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Rehabilitation Therapies

May 2017 Keeping you up to date with the latest developments in your

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Physiotherapy

Effectiveness of an Educational Physiotherapy and Therapeutic Exercise Program in Adult Patients With Hemophilia: A Randomized Controlled Trial.

Author(s): Cuesta-Barriuso, Rubén; Torres-Ortuño, Ana; Nieto-Munuera, Joaquín; López-Pina, José Antonio

Source: Archives of Physical Medicine & Rehabilitation; May 2017; vol. 98 (no. 5); p. 841-848

Abstract: Objective To assess the efficacy of an educational physiotherapy home exercise intervention for physical improvement, pain perception, quality of life, and illness behavior in patients with hemophilic arthropathy. Design Single-blind randomized controlled trial. Setting Home. Participants Patients with hemophilia (N=20) were randomly allocated to an educational intervention group or to a control group. Interventions The educational intervention was performed every 2 weeks over a 15-week period, and home exercises were carried out once a day, 6 days a week, over the same period. Main Outcome Measures Joint status was evaluated using the Gilbert scale; pain was assessed using the visual analog scale; illness behavior was evaluated using the Illness Behavior Questionnaire; and the perception of the quality of life was evaluated using the A36 Hemophilia-QoL questionnaire. Results We observed significant differences in the intervention group and the control group for both quality of life and illness behavior. There was no significant improvement in joint status; however, an improvement was noted in terms of perception of pain in the ankle. Conclusions A physiotherapy program based on educational sessions and home exercises can improve the perception of pain in patients with hemophilic arthropathy of the ankle. It improves some variables in the perception of the quality of life and illness behavior.

Database: CINAHL

A qualitative study of older people’s experience of living with neurogenic claudication to inform the development of a physiotherapy intervention.

Author(s): Lyle, Samantha; Williamson, Esther; Darton, Frances; Griffiths, Frances; Lamb, Sarah E.

Source: Disability & Rehabilitation; May 2017; vol. 39 (no. 10); p. 1009-1017

Abstract: Purpose: The aim of this study was to explore older people’s experiences of living with neurogenic claudication (NC), their preferences for physiotherapy treatment provision and associated outcomes in order to inform an intervention to be tested in a clinical trial. Method: Patients with a diagnosis of NC and/or lumbar spinal stenosis were recruited through a UK NHS tertiary care center. Semi-structured interviews and self-report questionnaires were used to obtain data. A thematic analysis was conducted. Results:15 participants were recruited; half were classed as frail older adults. Pain and the threat of pain was a prominent feature of participants’ experience of NC. This led to a loss of engagement in meaningful

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activities and sense of self. Discourses of ageing influenced experiences as well as treatment preferences, particularly the acceptability of walking aids. A combination of one-to-one and group setting for treatment was preferred. Outcome preferences related to re-engagement in meaningful activities and pain reduction. Limitations relate to generalisability of the findings for NC patients not under physiotherapy treatment. Conclusion: We have obtained important findings about older people’s experiences of living with NC and preferences for physiotherapy treatment and outcomes. These will be incorporated into an evidence-based intervention and evaluated in a randomized controlled trial. Implications for rehabilitation Older people living with NC want to get back to meaningful activities and learn how to live with the threat of pain. Allied health professionals (AHPs) should be sensitive to the complex and ambiguous ways in which older people live with ageing and age-related decline. AHPs are in a position to support patients’ successful transition to the use of walking aids thereby reducing stigmatizing effects and increasing activity. AHPs should consider a mixture of one-to-one and group classes to enable rehabilitation for older NC patients.

Database: CINAHL

Spinal mobilization vs conventional physiotherapy in the management of chronic low back pain due to spinal disk degeneration: a randomized controlled trial.

Author(s): Krekoukias, Georgios; Gelalis, Ioannis D.; Xenakis, Theodoros; Gioftsos, Georgios; Dimitriadis, Zacharias; Sakellari, Vasiliki

Source: Journal of Manual & Manipulative Therapy May 2017; vol. 25 (no. 2); p. 66-73

Abstract: Objectives: The aim of the study was to examine the efficacy of spinal mobilization in subjects with low back pain (LBP) and associated spinal disk degeneration. Methods: Seventy-five subjects suffering from chronic LBP (>3 months) were randomly allocated into 3 groups of 25 subjects each. Each group received five treatment sessions with the first group receiving manual therapy (MT) (spinal mobilization), the second a sham treatment, and the third conventional physiotherapy (CP) (stretching exercises, transcutaneous electrical nerve stimulation, and massage). Subjects were assessed for their pain intensity using the numerical pain rating scale and for their self-reported disability using the Oswestry and Roland-Morris Questionnaire at baseline and after the completion of the five treatment sessions. Results: Pairedt-tests showed a significant improvement for all outcome measures in the MT and CP group (p 0.05). Discussion: MT is preferable to CP in order to reduce the pain intensity and disability in subjects with chronic LBP and associated disk degeneration. The findings of this study may lead to the establishment of spinal mobilization as one of the most preferable approaches for the management of LBP due to disk degeneration. Level of evidence:1b.

Database: CINAHL

Physiotherapy programme reduces fatigue in patients with advanced cancer receiving palliative care: randomized controlled trial.

