The Indian journal of occupational therapy最新文献

{"title":"Occupational therapy department's engagement in the organizational management of coronavirus disease-2019 pandemic in an acute care setup: Perspective from a clinical and administrative experience and a narrative review","authors":"Karuna Nadkarni, Sushant Sarang, Usha U. Kasar, P. Gokhale, Shilpshree Palsule, Sapna Mishra, Vaijanti Jain, S. Phadke, Neeta Pawar, Hemant Nandgaonkar","doi":"10.4103/ijoth.ijoth_68_21","DOIUrl":"https://doi.org/10.4103/ijoth.ijoth_68_21","url":null,"abstract":"Background: Coronavirus disease-2019 (COVID-19) pandemic came as a big challenge to the medical fraternity. The novelty of its manifestation made it clear that occupational therapy (OT) professionals would require to adapt to the ever-changing scenario of the pandemic and engage in newer roles to combat the pandemic. Objective: The objective of the study was to provide descriptive narration of the process of engagement of the OT department in handling the COVID-19 pandemic at an acute care setup. Study Design: A perspective from a clinical experience and a narrative review. Methods: Narrative account of the initiatives, challenges, preparations, and outcomes of the measures taken by the King Edward VII Memorial Hospital's (KEMH) OT Department's professionals as part of a multidisciplinary team member in combating the COVID-19 pandemic is reported. The occupational therapist at KEMH used core OT principles and teachings in treatment sessions and managerial functions to aid patients and the organization during the pandemic. Results: The measures taken by the OT department professionals at KEMH helped facilitate the management of the COVID-19 pandemic at the hospital. Being well-versed with the organization's style of functioning and philosophy enabled the OT department to work as part of a multidisciplinary team. The active participation of occupational therapists underlined their role in acute respiratory conditions. It helped OT be a part of the critical management of COVID-19 patients admitted in the hospital and at the Jumbo care centers developed by the hospital team of experts. Conclusion: The COVID-19 pandemic allowed OT professionals to create new processes and enhance service delivery through innovative actions in an acute care setup.","PeriodicalId":75019,"journal":{"name":"The Indian journal of occupational therapy","volume":"13 1","pages":"131 - 137"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83622900","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":"Role of occupational therapy in the management of long-term functional impairments post-COVID-19: An evidence-based clinical summary","authors":"Shivani Vij","doi":"10.4103/ijoth.ijoth_62_21","DOIUrl":"https://doi.org/10.4103/ijoth.ijoth_62_21","url":null,"abstract":"Coronavirus disease 2019 (COVID-19) pandemic created new challenges in the healthcare system. After severe COVID-19 illness, most of the patients experience a variety of long-lasting health impairments that require rehabilitative services. The rehabilitative services are highly significant for those with underlying health conditions, older adults, and those who have been deconditioned due to social isolation and lockdown restrictions during the COVID-19 pandemic. This evidence summary indicates that the occupational therapy workforce dealing with COVID-19 survivors must be ready to manage the full range of consequences, such as breathlessness, fatigue, muscle weakness, delirium, posttraumatic stress disorder, and cognitive deficits. Further, recent research studies indicated that COVID-19 survivors would need an individualized program which may include strength and endurance training, energy conservation techniques, self-management of symptoms, self-care, vocational, and community-based rehabilitation. This evidence-based summary discusses how occupational therapists can provide evidence-based interventions for COVID-19 survivors.","PeriodicalId":75019,"journal":{"name":"The Indian journal of occupational therapy","volume":"7 1","pages":"156 - 160"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81480677","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":"Fear among Resident Doctors as Frontliners during Corona Virus Disease 2019 Pandemic: An Online Survey","authors":"Pratibha Vaidya, Shriharsh Jahagirdar, Deepali Shinde, Jagruti Khade, R. Bharmal","doi":"10.4103/ijoth.ijoth_71_21","DOIUrl":"https://doi.org/10.4103/ijoth.ijoth_71_21","url":null,"abstract":"Background: Fear is an adaptive emotion that serves to mobilize energy to deal with potential threat. A threat stimulus, such as site of a predator, triggers a fear response in the amygdala, which activates areas involved in preparation for motor function in fight or flight. Considering the outbreak of coronavirus disease 2019 (COVID-19), fighting against this specific infectious disease was a serious challenge to the residents who were at a risk of themselves contacting the disease. This leads to exhaustion, isolation, and persistent emotional trauma during the COVID-19 pandemic period. Objectives: The objective of the study was to assess the level of perceived fear of residents doctors as front-liners and