelino Oliveira, Renata Viana Brígido de Moura Jucá, Henrique Resende Martins, Michelle Rabelo, E. Fachin-Martins, L. Lima","doi":"10.1177/15691861241241776","DOIUrl":"https://doi.org/10.1177/15691861241241776","url":null,"abstract":"Currently studies indicate the need to incorporate the user`s perspective in the testing of new assistive technologies. The objective of this paper is to test a baropodometric insole prototype for monitoring and treatment weight-bearing asymmetry, according to the Participatory Design. We used a qualitative case study approach during the testing phase of the baropodometric insole prototype. The focus group approach addressed topics related to the experience and accessibility of the potential user in conjunction with professionals, researchers, and physiotherapy students. Facilitators, barriers, and requirements for the device were collected through audio recordings of the discussions during and after prototype testing. Key steps in the prototype testing process were divided into (1) Test of the prototype according to the Participatory Design, divided into Who, When, How, and Why the potential user was involved in the study; and (2) Facilitators, barriers and requirements to improve the prototype. The baropodometric insole prototype can be seen as a promising device for monitoring and treating weight-bearing asymmetry.","PeriodicalId":55049,"journal":{"name":"Hong Kong Journal of Occupational Therapy","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2024-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140381541","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}

引用次数: 0

Work-support techniques used by occupational therapists to facilitate support after acquired brain injuries: A qualitative study 职业治疗师在后天性脑损伤后为促进支持而使用的工作支持技术：定性研究

IF 0.4 4区医学

Hong Kong Journal of Occupational Therapy Pub Date : 2024-01-07 DOI: 10.1177/15691861231225754

Ryoko Kurihara, Toru Nagao, R. Tanemura

{"title":"Work-support techniques used by occupational therapists to facilitate support after acquired brain injuries: A qualitative study","authors":"Ryoko Kurihara, Toru Nagao, R. Tanemura","doi":"10.1177/15691861231225754","DOIUrl":"https://doi.org/10.1177/15691861231225754","url":null,"abstract":"Ensuring effective return to work following acquired brain injuries is crucial from the perspectives of both quality of life and the economy. However, techniques of occupational therapy support for return to work remain relatively unelucidated. To clarify the specific contents of occupational therapy required for work and work support for clients with acquired brain injuries. An interview-based survey was conducted with participants who had >10 years of occupational therapy experience and had provided work support. We selected participants via snowball sampling. Data were analyzed using thematic analysis. A total of 20 participants (15 women and 5 men; 6, 12, 1, and 1 in their 30s, 40s, 50s, and 60s, respectively) were included. Six concepts were generated on reviewing the support for work items considered important by the occupational therapist as follows: “Support for vocational life,” “Support for interpersonal skills,” “Support for work,” “Support for illness, disability, and awareness,” “Support for utilization of compensation measures,” and “Support for goal setting.” We clarified the specific contents of work support, including support for vocational life and support for work, that is administered by occupational therapists who provide work support for clients with acquired brain injury. The insights from the study improve understanding of OTs’ roles and contributions in supporting clients with acquired brain injuries in returning to work.","PeriodicalId":55049,"journal":{"name":"Hong Kong Journal of Occupational Therapy","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2024-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139448869","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}

引用次数: 0

Unlocking the potential: Exploring the opportunities for occupational therapists in cyberpsychology 释放潜能：探索职业治疗师在网络心理学方面的机遇

IF 0.4 4区医学

Hong Kong Journal of Occupational Therapy Pub Date : 2023-12-10 DOI: 10.1177/15691861231222074

H. Jahrami

引用次数: 0

Cross-Cultural Adaptation and Reliability of the Toddler Sensory Profile 2 for Brazilian Children Aged 7 to 35 Months. 7 - 35个月巴西儿童感官特征的跨文化适应与可靠性

IF 0.4 4区医学

Hong Kong Journal of Occupational Therapy Pub Date : 2023-12-01 Epub Date: 2023-06-21 DOI: 10.1177/15691861231183097