Author(s): Pyszora, Anna; Budzyński, Jacek; Wójcik, Agnieszka; Prokop, Anna; Krajnik, Małgorzata

Source: Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer; May 2017

Abstract: PURPOSE Cancer-related fatigue (CRF) is a common and relevant symptom in patients with advanced cancer that significantly decreases their quality of life. The aim of this study was to evaluate the effect of a physiotherapy programme on CRF and other symptoms in patients diagnosed with advanced cancer. METHODS The study was designed as a randomized controlled trial. Sixty patients diagnosed with advanced cancer receiving palliative care were randomized into two groups: the treatment group (n = 30) and the control group (n = 30). The therapy took place three times a week for 2 weeks. The 30-min physiotherapy session included active exercises, myofascial release and proprioceptive neuromuscular facilitation (PNF) techniques. The control group did not exercise. The outcomes included Brief Fatigue Inventory (BFI), Edmonton Symptom Assessment Scale (ESAS) and satisfaction scores. RESULTS The exercise programme caused a significant reduction in fatigue scores (BFI) in terms of severity of fatigue and its impact on daily functioning. In the control group, no significant changes in the BFI were observed. Moreover, the physiotherapy programme improved patients' general well-being and reduced the intensity of coexisting symptoms such as pain, drowsiness, lack of appetite and depression. The analysis of satisfaction scores showed that it was also positively evaluated by patients. CONCLUSION The physiotherapy programme, which included active exercises, myofascial release and PNF techniques, had beneficial effects on CRF and other symptoms in patients with advanced cancer who received palliative care. The results of the study suggest that physiotherapy is a safe and effective method of CRF management.

Database: Medline

Moving forth: Imagining physiotherapy education differently.

Author(s): Barradell, Sarah

Source: Physiotherapy theory and practice; May 2017 ; p. 1-9

Abstract: Contemporary and future physiotherapists are, and will be, presented with challenges different to their forebears. Yet, physiotherapy tends to remain tied to historical ways of seeing the world: these are passed down to generations of physiotherapy graduates. These historical perspectives privilege particular knowledge and skills so that students gain competency for graduation. However, contemporary practice is inherently more complex than the focus on knowledge and skills would have us believe. Professional life requires students to develop the capability to deal with uncertain and diverse futures. This paper argues that physiotherapy needs to think differently about entry-level education; the focus on knowledge and competencies that has been the mainstay in physiotherapy education must now be understood in the context of an education that embraces knowing, doing, being. Two educational frameworks are offered in support of this argument - threshold concepts and ways of thinking and practicing (WTP). Taken together, these ideas can assist physiotherapy to think in fresh ways about disciplinary learning. Threshold concepts and WTP help to understand the nature of a discipline: its behaviors, culture, discourses, and methods. By interrogating the discursive aspects of the discipline, physiotherapy educators will be better placed to provide more relevant preparation for practice.

Database: Medline

Clinical reasoning-embodied meaning-making in physiotherapy.

Author(s): Chowdhury, Anoop; Bjorbækmo, Wenche Schrøder

Source: Physiotherapy theory and practice; May 2017 ; p. 1-10

Abstract: This article examines physiotherapists' lived experience of practicing physiotherapy in primary care, focusing on clinical reasoning and decision-making in the case of a patient we call Eva. The material presented derives from a larger study involving two women participants, both with a protracted history of neck and shoulder pain. A total of eight sessions, all of them conducted by the first author, a professional physiotherapist, in his own practice room, were videotaped, after which the first author transcribed the sessions and added reflective notes. One session emerged as particularly stressful for both parties and is explored in detail in this article. In our analysis, we seek to be attentive to the experiences of physiotherapy displayed and to explore their meaning, significance and uniqueness from a phenomenological perspective. Our research reveals the complexity of integrating multiple theoretical perspectives of practice in clinical decision-making and suggests that a phenomenological perspective can provide insights into clinical encounters through its recognition of embodied knowledge. We argue that good physiotherapy practice demands tactfulness, sensitivity, and the desire to build a cooperative patient-therapist relationship. Informed by theoretical and practical knowledge from multiple disciplines, patient management can evolve and unfold beyond rehearsed routines and theoretical principles.

Database: Medline

Do patients discharged from advanced practice physiotherapy-led clinics re-present to specialist medical services?

Author(s): Chang, Angela T; Gavaghan, Belinda; O'Leary, Shaun; McBride, Liza-Jane; Raymer, Maree

Source: Australian health review : a publication of the Australian Hospital Association; May 2017

Abstract: Objective The aim of the present study was to determine the rates of re-referral to specialist out-patient clinics for patients previously managed and discharged from an advanced practice physiotherapy-led service in three metropolitan hospitals. Methods A retrospective audit was undertaken of 462 patient cases with non-urgent musculoskeletal conditions discharged between 1 April 2014 and 30 March 2015 from three metropolitan hospitals. These patients had been discharged from the physiotherapy-led service without requiring specialist medical review. Rates and patterns of re-referral to specialist orthopaedic, neurosurgical, chronic pain, or rheumatology services within 12 months of discharge were investigated. Results Forty-six of the 462 patients (10.0%) who were managed by the physiotherapy-led service were re-referred to specialist medical orthopaedic, neurosurgical, chronic pain or rheumatology departments within 12 months of discharge. Only 22 of these patients (4.8%) were re-referred for the same condition as managed previously and discharged. Conclusions Ninety-five per cent of patients with non-urgent musculoskeletal conditions managed by an advanced practice physiotherapy-led service at three metropolitan hospitals did not re-present to access public specialist medical services for the same condition within 12 months of discharge. This is the first time that re-presentation rates have been reported for patients managed in advanced practice physiotherapy services and the findings support the effectiveness of these models of care in managing demand for speciality out-patient services.What is known about the