to find coping strategies used by resident doctors as front-liners to overcome fear. Study Design: An online survey was conducted. Methods: An online questionnaire-based survey was conducted to understand fear level in resident doctors as front-liners and various strategies used by them to overcome fear. The survey questionnaire consisted 21 items. This questionnaire was validated by three faculties. The final questionnaire consisted of 20 questions pertaining to the level of fear. Out of 150 e-mails sent to resident doctors in March 2020, received responses were from 86 resident doctors. Google Form link with the same questionnaire was resent to these 86 resident doctors, in November 2020. Out of these 86 e-mails, responses from 50 resident doctors of only COVID tertiary hospital were quantitatively analyzed. Results: The initial total minimum score was 134 and the maximum score was 200, and the average score was 156.16. Out of 50 residents, 28 (56%) were in the range less than or equal to average and 22 (44%) residents were in range greater than average. The total minimum score after 8 months was 69 and the maximum score was 179, and the average score was 128. Out of 50 residents, 20 (40%) were in the range less than or equal to average and 30 (60%) residents were in range greater than average. Out of 50 residents, 44 (88%) residents had severe fear and 6 (12%) had moderate fear at the initial stage of pandemic, whereas after 8 months of pandemic, only 11 (22%) residents had severe fear and 37 (74%) residents had moderate fear with 2 (4%) residents having only mild fear. Conclusion: Resident doctors who worked for more than 6 h per day in the COVID wards experienced moderate-to-severe levels of fear, which decreased with continued exposure to similar situation. The coping strategies used by residents also helped them to overcome this fear.","PeriodicalId":75019,"journal":{"name":"The Indian journal of occupational therapy","volume":"134 1","pages":"151 - 155"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80299538","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":"Quality of life and occupational balance during corona virus disease 2019 lockdown in India: A survey on parents of children below 16 years","authors":"Soumyakanta Sahu, Basudha Bandyopadhyay, Maya Chandrashekaran, Debjani Mohapatra, K. David, S. Ghanta, S. Arya","doi":"10.4103/ijoth.ijoth_54_21","DOIUrl":"https://doi.org/10.4103/ijoth.ijoth_54_21","url":null,"abstract":"Background: Lockdown due to corona virus disease 2019 (COVID-19) has affected physical, mental, social, economic and emotional aspects of life around the globe. People of all age groups, from children to older adults have had to compromise overall life-style by adapting to the changes necessary for preventive and safety measures. Children are also overwhelmed due to changes in routine, occupation, leisure activities, and social participation. These have added to the psychosocial stressors of parents and caregivers and have influenced their quality of life (QOL) and occupational balance (OB). Objective: The aim of the study was to investigate QOL and OB among Indian parents of children below 16 years during COVID-19 lockdown. The secondary objective was to examine the relationship between QOL and OB as well as explored the level of QOL and OB among parents during COVID-19 lockdown. Study Design: An online based cross-sectional survey was conducted through different social media platforms. Methods: Parents (N = 277: n = 116 male and n = 161 female) of children below 16 years of age from different parts of India who were able to understand English language, filled an online questionnaire that assessed their QOL by World Health Organization QOL Short form (WHOQOL-Bref) and OB by OB Questionnaire (OBQ). Parents were recruited by a snow ball sampling method. Results: Results showed that the majority of the parents were having good self-rated WHOQOL-Bref and OBQ scores. Various socio-demographic variables including family structure, educational status, employment status and number of children did not influence OB and QOL of the parents. However, Independent sample “t” test showed a significant association (P = 0.014 and 95% confidence interval [95% CI]:-7.845, 0.902) between age of the parents and OBQ scores. In Karl Pearson correlation analysis, it was also found that the association between scores of OBQ and WHOQOL-Bref was positive with a highly significant (P = 0.001 and [95% CI]: 0.243, 0.465). Conclusion: The result of the study showed most of the parents of children below 16 years old were having good QOL and OB during COVID-19 lockdown.","PeriodicalId":75019,"journal":{"name":"The Indian journal of occupational therapy","volume":"5 1","pages":"138 - 143"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75679659","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":"Influence of simulated functional task to improve executive function, functional balance and activities of daily living in elderly people with mild cognitive impairment: A one-arm interventional study","authors":"K. Sanjeevkumar, S. Srija","doi":"10.4103/ijoth.ijoth_10_21","DOIUrl":"https://doi.org/10.4103/ijoth.ijoth_10_21","url":null,"abstract":"Background: