Hong Kong journal of occupational therapy : HKJOT最新文献

{"title":"Predictors of return to work among stroke survivors in south-west Nigeria.","authors":"Olumide Ayoola Olaoye,&nbsp;Shaheed Moghammad Soeker,&nbsp;Rhoda Anthea","doi":"10.1177/1569186120926614","DOIUrl":"10.1177/1569186120926614","url":null,"abstract":"<p><strong>Introduction: </strong>Stroke is acknowledged globally and among Nigerian rehabilitation researchers as a public health problem that leaves half of its survivors with significant neurological deficits and inability to re-establish pre-existing roles. Consequent to the dearth of country specific data on return to work and its determinants for stroke survivors in Nigeria, this study investigated the predictors of return to work among stroke survivors in south-west Nigeria.</p><p><strong>Method: </strong>Two hundred and ten stroke survivors from five tertiary health facilities in Osun state, Nigeria responded to a validated three-section questionnaire assessing return to work rates and its determinants after stroke in this study. Collected data were analysed using descriptive statistics and inferential statistic of chi-square, <i>t</i>-test and multiple logistic regression.</p><p><strong>Result: </strong>The mean age of the respondents was 52.90 ± 7.92 years. Over 60% of the respondents returned to work with about half of them in full time employment (32.9%). Majority of the respondents noted that travel to and from work (43.8%) and access at work (43.3%) had an impact on their ability to work. The symptoms of stroke (odds ratio (OR) = 0.87), the environment (OR = 0.83), body function impairments (OR = 0.86) as well as activity and participation problems (OR = 0.80) were the significant predictors of return to work. Hemiplegia or paresis of the non-dominant side of the body was associated with a higher chance of return to work (OR = 7.64).</p><p><strong>Conclusion: </strong>Body function impairments, activity and participation problems were independent predictors of return to work after stroke. Similarly, side of hemiplegia plays a prominent role in resumption of the worker role of stroke survivors in south-west Nigeria.</p>","PeriodicalId":73249,"journal":{"name":"Hong Kong journal of occupational therapy : HKJOT","volume":"34 1","pages":"13-22"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1569186120926614","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39324511","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychometric properties of the Assessment of Positive Occupation 15 final version in individuals with mental illness.","authors":"Takuya Noguchi,&nbsp;Makoto Kyougoku","doi":"10.1177/1569186120985413","DOIUrl":"https://doi.org/10.1177/1569186120985413","url":null,"abstract":"<p><strong>Aims: </strong>This study was to test the reliability and validity of the Assessment of Positive Occupational 15 (APO-15) for individuals experiencing mental illness.</p><p><strong>Methods: </strong>A sample of 408 people experiencing mental illness living in communities or admitted to hospitalized was recruited. The sample has completed demographic information, the Assessment of Positive Occupation 15 (APO-15), the Japanese version of the Self-identified Stage of Recovery Part-B (SISR-B), the Japanese version of the Recovery Assessment Scale (RAS), the General Health Questionnaire 12 (GHQ-12). APO-15 is a measure of how engaged one is in occupations that promote well-being. The final version of the APO-15 was developed by assessing the validity and reliability by mainly using confirmatory factor analysis (CFA), item response theory (IRT).</p><p><strong>Results: </strong>This study indicated satisfactory the validity and reliability of APO-15 in a group of individuals experiencing mental illness. CFA showed acceptable values for all indices of fit, namely comparative fit index (CFI), Tucker-Lewis index (TLI) (i.e., greater than .90), and the value of root mean square error of approximation (RMSEA) was .087, which was acceptable. The IRT showed satisfactory responses for the item slope parameter (α) and item difficulty parameter (β) in APO-15.</p><p><strong>Discussion: </strong>APO-15 was demonstrated good psychometric properties in measuring involvement in the occupation to promote well-being in individuals experiencing mental illness. In conclusion, the APO-15 is an important tool to enable occupational therapists to assess clients who are not engaged in well-being promoting occupations and thus enable them to participate in such occupations.