topic? Advanced practice physiotherapy-led services have been implemented to address the needs of patients referred with non-urgent musculoskeletal conditions to hospital specialist out-patient services. Although this model is widely used in Australia, there has been very little information about whether patients managed in these services subsequently re-present for further specialist medical care.What does this paper add? This paper identifies that the majority (95%) of patients managed by an advanced practice physiotherapy-led service did not re-present for further medical care for the same condition within 12 months of discharge.What are the implications for practitioners? This paper supports the use of advanced practice physiotherapy-led services in the management of overburdened neurosurgical and orthopaedic specialist out-patient waiting lists.

Database: Medline

The development of a patient-specific method for physiotherapy goal setting: a user-centered design.

Author(s): Stevens, Anita; Köke, Albère; van der Weijden, Trudy; Beurskens, Anna

Source: Disability and rehabilitation; May 2017 ; p. 1-8

Abstract: PURPOSE To deliver client-centered care, physiotherapists need to identify the patients' individual treatment goals. However, practical tools for involving patients in goal setting are lacking. The purpose of this study was to improve the frequently used Patient-Specific Complaints instrument in Dutch physiotherapy, and to develop it into a feasible method to improve physiotherapy goal setting. METHODS An iterative user-centered design was conducted in co-creation with the physiotherapists and patients, in three phases. Their needs and preferences were identified by means of group meetings and questionnaires. The new method was tested in several field tests in physiotherapy practices. RESULTS Four main objectives for improvement were formulated: clear instructions for the administration procedure, targeted use across the physiotherapy process, client-activating communication skills, and a client-centered attitude of the physiotherapist. A theoretical goal-setting framework and elements of shared decision making were integrated into the new-called, Patient-Specific Goal-setting method, together with a practical training course. CONCLUSIONS The user-centered approach resulted in a goal-setting method that is fully integrated in the physiotherapy process. The new goal-setting method contributes to a more structured approach to goal setting and enables patient participation and goal-oriented physiotherapy. Before large-scale implementation, its feasibility in physiotherapy practice needs to be investigated. Implications for rehabilitation Involving patients and physiotherapists in the development and testing of a goal-setting method, increases the likelihood of its feasibility in practice. The integration of a goal-setting method into the physiotherapy process offers the opportunity to focus more fully on the patient's goals. Patients should be informed about the aim of every step of the goal-setting process in order to increase their awareness and involvement. Training physiotherapists to use a patient-specific method for goal setting is crucial for a correct application.

Database: Medline

Integrating culturally informed approaches into the physiotherapy assessment and treatment of chronic pain: protocol for a pilot randomised controlled trial.

Author(s): Brady, Bernadette; Veljanova, Irena; Schabrun, Siobhan; Chipchase, Lucinda

Source: BMJ open; May 2017; vol. 7 (no. 5); p. e014449

Available in full text at BMJ Open - from National Library of Medicine

Abstract: INTRODUCTION There is strong evidence that biopsychosocial approaches are efficacious in the management of chronic pain. However, implementation of these approaches in clinical practice is known not to account for the beliefs and values of culturally and linguistically diverse (CALD) patients. This limitation in translation of research contributes to the disparities in outcomes for CALD patients with chronic pain adding to the socioeconomic burden of this prevalent condition. Cultural adaptation of chronic pain assessment and management is urgently required. Thus, the aim of this pilot randomised controlled trial (RCT) is to determine the feasibility, participant acceptance with and clinical effectiveness of a culturally adapted physiotherapy assessment and treatment approach when contrasted with 'usual evidence based physiotherapy care' for three CALD communities. METHODS AND ANALYSIS Using a participant-blinded and assessor-blinded randomised controlled pilot design, patients with chronic pain who self-identify as Assyrian, Mandaean or Vietnamese will be randomised to either 'culturally adapted physiotherapy assessment and treatment' or 'evidence informed usual physiotherapy care'. We will recruit 16 participants from each ethnocultural community that will give a total of 24 participants in each treatment arm. Both groups will receive physiotherapy treatment for up to 10 sessions over 3 months. Outcomes including feasibility data, acceptance with the culturally adapted intervention, functional and pain-related measures will be collected at baseline and 3 months by a blinded assessor. Analysis will be descriptive for feasibility

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outcomes, while measures for clinical effectiveness will be explored using independent samples t-tests and repeated measures analysis of variance. This analysis will inform sample size estimates while also allowing for identification of revisions in the protocol or intervention prior to a larger scale RCT.ETHICS AND DISSEMINATIONThis trial has full ethical approval (HREC/16/LPOOL/194). The results from this pilot RCT will be presented at scientific meetings and published in peer-reviewed journals.TRIAL REGISTRATION NUMBERACTRN12616000857404.

Database: Medline

Pelvic Physiotherapy in Children With Functional Constipation: Promising But More Research Needed.

Author(s): van Summeren, Jojanneke; Dekker, Janny; Berger, Marjolein

Source: Gastroenterology; May 2017

Database: Medline

Patient and physiotherapist perceptions of rehabilitation following primary lumbar discectomy: a qualitative focus group study embedded within an external pilot and feasibility trial.