Elderly patients with mild cognitive impairment (MCI) have decline in executive functions, functional balance, and impact on the ability to perform activities of daily living (ADL). The simulated functional task (FcTSim) program may provide standard benefits on the cognitive function of elderly patients with MCI. Objective: This study aimed to find the effectiveness of FcTSim to improve executive functions, functional balance, and ADL in elderly patients with MCI. Study Design: A one-arm interventional study. Method: An interventional study was conducted on elderly patients with MCI and balance impairment. They were selected for the study on the basis of the Mini-Mental Status Examination score 18–23, Berg Balance Scale (BBS) score of <45 (indicate the greatest risk of falling), and age group between 65–85 years. FcTSim program was given for 4 weeks, a total of 12 sessions (3 sessions per week). Addenbrooke's Cognitive Examination-Revised (ACE-R), BBS, and Canadian Occupational Performance Measure (COPM) scales were used as the outcome measures. Results: The mean posttest scores of ACE-R was 11.53 ± 3.62; P < 0.00; 95% confidence interval (CI): 9.52 to 13.54, BBS 8.80 ± 2.36; P < 0.00; 95% CI: 7.49 to 10.11, it shows significant difference and COPM performance 1.00 ± 0.84; P < 0.00; 95% CI: 0.53 to 1.46 satisfaction 1.53 ± 0.91; P < 0.00; 95% CI: 1.02 to 2.04. Conclusion: The findings of this study suggest that after 4 weeks encompassing 12 sessions of FcTSim, the elderly patients with MCI showed improvement in their executive functions, functional balance, and ADL such as eating, bathing, dressing, and grooming.","PeriodicalId":75019,"journal":{"name":"The Indian journal of occupational therapy","volume":"153 1","pages":"109 - 115"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74546956","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":"Erratum: Occupational therapy for reducing disabilities in persons with disabilities in India: A systematic review","authors":"","doi":"10.4103/0445-7706.328131","DOIUrl":"https://doi.org/10.4103/0445-7706.328131","url":null,"abstract":"","PeriodicalId":75019,"journal":{"name":"The Indian journal of occupational therapy","volume":"1 1","pages":"121 - 121"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83251570","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":"Effect of backward walking and side walking training on walking speed and endurance in patients with stroke: An experimental randomized controlled study","authors":"Damayanti Sethy, A. Equebal, E. Kujur, E. Mallick","doi":"10.4103/ijoth.ijoth_11_21","DOIUrl":"https://doi.org/10.4103/ijoth.ijoth_11_21","url":null,"abstract":"Background: There is a direct relationship exists between hemiplegic walking speed and functional limitations, both in household and community ambulation. Walking after stroke is characterized by slow gait speed, poor endurance, and change in the quality and adaptability of walking patterns. Side stability, symmetrical weight-bearing, and backward motor control ability are required to improve walking function. Objective: To investigate whether a combination of backward and side walking training is effective in improving walking speed and walking endurance in patients with poststroke hemiparesis. Study Design: An experimental randomized controlled study design. Methods: A total of 56 patients with poststroke hemiparesis fulfilling inclusion criteria were recruited for the study. Patients in the experimental group received 30 min of backward and side walking training of 15 min each. The patients in the control group received conventional occupational therapy for 30 min. Walking speed was assessed by walking endurance was evaluated by 10-m walk test (MWT) (and walking endurance was evaluated by 6MWT. Follow-up assessment was performed after 6 weeks of intervention. Results: In the within-group comparisons, both experimental and control groups showed significant differences postintervention (P < 0.05). In the between-group comparison, patients in the experimental group showed more improvement than the control group for walking speed (P = 0.001, 95% confidence interval [CI]: 7.86 to 9.73) and walking endurance (P = 0.004, 95% CI: 8.32 to 9.47) after 6-weeks of intervention. Conclusions: This study concluded that combined backward and side walking training has a better effect on walking speed and endurance than conventional therapy.","PeriodicalId":75019,"journal":{"name":"The Indian journal of occupational therapy","volume":"27 1","pages":"104 - 108"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78330816","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":"Development of occupational therapy activities of daily living index to assess basic activities of daily living in an Indian context: A prospective quantitative study","authors":"P. Adsule, Akshata Mahale, S. Jalmi","doi":"10.4103/ijoth.ijoth_24_21","DOIUrl":"https://doi.org/10.4103/ijoth.ijoth_24_21","url":null,"abstract":"Background: Activities of daily living (ADL) deficit is a common and significant problem after any condition. Many scales are more focused on assessing the patients' independence or dependence but are less understood