{"title":"The effect of balance and coordination rehabilitation exercises, on serving skills of students with special needs, undergoing vocational training in hospitality and catering department: A prospective one-arm interventional study","authors":"Deepa Udiaver","doi":"10.4103/ijoth.ijoth_9_20","DOIUrl":"https://doi.org/10.4103/ijoth.ijoth_9_20","url":null,"abstract":"Background: Acquiring good serving skills is prerequisite for placement of special need students undergoing vocational training in hospitality and catering department in vocational school. Many studies have been done on balance and coordination on Down's syndrome and Autistic children, but there are no studies done so far on serving skills in these special need students. Objective: The purpose of this study was to determine the effect of occupational therapy (OT) program incorporating rehabilitation balance and coordination training exercises in improving serving skills of special need children in catering and hospitality department, as effective serving skills was the prerequisites for securing a placement for internship in the hospitality industry. Study Design: A prospective one-arm interventional study was chosen for the research. Methods: A total of 15 students with special needs in the age group of 17–23 years who were to be graduated and had to secure internships were assessed. The study was conducted from June 2018 to March 2019. All students were assessed on Static Balance Test, Standing on Right Leg Scale (SORL) and Standing on Left Leg Scale (SOLL), and Hand to Wall Toss Test (HTWTT) for coordination. They were also assessed by the teachers' feedback form of serving skills which were recorded pre and post rehabilitation training. After the baseline scores were recorded, Phase 1 exercises of balance and coordination were given separately on stable surface for 12 weeks; first follow-up scores were recorded. Then, Phase 2 exercises started after 12 weeks which included combination of balance and coordination given on unstable surface and after 24 weeks the second follow readings were recorded. Results: An OT intervention exercises in the combination of balance and coordination was given to students on unstable surface to improve the serving skills of the students. At the end of 12 weeks post-exercises training it showed that SORL improved significantly (P < 0.001), 95% confidence interval (8.79–24.70). The SOLL also improved significantly (P < 0.009), 95% CI (7.59–24.14). Even the HTWTT improved significantly (P < 0.001), 95% CI (12.63–18.83); therefore, the training was significantly helpful in improving balance/coordination at the end of 12 weeks. At 24 weeks also post exercises training the SORL improved significantly (P < 0.009), 95% CI (13.34–33.06). The SOLL also improved significantly (P < 0.001), 95% CI (11.10–30.90). Similarly, HTWTT also improved significantly (P < 0.001), 95% CI (15.96–22.44). Therefore, the training was significantly helpful in improving balance/coordination at the end of 24 weeks. Teachers' feedback questionnaire showed significant improvement (P < 0.000), 95% CI (18.81–22.93). Conclusion: This study shows that OT intervention exercises in the combination of balance and coordination exercise given on unstable surface improve the serving skills of students.","PeriodicalId":75019,"journal":{"name":"The Indian journal of occupational therapy","volume":"17 2 1","pages":"37 - 42"},"PeriodicalIF":0.0,"publicationDate":"2020-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83545459","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":"Implementation of environmental modifications in reducing fear of falling and studying its relationship with activity level and activity restriction among older adults living in old-age home: A one-arm interventional study","authors":"Hansa Varshneya, J. Sonawane","doi":"10.4103/ijoth.ijoth_3_20","DOIUrl":"https://doi.org/10.4103/ijoth.ijoth_3_20","url":null,"abstract":"Background: Falls in older adults can cause severe physical injuries leading to activity restriction and subsequently adding to financial burden. Objectives: The objectives of our study were to assess the fear of falling in older adults living in old-age home, to implement cost-effective environmental modifications in old-age home, and to assess the relationship of fear of falling with activity level and activity restriction in older adults. Study Design: A one-arm interventional study design was chosen for the research. Methods: In this one-arm interventional study, 32 older adults, both males and females, were recruited from an old-age home, after their written informed consent. All the 32 older adults were assessed on the Survey of Activities and Fear of Falling in the Elderly (SAFFE) at baseline (preintervention), postintervention at 2 months, and at follow-up of 12 months. The architectural barriers