Author(s): Rushton, Alison; Heneghan, Nicola R; Heap, Alison; White, Louise; Calvert, Melanie; Goodwin, Peter C

Source: BMJ open; May 2017; vol. 7 (no. 4); p. e015878

Available in full text at BMJ Open - from National Library of Medicine

Abstract: OBJECTIVE To evaluate patients' and physiotherapists' perceptions, preferences and feelings about rehabilitation following lumbar discectomy surgery. DESIGN A qualitative focus group study, informed from the theoretical perspective of phenomenology, of patients' and physiotherapists' experiences of rehabilitation following lumbar discectomy was conducted. The focus groups were used to explore patients' and physiotherapists' perceptions and their preferences and feelings about different approaches to rehabilitation. The focus groups were facilitated and observed by experienced researchers and were informed by a topic guide that had been piloted previously. SETTING The study was embedded within an external pilot and feasibility trial that randomised patients across two secondary care spinal surgery sites in the UK to receive either 1:1 physiotherapy and leaflet or leaflet-only interventions. PARTICIPANTS Five focus groups took place between April and July 2014. A framework analysis of thematic coding (deductive and inductive components) by two researchers captured identified themes common to both patients and physiotherapists. Data from three focus groups with patients and carers (n=11) and two with physiotherapists (n=15) contributed to the analytic framework. RESULTS Emerging themes included: the value of patient leaflets with or without physiotherapy interventions; the importance of self-motivation in the recovery pathway; benefits of group physiotherapy for some patient groups and patient preference influencing rehabilitation. CONCLUSION Patients and physiotherapists perceived the study patient leaflet and 1:1 physiotherapy interventions as high quality and valuable. Patients' personal priorities, for example, their need to return to work, influenced their preferences for rehabilitation interventions following surgery.

Database: Medline

Physiotherapy management of lower limb osteoarthritis.

Author(s): Walsh, Nicola E; Pearson, Jennifer; Healey, Emma L

Source: British medical bulletin; May 2017 ; p. 1-11

Abstract: Background Osteoarthritis (OA) of the lower limb affects millions of people worldwide, and results in pain and reduced function. We reviewed guidelines and Cochrane reviews for physical therapy interventions to manage the condition. Sources of data Evidence from meta-analyses and systematic reviews was included. We also identified the recommendations from guidelines relevant to practice in the UK.Areas of agreement There is strongest evidence to support the use of exercise to improve pain, function and quality of life. Areas of controversy There is limited evidence to support the use of some commonly utilized physiotherapy interventions. National Institute for Health and Clinical Excellence do not recommend the use of acupuncture. Growing points Programmes that include single exercise type may be more beneficial than combined strengthening and aerobic interventions. Areas timely for developing research Further research is required to determine how to facilitate long-term engagement with exercise to sustain the beneficial effects on pain, function and quality of life. Studies that investigate packages of care, combining interventions require further investigation.

Database: Medline

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Chest physiotherapy can affect the lung clearance index in cystic fibrosis patients.

Author(s): Grosse-Onnebrink, Joerg; Mellies, Uwe; Olivier, Margarete; Werner, Claudius; Stehling, Florian

Source: Pediatric pulmonology; May 2017; vol. 52 (no. 5); p. 625-631

Abstract: OBJECTIVES The lung clearance index (LCI) is determined by multiple-breath washout lung function (MBW). It is increasingly used as an endpoint in clinical trials. Chest physiotherapy (CP) is part of routine cystic fibrosis (CF) care. Whether the LCI is useful in detecting short-term treatment effects of CP has not been sufficiently investigated. We assessed the short-term influence of CP with highly standardized high-frequency chest wall oscillation (HFCWO) on the LCI in CF patients. METHODS In this randomized controlled study, the LCI was obtained in 20 CF patients (7-34 years) hospitalized for infective pulmonary exacerbation prior to and immediately after a single treatment of HFCWO. Twenty-one control group CF patients (7-51 years) received no treatment. We calculated the coefficient of repeatability (CR) to estimate the clinical relevance of possible treatment effects. RESULTS HFCWO improved (ie, decreased) the LCI by a median of 0.9 (range -0.45; 3.47; P = 0.002); the LCI decreased in 15 of 20 intervention group patients. In five patients the decrease in LCI exceeded the CR (2.15), indicating a clinically relevant treatment effect; in five patients the LCI increased but did not exceed the CR. The LCI did not change significantly in the control group patients. CONCLUSIONS HFCWO can have a short-term decreasing effect on the LCI, but the treatment response is heterogeneous. In future trials using LCI as an endpoint, the timing of CP in relation to MBW should be considered a possible bias.

Database: Medline

Physiotherapy and behavior therapy for the treatment of overactive bladder syndrome: a prospective cohort study.