Lucieny Almohalha, Jair Lício Ferreira Santos, Luzia Iara Pfeifer

{"title":"Cross-Cultural Adaptation and Reliability of the Toddler Sensory Profile 2 for Brazilian Children Aged 7 to 35 Months.","authors":"Lucieny Almohalha, Jair Lício Ferreira Santos, Luzia Iara Pfeifer","doi":"10.1177/15691861231183097","DOIUrl":"10.1177/15691861231183097","url":null,"abstract":"Aim: To organize a cross-cultural adaptation study and analyze the reproducibility and test-retest reliability of a Brazilian version of the Toddler Sensory Profile 2 (TSP2Br) for children aged 7-35 months.Methods: The English language version of the profile was translated and culturally adapted into Brazilian Portuguese, administered to 168 caregivers of toddlers aged 7-35 months, and then re-administered to a portion of the sample (39 caregivers; 23%) for 7-14 days for test-retest reliability. The internal consistency and test-retest reliability was analyzed using the Cronbach's alpha and kappa coefficient, respectively. As it is a norm-referenced standardized assessment, the cut-off scores used were 1.0 and 2.0 standard deviations above and below the mean for each group of items established as the preliminary cut-off scores for the Brazilian children.Results: The TSP2Br showed good internal consistency (>0.70) when measured on the total scale; however, when it was analyzed for sensory areas, five to seven areas presented alpha values <.70. By quadrants, alpha was <.70, for all items. The test-retest values fell into the category of near-perfect agreement (.89-.97). The preliminary cut-off points of the Brazilian scores were distinct from those of the Americans.Conclusions: The TSP2Br showed preliminary reliability and validity in the identification of sensory processing problems in Brazilian children aged 7-35 months; however, it would be necessary to increase the sample size to generalize our findings to the general Brazilian population.","PeriodicalId":55049,"journal":{"name":"Hong Kong Journal of Occupational Therapy","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10680860/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44813922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

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. 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

IF 0.4 4区医学

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

{"title":"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.","authors":"Wataru Kukizaki, Kanta Ohno, Michio Maruta, Suguru Shimokihara, Hiroyuki Iida, Takayuki Tabira","doi":"10.1177/15691861231187240","DOIUrl":"10.1177/15691861231187240","url":null,"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.","PeriodicalId":55049,"journal":{"name":"Hong Kong Journal of Occupational Therapy","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10680855/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43907767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Use of Gamification for Adult Physical Rehabilitation in Occupational Therapy; A Novel Concept? 游戏化在职业治疗成人物理康复中的应用一个新颖的概念?

IF 0.4 4区医学

Hong Kong Journal of Occupational Therapy Pub Date : 2023-12-01 Epub Date: 2023-05-26 DOI: 10.1177/15691861231179037

Sharon Zlotnik, Patrice L Tamar Weiss, Daphne Ruth Raban, Adina Houldin-Sade

引用次数: 0

Consistency between two subjective assessments of activities of daily living: Patient- and occupational therapist-reported judgments. 对日常生活活动的两种主观评估之间的一致性：患者和职业治疗师报告的判断

IF 0.4 4区医学

Hong Kong Journal of Occupational Therapy Pub Date : 2023-12-01 Epub Date: 2023-08-30 DOI: 10.1177/15691861231198710

Hung-Pin Lien, Yi-Ching Wang, Yi-Miau Chen, Shih-Chen Fan, Mei-Hsiang Chen, Hsin-Yu Chiang, Ching-Lin Hsieh

{"title":"Consistency between two subjective assessments of activities of daily living: Patient- and occupational therapist-reported judgments.","authors":"Hung-Pin Lien, Yi-Ching Wang, Yi-Miau Chen, Shih-Chen Fan, Mei-Hsiang Chen, Hsin-Yu Chiang, Ching-Lin Hsieh","doi":"10.1177/15691861231198710","DOIUrl":"10.1177/15691861231198710","url":null,"abstract":"Purpose: To examine the consistency between patient- and occupational therapist-reported judgments of patients' ability and change in ADL abilities.Materials: Patient- and therapist-reported ADL abilities were assessed using a Visual Analogue Scale, whilst the changes in patients' ADL abilities were reported by patients and therapists using a 15-point Likert-type scale.Methods: Repeated assessments at a 3-week interval were used. 88 inpatients with stroke and 16 occupational therapists were recruited from rehabilitation wards in a medical center.Results: Moderate correlations (rs = .53-.56) were found between the patient- and therapist-reported ADL abilities. The patient-reported scores were significantly lower (ds = .45; ps < .001 at follow-up) than the therapist-reported scores. Only low correlation (r = .33) was found for the change scores.Conclusions: Our findings indicated that there was only a moderate to low correlation between the patients' reports and the therapists' judgments regarding the patients' ADL ability and its change. Because both patients' reports and therapists' judgments affect decisions on rehabilitation, frequent communication may be beneficial for reaching consensus and helpful in managing the interventions.","PeriodicalId":55049,"journal":{"name":"Hong Kong Journal of Occupational Therapy","volume":null,"pages":null},"PeriodicalIF":0.4,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10680862/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43200144","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0