in the old-age home were identified, and cost-effective environmental modifications were implemented. Statistical analyses of the SAFFE scores from baseline to follow-up were done. Results: The results revealed that fear of falling significantly reduced with the implementation of environmental modifications at postintervention at 2 months and at follow-up of 12 months. Fear of falling was positively correlated with the activity restriction (P = 0.0001, 95% confidence interval [CI] = 0.88-0.97) and fear of falling was negatively correlated with activity level (P = 0.0001, 95% CI = −0.97-−0.88) at baseline, postintervention, and follow-up. Conclusion: Our study showed that with the implementation of cost-effective environmental modifications, there was a significant reduction of fear of falling among older adults.","PeriodicalId":75019,"journal":{"name":"The Indian journal of occupational therapy","volume":"7 1","pages":"3 - 7"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82337322","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":"AVAZ application (trial version) - A voice for the nonverbal children with autism spectrum disorder: A pilot study","authors":"J. Sonawane, Hansa Varshneya","doi":"10.4103/ijoth.ijoth_2_20","DOIUrl":"https://doi.org/10.4103/ijoth.ijoth_2_20","url":null,"abstract":"Background: Children with autism spectrum disorder (ASD) who are nonverbal lack communication skills. These children with ASD are unable to express their needs verbally even if they want to. The introduction of indigenous augmentative and alternative communication system (AAC) can be helpful in improving the social interaction. By using AAC, these children with ASD can easily communicate their needs with parents, teachers, or caregivers. Objective: The objective of this study is to evaluate the importance and need of AVAZ application in special school-going children with ASD. Study Design: A pilot study for short term on small sample was conducted. Methods: A sample of eight special school-going children with ASD was selected. Each child had downloaded AVAZ application trial version on their smartphone from the Google Play Store. The number of sentences formed by the children over a period of 21 days was analyzed. The responses were recorded in the AVAZ application. Results: Percentage improvement was noted in forming relevant sentences through the application of each child from the 1st to 21st session ranging from 28.5% to 40%; five children showed the improvement but three children did not form any sentence neither relevant nor nonrelevant. Conclusion: Our study showed that the use of AVAZ application can be helpful in improving social interaction and can be utilized as a supporting tool for functional communication with others and for the better learning process in children with ASD.","PeriodicalId":75019,"journal":{"name":"The Indian journal of occupational therapy","volume":"136 1","pages":"8 - 11"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86433253","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"An association of imitation skills with language development in typically developing children versus children with autism spectrum disorder and developmental delay: An observational cross-sectional study","authors":"H. Bhatia, Pratibha Vaidya","doi":"10.4103/ijoth.ijoth_27_19","DOIUrl":"https://doi.org/10.4103/ijoth.ijoth_27_19","url":null,"abstract":"Background: Recent studies have shown a significant improvement in receptive and expressive language skills of children with autism spectrum disorder (ASD) using imitation skills. Thus, this study was designed to evaluate and compare imitation skills of children with ASD, children with developmental delay (DD), and developmentally age-matched typically developing (TD) children and to associate imitation skills and receptive-expressive language development in children with ASD and in children with DD. Objectives:(1) To evaluate imitation skills in children with ASD and children with DD, (2) to compare imitation skills of children with ASD and children with DD with imitation skills of TD children, and (3) to correlate imitation skills with receptive-expressive language development of children with ASD and children with DD. Study Design: This was an observational cross-sectional study. Methods: The study included 12 children with ASD of 4-6 years, 12 children with DD of 4-6 years, and 12 TD children of age that matched the developmental age of children with ASD and children with DD. Denver II Prescreening Developmental Questionnaire was used to assess the developmental age, Motor Imitation Scale to assess the imitation skills, and MacArthur-Bates Communicative Development Inventory to assess the receptive-expressive language skills in 2 sessions of 40 min each. Results: No significant difference was found between the mean developmental age of ASD and