Author(s): Wolz-Beck, Martina; Reisenauer, Christl; Kolenic, Giselle E; Hahn, Sabine; Brucker, Sara Y; Huebner, Markus

Source: Archives of gynecology and obstetrics; May 2017; vol. 295 (no. 5); p. 1211-1217

Abstract: PURPOSE To determine the efficacy of physiotherapy and behavior therapy and to find specific subgroups of women with overactive bladder syndrome that might gain increased benefit from this therapy. METHODS Women with ≥10 micturitions per 24-h period were included. Six to nine therapy sessions were held within a 14-day interval. Efficacy end point was a reduction in micturitions and in episodes of nocturia. Secondary outcomes included ICIQ-OAB, ICIQ-OABqol and visual analog scales. Follow-up was 6 months. Levene test, Student's t test, Pearson´s and Spearman's correlations were utilized as well as the Friedman test and a multivariable-multilevel model.RESULTS32 women were included. Mean age was 51 ± 15.9 (years ± standard deviation, sd). Mean body mass index (BMI) was 24.4 ± 4.8 (kg/m2 ± sd). There was a 22.9% reduction in the number of micturitions per 24 h (11.7 ± 1.6 vs. 9.0 ± 1.3 p < 0.001), a 21.3% reduction during the day (10.3 ± 1.4 vs. 8.1 ± 1.1 p < 0.001) and a 34.7% reduction in episodes of nocturia (1.5 ± 1.0 vs. 1.0 ± 0.8 p = 0.026). Both ICIQ-OAB (8.7 ± 2.3 vs. 5.8 ± 2.7 vs. 6.3 ± 3.3 p < 0.001) and ICIQ-OABqol (73.4 ± 25.9 vs. 47.5 ± 14.5 vs. 47.7 ± 18.6 p < 0.001) questionnaires as well as VAS (7.5 ± 1.4 vs. 4.1 ± 2.4 vs. 4.2 ± 2.7 p < 0.001) showed significant improvement persisting in the 6-month follow-up. In addition, in a multivariable model controlling for age, women who were overactive bladder syndrome therapy naïve responded significantly better than those who had already been under therapy (p < 0.001).CONCLUSIONS This study shows the efficacy of physiotherapy and behavior therapy in women with overactive bladder syndrome with a post-therapy effect especially for women with no prior treatment.

Database: Medline

Occupational Therapy

Cancer and Employment: Opportunities for Occupational Therapy in the Coming Decade.

Author(s): Braveman, Brent

Source: OT Practice; May 2017 ; p. 27-29

Available in full text at OT Practice - from ProQuest

Database: CINAHL

Characteristics of Students Receiving Occupational Therapy Services in Transition and Factors Related to Postsecondary Success.

Author(s): Eismann, Maria M.; Weisshaar, Rebecca; Capretta, Cristina; Cleary, Dennis S.; Kirby, Anne V.; Persch, Andrew C.

Source: American Journal of Occupational Therapy; May 2017; vol. 71 (no. 3); p. 1-9

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Available in full text at American Journal of Occupational Therapy, The - from ProQuest

Abstract: OBJECTIVE. This study had a twofold purpose: (1) identify the characteristics of people with disabilities who received occupational therapy services during their transition to adulthood and (2) determine factors associated with their successful postsecondary transition. METHOD. This study was a secondary analysis of National Longitudinal Study-2 data. Data analyses include descriptive statistics, binary logistic regression, and simple linear regression. RESULTS. Autism, cerebral palsy, and intellectual disability were the most commonly reported disability classifications. Participation in postsecondary education was significantly associated with functional use of arms and hands. Postsecondary employment was significantly associated with verbal comprehension. Participation in community activities was significantly related to students' health status, and participation in community service was significantly related to students' functional use of arms and hands. CONCLUSION. Providing transition services to students with disabilities remains an emerging area of practice. Occupational therapy practitioners may contribute to transition teams by intervening to improve functional abilities and health status.

Database: CINAHL

Detection and Treatment of Autism Spectrum Disorder by Occupational Therapy Practitioners: Addressing Racial Disparity in Diagnosis.

Author(s): Gibbs, Varleisha D.



Abstract: As the prevalence of autism spectrum disorder (ASD) continues to rise, racial disparities remain in age of diagnosis and initiation of treatment. Therefore, occupational therapy practitioners should examine cultural perceptions related to disparities in ASD diagnosis. This article investigates the role that practitioners may play in this disparity by asking, "Are occupational therapy practitioners contributing to the late diagnosis of children with ASD who are members of particular racial or ethnic groups?" Correlations among practitioners' detection of symptoms, parents' perceptions, and evaluator influences are investigated. By examining these factors, practitioners may gain better insight into these disparities and therefore provide more effective advocacy regarding early diagnosis and treatment access.

Database: CINAHL

Embedding Questions During Online Lecture Capture to Promote Learning and Transfer of Knowledge.

Author(s): Griswold, Lou Ann; Overson, Catherine E.; Benassi, Victor A.



Abstract: We examined the effect of quizzing on students' ability to apply lecture content to clinical examples on an inclass exam. Fifty-six occupational therapy students in a graduate-level course completed three online modules that included lectures, slide presentations, demonstrations, and video clips. Throughout each module, students were given "Learning Moments," in which they were asked a question (Question condition); were asked to read a statement confirming the content presented (Study condition); or were not asked to do anything (Not Asked condition). The Question condition resulted in better exam performance than the combined Study and Not Asked conditions (p < .01), whereas performance on Study and Not Asked questions did not differ (p = .67). Students performed better on material on which they had been previously quizzed (i.e., testing effect). Quizzing may be a good strategy to prepare students for clinical practice.

Database: CINAHL

Vision 2025.



Abstract: The article discusses the "Vision 2025" initiative of the American Occupational Therapy Association (AOTA) which aims to guide the occupational therapy profession beyond 2017. Topics discussed include AOTA's visioning process, the "AOTA Vision Summit" held in October 2015, and "Vision 2025" guideposts.