</p>","PeriodicalId":73249,"journal":{"name":"Hong Kong journal of occupational therapy : HKJOT","volume":"34 1","pages":"3-12"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1569186120985413","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39324510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Combining goal setting and achievement with occupational therapy to improve pain, psychological factors and physical activity in patients after high tibial osteotomy: A non-randomized controlled study.","authors":"Yuki Hiraga,&nbsp;Shinya Hisano,&nbsp;Ryusei Hara,&nbsp;Katsuhiro Nomiyama,&nbsp;Yoshiyuki Hirakawa,&nbsp;Katsuko Hida","doi":"10.1177/1569186120985296","DOIUrl":"https://doi.org/10.1177/1569186120985296","url":null,"abstract":"<p><strong>Background: </strong>Psychological factors contribute to chronic pain and may lead to physical inactivity and poor functional outcomes.</p><p><strong>Purpose: </strong>We conducted a non-randomized controlled study to evaluate the effectiveness of goal setting and achievement following occupational therapy (OT) intervention to improve pain, psychological factors, and physical activity among patients after high tibial osteotomy (HTO).</p><p><strong>Method: </strong>We analyzed the data of 31 patients who underwent HTO, allocated into OT intervention and control groups. Goal achievement was encouraged through OT in the intervention groups; the control groups did not receive OT intervention. Outcome measures included the Canadian Occupational Performance Measure (COPM) score (before and after the OT intervention), walking pain, pain catastrophizing, anxiety, depression, pain self-efficacy, and physical activity level.</p><p><strong>Results: </strong>OT significantly improved the COPM score, depression, and physical activity. At the final assessment, the depression score was lower while the step count and physical activity time were significantly higher in the intervention group than in the control group (<i>p</i> < 0.05).</p><p><strong>Conclusion: </strong>Embedding goal setting and achievement as part of an OT intervention improved the outcomes after HTO.</p>","PeriodicalId":73249,"journal":{"name":"Hong Kong journal of occupational therapy : HKJOT","volume":"34 1","pages":"23-29"},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1569186120985296","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39324512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Current practices and factors affecting evidence-based occupational therapy practice for patients with dementia in Japan.","authors":"Ai Hasegawa,&nbsp;Risa Takashima,&nbsp;Kazuki Yoshida,&nbsp;Daisuke Sawamura,&nbsp;Waka Murata,&nbsp;Shinya Sakai","doi":"10.1177/1569186120980281","DOIUrl":"https://doi.org/10.1177/1569186120980281","url":null,"abstract":"<p><strong>Objective/background: </strong>The rapidly increasing incidence of patients with dementia in Japan is creating an urgent demand for evidence-based occupational therapy (EBOT), which has been reported to improve clinical efficacy. This study aimed to examine the current practice of EBOT for patients with dementia in Japan and clarify factors influencing its application.</p><p><strong>Methods: </strong>We conducted an anonymous, self-administered questionnaire survey by mail. The participants were 432 occupational therapists treating patients with dementia at 432 designated medical institutions nationwide. Descriptive statistics were calculated, and multiple regression analysis was performed to clarify the factors influencing the present application of EBOT.</p><p><strong>Results: </strong>The response rate was 31.3%. Among the participants, 46.3% responded 'somewhat frequently' or more (5, 6, and 7 on a 7-grade scale) to a question on the frequency of practice of EBOT. Using multiple regression analysis with the stepwise method, we selected the model with the highest degree of fit. This model extracted three factors, namely, ability to understand scientific papers, sufficiency of means of getting information, and availability of advice, which had standardized partial regression coefficients (β) of 0.419, 0.214, and 0.158, respectively.</p><p><strong>Conclusions: </strong>The three factors extracted using the multiple regression analysis indicate that in order to encourage EBOT for patients with dementia, occupational therapists need to acquire reading comprehension skills, so that they can assess the quality of scientific papers. Furthermore, it is important to create environments where they have access to publications and can discuss research with superiors and colleagues.</p>","PeriodicalId":73249,"journal":{"name":"Hong Kong journal of occupational therapy : HKJOT","volume":" ","pages":"73-81"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1569186120980281","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25559467","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development of the final version of the occupational adaptation questionnaire for family caregivers.","authors":"Takashi Nagai,&nbsp;Yoshikazu Ishii,&nbsp;Kengo Kohiyama,&nbsp;Takahiro Takenaka,&nbsp;Takashi Yamada","doi":"10.1177/1569186120983356","DOIUrl":"https://doi.org/10.1177/1569186120983356","url":null,"abstract":"<p><strong>Background: </strong>Given the growing role of family caregivers in meeting the increasing demand for ageing-related care in Japan, the occupational adaptation of family caregivers needs to be evaluated.