TD (P = 1; 95% confidence interval [CI]: 1.37, 17.29), ASD and DD (P = 1; 95% CI: −8.12, 7.79), and DD and TD (P = 1; 95% CI: 1.21, 17.12). This proves that the three groups were matched as per the developmental age. A significant difference was found on comparing the imitation skills of children with ASD and TD children (P = 0.005; 95% CI: −8, 0) and children with DD and TD children (P = 0.00; 95% CI: −7, −3). On correlating imitation skills with receptive-expressive language development of children with ASD, no significant correlation was found (P = 0.948; 95% CI: −0.559, 0.587 and P = 0.455; 95% CI: −0.388, 0.714, respectively), whereas a significant correlation was found between imitation skills and receptive-expressive language development of children with DD (P = 0.014; 95% CI: 0.182, 0.903 and P = 0.034; 95% CI: 0.059, 0.877, respectively). Conclusion: Imitation skills of children with ASD and children with DD are significantly affected compared to TD children. Imitation skills might not be the only contributing factor in development of language skills.","PeriodicalId":75019,"journal":{"name":"The Indian journal of occupational therapy","volume":"39 1","pages":"19 - 23"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87864047","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":"To Analyze the effect of person-environment-occupation intervention model on stress and breast-feeding efficacy on mothers of preterm neonates: A randomized controlled study","authors":"S. Jaywant, S. Patil, Deepakkumar Shrivastav","doi":"10.4103/ijoth.ijoth_1_20","DOIUrl":"https://doi.org/10.4103/ijoth.ijoth_1_20","url":null,"abstract":"Background: Mothers of infants admitted to the neonatal intensive care unit (NICU) are believed to experience high levels of distress, which affects breastfeeding ability in nursing mothers. The Person-Environment-Occupation (PEO) model based on environmental behavior approach was used as a tool to enhance coping behavior in mothers of preterm infants. Mothers were assessed for their stress levels and breastfeeding abilities and for environmental barriers and coping skills. Objectives: The objectives of this study were to assess the effect of PEO model as a tool in the intervention of postpartum mothers of preterm infants and on parental stress levels and breastfeeding efficacy. Study Design: A randomized, intervention-controlled study design was chosen for the research. Methods: A total of 52 postpartum mothers of preterm infants of gestational age 28 weeks to 36 weeks from NICU were included using a convenient sampling method using a lottery method for random allocation into two groups. The control group was given counseling regarding breastfeeding, handling, and positioning of infants, and the experimental group received intervention considering their individual environmental barriers and then implementing appropriate solutions with client agreement. The baseline scores were obtained on the Edinburgh Postnatal Depression Scale (EPDS), Parental Stress Scale: NICU (PSS:NICU), Breastfeeding Self-Efficacy Scale (BFSES) and followup was taken after 15 day. Results: The experimental group showed a significant reduction in PSS score at 95% confidence interval [CI]: 143.86-158.57 to 95% CI: 124.88-144.95, whereas the control group showed a PSS score at 95% CI: 135.16-151.19 to 95% CI: 127.45-144.62, with P = 1.23. On EPDS, the experimental group showed a score at 95% CI: 15.99-20.22 to 95% CI: 13.16-16.19 and the control group showed a minimal reduction at 95% CI: 14.18-18.81 to 95% CI: 13.75-17.64, with P = 0.65. No infant was able to receive breastfeed preintervention; however, some of them had shown the ability to attach while feeding. This has given the confidence of breastfeeding ability to mothers. Postintervention, the experimental group showed a significant difference in breastfeeding efficacy, with P = 0.0003. Conclusions: PEO intervention model can be recommended for improving mothers' breastfeeding capabilities in preterm neonates.","PeriodicalId":75019,"journal":{"name":"The Indian journal of occupational therapy","volume":"52 1","pages":"24 - 29"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82048993","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":"National activities of professional concern and of importance: By the all india occupational therapists' association for the year 2019-2020","authors":"A. Srivastava","doi":"10.4103/ijoth.ijoth_5_20","DOIUrl":"https://doi.org/10.4103/ijoth.ijoth_5_20","url":null,"abstract":"","PeriodicalId":75019,"journal":{"name":"The Indian journal of occupational therapy","volume":"5 1","pages":"1 - 2"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85397500","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"An investigation into medical practitioners' awareness of occupational therapy in South India: A