Database: CINAHL

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Participant-perceived outcomes of merging yoga and occupational therapy: Self-management intervention for people post stroke.

Author(s): Atler, Karen E.; Van Puymbroeck, Marieke; Portz, Jennifer D.; Schmid, Arlene A.

Source: British Journal of Occupational Therapy; May 2017; vol. 80 (no. 5); p. 294-301

Abstract: Introduction: There is a need for development and validation of post-stroke fall-prevention programs. This qualitative study provides an inside look into participant-perceived outcomes of a new and innovative self-management intervention: Merging Yoga and Occupational Therapy. Method: A qualitative approach was employed. Thirteen participants, who were more than 6 months post stroke and self-reported falling or a fear of falling, engaged in focus groups and individual interviews following participation in the intervention twice weekly for 8 weeks. Data from focus groups and individual interviews were analyzed using an iterative, inductive approach. Findings: Five outcomes emerged from the line-by-line analysis: (1) improved abilities and capacities, (2) gained new knowledge, (3) enhanced engagement in activities, (4) improved relaxation, and (5) increased confidence and inspiration. Conclusion: Participants experienced positive outcomes from engagement in a community-based multimodal fall-prevention self management program for people post stroke.

Database: CINAHL

An acute interprofessional simulation experience for occupational and physical therapy students: Key findings from a survey study.

Author(s): Thomas, Erin M.; Rybski, Melinda F.; Apke, Tonya L.; Kegelmeyer, Deb A.; Kloos, Anne D.

Source: Journal of Interprofessional Care; May 2017; vol. 31 (no. 3); p. 317-324

Abstract: Due to the fast pace and high complexity of managing patients in intensive and acute care units (ICUs), healthcare students often feel challenged and unprepared to practice in this environment. Simulations and standardised patients provide "hands-on" learning experiences that are realistic and help students to gain competence and confidence. This study examined the impact of an intensive case simulation laboratory using a patient simulator and standardised patients on students’ perceptions of their confidence and preparedness to work in acute care settings. Second-year Masters of Occupational Therapy (MOT;n = 127) and Doctor of Physical Therapy (DPT;n = 105) students participated in a three-hour intensive care simulation laboratory comprised of four stations that were designed to simulate common ICU patient care scenarios. Data analysed were student pre- and post-simulation surveys and written comments, and clinical instructors’ (CIs;n = 51) ratings on DPT students’ preparedness and confidence within the first two weeks of their acute care internships obtained after the laboratory. There was a significant increase for DPT (p < 0.0001) and MOT (p < 0.10) students in median ratings of how prepared they felt to practice in acute care settings following the ICU simulation compared to before the laboratory. CIs rated the DPT students as either prepared or very prepared for and moderately confident or very confident in the acute care setting. The use of simulation training using standardised patients and patient simulators was beneficial in increasing student confidence and preparing OT and PT students to practice in the acute care setting. Health professional educators should consider using an interprofessional simulation experience to improve their students’ confidence and preparedness to provide appropriate care in the acute setting.

Database: CINAHL

Continuing the mind and spirit of occupational therapy in retirement.

Author(s): Embrey, Emi; Zur, Briana

Source: Occupational Therapy Now; May 2017; vol. 19 (no. 3); p. 22-24

Available in full text at Occupational Therapy Now - from ProQuest

Database: CINAHL

The role of occupational therapy in accessing informal care.

Author(s): Walsh, (Hedy) Anna

Source: Occupational Therapy Now; May 2017; vol. 19 (no. 3); p. 29-31

Available in full text at Occupational Therapy Now - from ProQuest

Database: CINAHL

Ingredients and change processes in occupational therapy for children: a grounded theory study.

Author(s): Armitage, Samantha; Swallow, Veronica; Kolehmainen, Niina

http://linker2.worldcat.org/?rft.institution_id=130084&spage=22&pkgName=nhshospital&PQUEST.WAYFlessID=146454&issn=1481-5532&linkclass=to_article&jKey=27815&issue=3&provider=PQUEST&date=2017-05&aulast=Embrey%2C+Emi%3B+Zur%2C+Briana&atitle=Continuing+the+mind+and+spirit+of+occupational+therapy+in+retirement.&title=Occupational+Therapy+Now&rft.content=fulltext%2Cprint&linkScheme=pquest.athens&jHome=http%3A%2F%2Fsearch.proquest.com%2Fpublication%2F27815%2Fshibboleth%3Faccountid%3D146454&volume=19&rft.id=info%3Apmid%2F&rft.order_by=preference&linktype=best

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Source: Scandinavian Journal of Occupational Therapy; May 2017; vol. 24 (no. 3); p. 208-213

Abstract: Background: There is limited evidence about the effectiveness of occupational therapy interventions for participation outcomes in children with coordination difficulties. Developing theory about the interventions, i.e. their ingredients and change processes, is the first step to advance the evidence base. Aim: To develop theory about the key ingredients of occupational therapy interventions for children with coordination difficulties and the processes through which change in participation might happen. Material and methods: Grounded theory methodology, as described by Kathy Charmaz, was used to develop the theory. Children and parents participated in semi-structured interviews to share their experiences of occupational therapy and processes of change. Data collection and analysis were completed concurrently using constant comparison methods. Results: Five key ingredients of interventions were described: performing activities and tasks; achieving; carer support; helping and supporting the child; and labelling. Ingredients related to participation by changing children’s mastery experience, increasing capability beliefs and sense of control. Parents’ knowledge, skills, positive emotions, sense of empowerment and capability beliefs also related to children’s participation. Conclusion and significance: The results identify intervention ingredients and change pathways within occupational therapy to increase participation. It is unclear how explicitly and often therapists consider and make use of these ingredients and pathway.