on the different parameters such as importance and values of activity, satisfaction, ability to cope up, completion, and time taken for the activity. These parameters are not well defined in many ADL assessments. Objectives: The purpose of this index was to evaluate ADL not only based on independence but also to understand the patients' values, adequacy, safety, standard, and finally, acceptability. Study Design: A prospective quantitative study was conducted. Methods: We conducted prospective, quantitative study and developed a new scale. Items were generated from a review of literature, semi-structured interviews of adult as well as geriatric patients and discussions with experts were carried out. The new instrument was piloted among 290 patients with neurological and orthopedic conditions. Content validity, internal consistency, and test-retest reliability were evaluated. Results: The new scale has good internal consistency: Cronbach's alpha = 0.984 and KR20 value = 0.97. Test–retest reliability (intra-class correlation coefficient = 0.87) was found to be good. Conclusion: Our research analysis indicates that Occupational Therapy (OT) ADL index is reliable for rating the Basic ADL skills for functional deficits in neurological and orthopedic conditions in adults. The OT ADL index may facilitate an objective assessment in the OT domains of basic ADL.","PeriodicalId":75019,"journal":{"name":"The Indian journal of occupational therapy","volume":"120 1","pages":"116 - 120"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77416747","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":"Lifestyle behaviors and their influence on work-related musculoskeletal discomfort: A web-based survey during coronavirus disease 2019 pandemic","authors":"Bharati Jajoo, S. Bhatbolan, S. Bhatbolan","doi":"10.4103/ijoth.ijoth_30_21","DOIUrl":"https://doi.org/10.4103/ijoth.ijoth_30_21","url":null,"abstract":"Background: Healthy lifestyle choices have a great impact on individuals' health. Coronavirus disease 2019 (COVID-19) pandemic has created an unprecedented work from home (WFH) situation. This recent trend has led to computer users in WFH having limited access to health-care options, ergonomic workstations and social participation like a visit to a gym or walking in the park, or any other meaningful engagements which people adopt to improve their health and well-being. Objectives: This study aimed to identify the health and lifestyle behaviors and work-related discomfort reported by employees in WFH situations due to COVID-19 lockdown through a self-reported survey and to study if there is an association between reported discomfort and lifestyle behaviors. Study Design: This was a cross-sectional survey. Methods: A web-based, E-mail, cross-sectional survey was designed having three sections: demographic characteristics; work-related discomfort and its rating on the Visual Analog Scale (VAS); and scoring on the Simple Lifestyle Indicator Questionnaire (SLIQ). Completed questionnaires and the responses from employees in WFH were analyzed using SPSS version 20. Results: Demographic data showed that the majority of the respondents were male (n = 190 [78%]). One hundred and ninety-five (80%) respondents reported symptoms of musculoskeletal discomfort. The SLIQ score showed 1 (1%) of the studied population in the healthy category, 70 (29%) in the intermediate healthy category, and 173 (70%) in the unhealthy category. The Spearman's rank correlation coefficient was calculated for the individual scores in each category with the VAS score. Exercise and VAS score showed a significant negative correlation (ρ = −0.146; P = 0.001; 95% confidence interval [CI]: −0.261 [LL], −0.005 [UL]) while the VAS score with smoking (ρ = 0.362; P = 0.000; 95% CI: 0.227 LL, 0.466 UL) and stress level (ρ = −0.140; P = 0.029; 95% CI: −0.286 LL, −0.003 UL) showed a significant positive correlation. Conclusion: WFH has led to an overall reduction of participation in healthy lifestyle behaviors, with a substantial percentage of people classified in the unhealthy category. Survey also elicits a significant association where higher levels of exercise in people correlated with a lower reported work-related musculoskeletal discomfort. Similarly, smoking and higher stress levels correlated positively with reported musculoskeletal discomfort symptoms. Thus, awareness measures to promote healthy lifestyle behaviors and stress management should be incorporated among computer users working from home settings.","PeriodicalId":75019,"journal":{"name":"The Indian journal of occupational therapy","volume":"69 1","pages":"99 - 103"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76641318","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":"State allied and healthcare professions council and information of professional significance","authors":"A. Srivastava","doi":"10.4103/ijoth.ijoth_60_21","DOIUrl":"https://doi.org/10.4103/ijoth.ijoth_60_21","url":null,"abstract":"","PeriodicalId":75019,"journal":{"name":"The Indian journal of occupational therapy","volume":"50 1","pages":"97 - 98"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90987983","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}