</p><p><strong>Methods: </strong>This study developed the Occupational Adaptation Questionnaire for Family Caregivers (OAQC) and evaluated its reliability, validity, and effectiveness. To develop the OAQC item pool, the construct 'Occupation of nursing care engaged in by family caregivers' was evaluated. Using the Delphi method, 8 experts evaluated 64 items and confirmed that 41 items adequately represented the domain. The scale was then completed by 216 family caregivers of users of outpatient service establishments affiliated with hospitals in the Chubu region. The validity of the scale items was tested, and statistical analysis was performed. The construct validity and internal consistency of the OAQC were examined using exploratory factor analysis and the ω coefficient, respectively.</p><p><strong>Results: </strong>The discrimination ability and difficulty level were calculated using the item response theory. The findings showed that the scale's reliability and validity were satisfactory. Construct validity was acceptable for 16 items with 5 factors. The OAQC also had high internal consistency, reliability, and effectiveness. The item slope parameters and difficulty parameters revealed good item response, indicating that the scale could effectively measure family caregivers' occupational adaptation.</p><p><strong>Conclusion: </strong>The scale was compatible with the data obtained from family caregivers. Given its overall effectiveness, data obtained using the OAQC can contribute towards implementing personal care support programs for caregivers and enriching their lives by offering support from an occupational adaptation perspective.</p>","PeriodicalId":73249,"journal":{"name":"Hong Kong journal of occupational therapy : HKJOT","volume":" ","pages":"82-89"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1569186120983356","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25559468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predictors of academic integrity in undergraduate and graduate-entry masters occupational therapy students.","authors":"Ted Brown,&nbsp;Stephen Isbel,&nbsp;Alexandra Logan,&nbsp;Jamie Etherington","doi":"10.1177/1569186120968035","DOIUrl":"https://doi.org/10.1177/1569186120968035","url":null,"abstract":"<p><p><b>Background:</b> Academic integrity is viewed as honest and responsible scholarship and the moral code of academia. Reported incidences of academic dishonesty among health professional students are widespread and may be an indicator of future unprofessional behaviour in the workplace. <b>Aim:</b> This study investigated the potential predictors of academic integrity in undergraduate and graduate-entry masters occupational therapy students. <b>Method:</b> Occupational therapy students from five universities (<i>n</i> = 701 participants; 609 undergraduates; 92 graduate-entry masters) were recruited. Data were collected via a two-part self-report questionnaire that included six standardised scales: <i>Academic Dishonesty Scale; Academic Dishonesty in the Classroom Setting Scale; Academic Dishonesty in the Clinical/Practice Education Setting Scale; Moral Development Scale for Professionals; Academic Dishonesty Tendency Scale;</i> and <i>Perceived Academic Sources of Stress.</i> Data analysis involved multi-linear regression analyses with bootstrapping. <b>Result:</b> Significant predictors of academic integrity in occupational therapy students included age, gender, grade point average, public meaning, moral practice, general tendency towards cheating, tendency towards dishonesty in the conduct and reporting of research findings, tendency towards not providing appropriate references and acknowledgements and pressures to perform well academically. <b>Conclusion:</b> These findings will assist educators in identifying vulnerable students potentially prone to academic integrity infringements and implementing proactive strategies with them. Further studies are recommended to explore further predictors of students' academic integrity.</p>","PeriodicalId":73249,"journal":{"name":"Hong Kong journal of occupational therapy : HKJOT","volume":" ","pages":"42-54"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1569186120968035","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25558994","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pre-placement examinations for newly recruited health care support staff.","authors":"Joyce Yuk Ping Wong","doi":"10.1177/1569186120979426","DOIUrl":"https://doi.org/10.1177/1569186120979426","url":null,"abstract":"<p><strong>Objective: </strong>While musculoskeletal disorders (MSD) and physical strength have been extensively studied in health care professionals, little attention has been paid to health care support staff, such as patient care assistants and operation patient assistants, whose jobs are physically demanding. The purpose of this paper was to examine the musculoskeletal symptoms and physical strength of newly recruited health care support staff.