survey","authors":"K. Mani, M. Velan","doi":"10.4103/ijoth.ijoth_25_19","DOIUrl":"https://doi.org/10.4103/ijoth.ijoth_25_19","url":null,"abstract":"Background: Occupational therapists (OTs) practice on both a first contact and a referral basis. Medical practitioners are often the primary referral source for OTs. To make timely and appropriate referrals to OT, it is imperative that the referral sources demonstrate a broader level of understanding of the OT profession. Objectives: The objective was to determine the level of awareness about OT among medical practitioners in South India. Study Design: Survey research design was used to conduct this study. Methods: An electronic survey was developed for this study and sent via E-mail and social media to medical practitioners in South India who were identified through convenience and snowball sampling. Data were collected from June 15, to July 31, 2019. Results: The number of responses received was 116. Eighty-two percent of the respondents reported either being familiar with or having heard about OT. Respondents who are specialists, work in the private sector, and practice their profession in a foreign country were more familiar with the OT profession and referred patients to OT. Gender and years of medical practice did not influence the familiarity level. Conclusions: Although many respondents have heard about OT and recognize it as a profession aligned with the rehabilitation of individuals with disabilities, their responses indicate that they have a limited understanding of the profession's scope of practice, OTs' role in some practice areas, and practice settings in which OT services are delivered. The consequence of this could be missed referrals.","PeriodicalId":75019,"journal":{"name":"The Indian journal of occupational therapy","volume":"44 1","pages":"12 - 18"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86225804","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}
Grace Muppidi, A. John, M. Ángel, M. Ronald Thomvic, G. Rebekah, Sanjeev M. Padankatti
{"title":"Burdened by the bag: A school-based cross-sectional survey","authors":"Grace Muppidi, A. John, M. Ángel, M. Ronald Thomvic, G. Rebekah, Sanjeev M. Padankatti","doi":"10.4103/ijoth.ijoth_13_19","DOIUrl":"https://doi.org/10.4103/ijoth.ijoth_13_19","url":null,"abstract":"Background: The demands of education in our country have led to an increase in the loads children carry on a daily basis to school. Research evidence confirms that excessive loads lead to musculoskeletal problems in children, predisposing them to chronic back pain in adulthood. This problem becomes pertinent in primary school children, owing to the development of the spine at this age. Objectives: This study aims to assess the magnitude of the issue of heavy schoolbags, by measuring schoolbag weights and the factors affecting the ≤10% of body weight recommendation, and the children's perception of discomfort and pain. Study Design: Cross-sectional survey design was chosen for the research. Methods: Two schools with different syllabi, Indian Certificate of Secondary Examination and Central Board of Secondary Examination were approached and the schoolbags of children from Grades 1 to 5, aged 6-12-year (n = 776; boys = 402 and girls = 374), were weighed, and followed up over a week. Children were asked to rate their pain on the Faces Pain Scale-Revised and teachers' responses were collected through a teacher reported questionnaire prepared by the authors, which assessed their knowledge and control regarding the issue. Results: Majority of children carried a backpack and a separate lunch bag to and from school. A large percentage, 97.8% of schoolbags, weighed more than the recommended limit of ≤ 10% of the body weight. The mean weight of schoolbags carried was 5.9 ± 1.5 kg. Boys carried on an average 5.91 ± 1.48 kg and girls 5.98 ± 1.55 kg. Forty-eight percent of the children reported that carrying the schoolbag was causing discomfort and musculoskeletal pain and 77% of them reported discomfort at the shoulder region. Faces Pain Scale-Revised score ranged from 2 to 9 with 8 as an average intensity. Eighteen children reported absenteeism from school ranging from 1 to 5 days over the last term. The perception of teachers regarding the problem of schoolbag weights was mixed. Conclusion: This study concludes that heavy schoolbags are a problem in both the schools, with different syllabi. Being forced to carry heavy bags may lead to “schoolbag syndrome” in children. Thus, stringent measures need to be undertaken to reduce the bag burden and protect the health of children.","PeriodicalId":75019,"journal":{"name":"The Indian journal of occupational therapy","volume":"60 1","pages":"140 - 144"},"PeriodicalIF":0.0,"publicationDate":"2019-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78568649","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}