Database: CINAHL

Developing a Life Skills Program to Address Functional Needs of Middle School Students With Disabilities.

Author(s): Kiraly-Alvarez, Anne F.



Database: CINAHL

Navigating the Evidence for Sensory-Based Therapies.

Author(s): Watling, Renee; Lane, Alison E.



Database: CINAHL

Using Multi-Message Switches to Promote Participation in Children With Disabilities.

Author(s): Lancaster, Stephanie



Database: CINAHL

Goal-Directed, Protocol-Driven, and Parent-Led Home-Based Infant Enrichment Programs.

Author(s): Bristol, Stephanie; Coker-Bolt, Patty



Database: CINAHL

AOTA Critically Appraised Topic Series: Autism Spectrum Disorder.



Database: CINAHL

Taking Care of Oneself While Working as a Manager.

Author(s): Tilton, Melissa J.



Database: CINAHL

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Occupational Therapy Outcome Measures for Community Mental Health Services.

Author(s): Lannigan, Elizabeth Griffin



Database: CINAHL

Implementing the ICU Diary in the Medical Intensive Care Unit.

Author(s): Laxton, Lyndsay



Database: CINAHL

Preemptive Home Modifications for Fall Prevention and Facilitating Participation in Older Adults in PACE Program.

Author(s): Mulry, Claire; Gardner, Jennifer; Hardaway, Holly; Zissler-Syers, Kimberly; Scimeca, Kelly; Curcio, Christopher M.; Shah, Monica; Herrera, Louis



Database: CINAHL

Living Life With Vision Loss: A Community-Based Self-Management Program for People With Low Vision.

Author(s): Perlmutter, Monica S.; Hussey, Gabrielle



Database: CINAHL

Functional Brain Stimulation in a Chronic Stroke Survivor With Moderate Impairment.

Author(s): Peters, Heather T.; Pisegna, Janell; Faieta, Julie; Page, Stephen J.



Abstract: OBJECTIVE. To determine the impact of transcranial direct current stimulation (tDCS) combined with repetitive, task-specific training (RTP) on upper-extremity (UE) impairment in a chronic stroke survivor with moderate impairment. METHOD. The participant was a 54-yr-old woman with chronic, moderate UE hemiparesis after a single stroke that had occurred 10 yr before study enrollment. She participated in 45-min RTP sessions 3 days/wk for 8 wk. tDCS was administered concurrent to the first 20 min of each RTP session. RESULTS. Immediately after intervention, the participant demonstrated marked score increases on the UE section of the Fugl--Meyer Scale and the Motor Activity Log (on both the Amount of Use and the Quality of Movement subscales). CONCLUSION. These data support the use of tDCS combined with RTP to decrease impairment and increase UE use in chronic stroke patients with moderate impairment. This finding is crucial, given the paucity of efficacious treatment approaches in this impairment level.

Database: CINAHL

Impact of PANS and PANDAS Exacerbations on Occupational Performance: A Mixed-Methods Study.

Author(s): Trigilio Tona, Janice; Bhattacharjya, Sutanuka; Calaprice, Denise



Abstract: OBJECTIVE. Pediatric acute-onset neuropsychiatric syndrome (PANS) includes pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and involves sudden-onset neuropsychiatric symptoms, including obsessions, compulsions, sensory difficulties, and dysgraphia after infection or other triggers. Our objective was to identify problems with areas of occupation, body functions, and performance skills during exacerbations. METHOD. In this online retrospective study, based on the Occupational Therapy Practice Framework: Domain and Process (2nd ed.), we surveyed parents of 111 children with PANS. RESULTS. Activities of daily living, math, handwriting, extracurricular activities, free

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http://linker2.worldcat.org/?rft.institution_id=130084&spage=19&pkgName=nhshospital&PQUEST.WAYFlessID=146454&issn=1084-4902&linkclass=to_article&jKey=33664&provider=PQUEST&date=2017-05&aulast=Laxton%2C+Lyndsay&atitle=Implementing+the+ICU+Diary+in+the+Medical+Intensive+Care+Unit.&title=OT+Practice&rft.content=fulltext%2Cprint&linkScheme=pquest.athens&jHome=http%3A%2F%2Fsearch.proquest.com%2Fpublication%2F33664%2Fshibboleth%3Faccountid%3D146454&rft.id=info%3Apmid%2F&rft.order_by=preference&linktype=best

http://linker2.worldcat.org/?rft.institution_id=130084&spage=21&pkgName=nhshospital&PQUEST.WAYFlessID=146454&issn=1084-4902&linkclass=to_article&jKey=33664&provider=PQUEST&date=2017-05&aulast=Mulry%2C+Claire%3B+Gardner%2C+Jennifer%3B+Hardaway%2C+Holly%3B+Zissler-Syers%2C+Kimberly%3B+Scimeca%2C+Kelly%3B+Curcio%2C+Christopher+M.%3B+Shah%2C+Monica%3B+Herrera%2C+Louis&atitle=Preemptive+Home+Modifications+for+Fall+Prevention+and+Facilitating+Participation+in+Older+Adults+in+PACE+Program.&title=OT+Practice&rft.content=fulltext%2Cprint&linkScheme=pquest.athens&jHome=http%3A%2F%2Fsearch.proquest.com%2Fpublication%2F33664%2Fshibboleth%3Faccountid%3D146454&rft.id=info%3Apmid%2F&rft.order_by=preference&linktype=best