</p><p><strong>Method: </strong>Convenience sampling was conducted on 111 newly employed health care support staff in a public hospital. A custom-made pre-placement examination was performed. Data were analysed using descriptive, correlation, and regression analyses.</p><p><strong>Results: </strong>Nearly one-third (32%) of the newly recruited health care support staff had experienced musculoskeletal symptoms in at least one body part during the preceding 12 months. Two-thirds (68%) of subjects were physically inactive, and sixty percent was overweight or obese. Handgrip strength was weaker than the local norm. The subjects' dominant handgrip strength, bilateral lifting, pushing, and pulling force were significantly correlated. Only bilateral lifting was significantly associated with MSD among the newly recruited health care workers.</p><p><strong>Conclusions: </strong>This study reports the baseline prevalence of MSD symptoms in the newly recruited health care support staff. Their sedentary lifestyle and suboptimal physical strength may render them susceptible to occupational injuries and disease. An effective occupational health programme that provides periodic health surveillance should be considered for high-risk health care workers to allow proper interventions in a timely manner.</p>","PeriodicalId":73249,"journal":{"name":"Hong Kong journal of occupational therapy : HKJOT","volume":" ","pages":"55-62"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1569186120979426","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25558995","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Measuring the occupational balance of people with insomnia in a Chinese population: Preliminary psychometric evidence on the Chinese version of the Occupational Balance Questionnaire.","authors":"Eris Cm Ho,&nbsp;Mona Dür,&nbsp;Tanja Stamm,&nbsp;Andrew Mh Siu","doi":"10.1177/1569186120944534","DOIUrl":"https://doi.org/10.1177/1569186120944534","url":null,"abstract":"<p><strong>Background: </strong>Occupational balance, a fundamental concept in occupational therapy, is the arrangement of right amount and variety of occupations contributes to a person's health and well-being. This study was aimed to investigate the reliability and validity of the Chinese version of the Occupational Balance Questionnaire (OB-Quest) for people with insomnia.</p><p><strong>Methods: </strong>The OB-Quest was translated into traditional Chinese and reviewed by an expert panel for content validity, cultural relevance and translation accuracy. Internal consistency, factor analysis and convergent validity, as well as test-retest reliability, were explored.</p><p><strong>Results: </strong>The participants (n = 205), 115 adults with insomnia and 90 adults without insomnia, completed a survey of demographic background, the Chinese version of OB-Quest and the Chinese Insomnia Severity Index (C-ISI). The Chinese version of OB-Quest demonstrated excellent test-retest reliability (ICC= 0.98) and good internal consistency (Cronbach's α  =  0.80). Factor analysis indicated that a single-factor solution explained 42% of the variance, and 9 out of 10 items had a factor loading of 0.4 or above. The Chinese version of OB-Quest had significant correlations with C-ISI (r = -0.88; p < 0.001). A significant difference was found in occupational balance between groups with different levels of insomnia severity and without insomnia (F = 169.72; p < 0.001). As in a previous study, age, living environment and life role had no significant relationship with occupational balance.</p><p><strong>Conclusion: </strong>The Chinese version of OB-Quest is a short, easy to understand and culturally relevant assessment for Chinese. It demonstrates satisfactory psychometric properties and had significant correlations with insomnia.</p>","PeriodicalId":73249,"journal":{"name":"Hong Kong journal of occupational therapy : HKJOT","volume":"33 2","pages":"33-41"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1569186120944534","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10285459","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors predicting clinically significant functional gain and discharge to home in stroke in-patients after rehabilitation - A retrospective cohort study.","authors":"Tony Kwun-Tak Li,&nbsp;Bobby Hin-Po Ng,&nbsp;Dora Yuk-Lin Chan,&nbsp;Ruthy Suet-Fan Chung,&nbsp;Kim-Kam Yu","doi":"10.1177/1569186120979428","DOIUrl":"https://doi.org/10.1177/1569186120979428","url":null,"abstract":"Objective This study explored factors which predict stroke survivors who could achieve “clinically significant functional gain” and return home when being discharged from a local hospital after in-patient stroke rehabilitation programme. Methods This study included 562 inpatients with stroke who were residing at community dwellings before onset of stroke, and transferred to a convalescent hospital for rehabilitation from four acute hospitals over one year. The main outcome variables of prediction were (a) achieving “clinically significant functional gain” as measured by (a1) achievement of “minimal clinically important difference” (MCID) of improvement in Functional Independence Measure Motor Measure (FIM-MM)”, (a2) one or more level(s) of improvement in function group according to the patients’ FIM-MM, and (b) discharge to home. Sixteen predictor variables were identified and studied firstly with univariate binary logistic regression and those significant variables were then put into multivariate binary logistic regression. Results Based on multivariate regression, the significant predictors for “clinically significant functional gain” were: younger age <75 years old, higher Glasgow Coma Scale score at admission, with haemorrhagic stroke, intermediate FIM-MM function group. Those significant predictors for “discharge to home” were: living with family/caregivers before stroke, higher FIM score at admission, and one or more level(s) of improvement in FIM-MM function group. Conclusions This study identified findings consistent with overseas studies in additional to some new interesting findings. Early prediction of stroke discharge outcomes helps rehabilitation professionals and occupational therapists to focus on the use of appropriate intervention strategies and pre-discharge preparation.","PeriodicalId":73249,"journal":{"name":"Hong Kong journal of occupational therapy : HKJOT","volume":" ","pages":"63-72"},"PeriodicalIF":0.0,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1569186120979428","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25558996","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of peripheral nerve stimulation on paralysed upper limb functional recovery in chronic stroke patients undergoing low-frequency repetitive transcranial magnetic stimulation and occupational therapy: A pilot study.","authors":"Masanori Maeda,&nbsp;Hitoshi Mutai,&nbsp;Yumi Toya,&nbsp;Yusuke Maekawa,&nbsp;Takatoshi Hitai,&nbsp;Satoshi Katai","doi":"10.1177/1569186120901633","DOIUrl":"https://doi.org/10.1177/1569186120901633","url":null,"abstract":"<p><strong>Objective: </strong>Upper limb paralysis, which is a sequela of stroke, limits patients' activities of daily living and lowers quality of life. The objective of this study was to examine the effects of peripheral nerve stimulation on hemiparetic upper limb functional recovery in chronic stroke patients undergoing low-frequency repetitive transcranial magnetic stimulation and occupational therapy.</p><p><strong>Methods: </strong>The subjects were chronic stroke patients who participated in a two-week inpatient programme including repetitive transcranial magnetic stimulation and occupational therapy. There were two groups of patients: the peripheral nerve stimulation group (11 patients who underwent peripheral nerve stimulation) and the control group (11 patients who previously participated in the same inpatient programme but without peripheral nerve stimulation, selected via propensity score matching). The peripheral nerve stimulation group had 1 h of peripheral nerve stimulation on the median and ulnar nerves during occupational therapy. The outcome measures were the Wolf Motor Function Test, Fugl-Meyer Assessment, and Motor Activity Log.</p><p><strong>Results: </strong>Wolf Motor Function Test, Fugl-Meyer Assessment, and Motor Activity Log showed significant improvement after the intervention in the peripheral nerve stimulation group. Particularly, the Fugl-Meyer Assessment hand score significantly improved in the peripheral nerve stimulation group compared to that in the control group (median change: 2 versus 0; p = 0.021, r = 0.49).</p><p><strong>Conclusion: </strong>The combined use of peripheral nerve stimulation with occupational therapy after repetitive transcranial magnetic stimulation may result in a better functional recovery of in hemiparetic upper limb. Peripheral nerve stimulation with stimulation above the sensory threshold and below the motor threshold is easy to combine with occupational therapy upper limb function training and is therefore clinically useful.</p>","PeriodicalId":73249,"journal":{"name":"Hong Kong journal of occupational therapy : HKJOT","volume":"33 1","pages":"3-11"},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/1569186120901633","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25557487","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}