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play, organized sports, community and family social participation, higher level thinking, attention, memory, sequencing, emotional coping, and energy and drive were commonly affected during exacerbations. During exacerbations, children often required assistance and adaptation to remain functional or were unable to function at a typical level. CONCLUSION. Children with PANS present with pervasive occupational performance needs during exacerbation. Children and families may benefit from accommodations to maximize function during this turbulent period.

Database: CINAHL

Navigating the Hidden Curriculum of Higher Education for Postsecondary Students With Intellectual Disabilities.

Author(s): Berg, Lucretia A.; Jirikowic, Tracy; Haerling, Katie



Abstract: Students with intellectual and/or developmental disabilities (IDD) Increasingly pursue postsecondary education (PSE). Navigating the hidden curriculum--including meeting prerequisites for PSE and employment, using support systems and community transportation, and carrying out adulthood expectations--is an area of challenge. This exploratory case study examined experiences of students with IDD attending a PSE program and stakeholder perspectives. Thirty-two participants (10 students with IDD, 5 parents or guardians, 4 college administrators, 8 college instructors, 4 occupational therapists, and a transition specialist) were interviewed. Conventional content analysis revealed navigating the hidden curriculum as a key theme and three subthemes: (1) adult-based system navigation, (2) persisting challenges with adaptive behaviors, and (3) disability awareness and disclosure. Limited awareness of disability and supports and services needed for a successful PSE outcome were contributing factors. Occupational therapists have the skills to support students with IDD in skill acquisition to successfully transition to and navigate PSE and the hidden curriculum.

Database: CINAHL

Occupational Performance Coaching for Stroke Survivors: A Pilot Randomized Controlled Trial.

Author(s): Kessler, Dorothy; Egan, Mary; Dubouloz, Claire-Jehanne; McEwen, Sara; Graham, Fiona P.



Abstract: OBJECTIVE. We examined the feasibility of study procedures and explored the potential efficacy of Occupational Performance Coaching for stroke survivors (OPC--Stroke), an intervention designed to improve participation after stroke. METHOD. In this pilot randomized controlled trial, 21 participants were randomized to receive the intervention or usual care. Recruitment, retention, and outcome completion rates were calculated. Direction of change and effect sizes were examined for the outcomes of participation, goal performance and satisfaction, goal self-efficacy, emotional well-being, and cognition. RESULTS. Rates of recruitment (66%) and retention (81%) were satisfactory. Participation scores improved for both groups with different trajectories. Results showed a moderate effect of OPC--Stroke for goal performance (η²partial d = .075) and satisfaction (η²partial d = .078) and a large effect for cognition (η²partial d = .167). Other outcome measures did not change as expected. CONCLUSION. Study procedures were generally feasible. Preliminary findings support testing to examine the efficacy of OPC--Stroke.

Database: CINAHL

Occupational Therapy Interventions for Adults With Traumatic Brain Injury.

Author(s): Wheeler, Steven; Acord-Vira, Amanda; Arbesman, Marian; Lieberman, Deborah



Abstract: This Evidence Connection describes a case report of an adult with traumatic brain injury (TBI), applying the evidence for intervention from the systematic reviews on TBI that were conducted in conjunction with the American Occupational Therapy Association's (AOTA's) Evidence-Based Practice Project. The occupational therapy assessment and treatment processes for hospital, home, and community settings are described. Evidence Connection articles provide a clinical application of systematic reviews developed in conjunction with AOTA's Evidence-Based Practice Project.

Database: CINAHL

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http://linker2.worldcat.org/?rft.institution_id=130084&spage=1&pkgName=nhshospital&PQUEST.WAYFlessID=146454&issn=0272-9490&linkclass=to_article&jKey=47935&issue=3&provider=PQUEST&date=2017-05&aulast=Wheeler%2C+Steven%3B+Acord-Vira%2C+Amanda%3B+Arbesman%2C+Marian%3B+Lieberman%2C+Deborah&atitle=Occupational+Therapy+Interventions+for+Adults+With+Traumatic+Brain+Injury.&title=American+Journal+of+Occupational+Therapy%2C+The&rft.content=fulltext%2Cprint&linkScheme=pquest.athens&jHome=http%3A%2F%2Fsearch.proquest.com%2Fpublication%2F47935%2Fshibboleth%3Faccountid%3D146454&volume=71&rft.id=info%3Apmid%2F&rft.order_by=preference&linktype=best

Occupational Therapy's Role in Cancer Survivorship as a Chronic Condition.

Author(s): Baxter, Mary Frances; Newman, Robin; Longpre, Sheila M.; Polo, Katie M.



Abstract: Improved medical care has resulted In a documented Increase In cancer survivors In the United States. Cancer survivors face challenges in participation across all facets of life as a result of the cancer and subsequent cancer treatments. Long-term and late-term sequelae can result in impairments in neurological systems, decreased stamina, loss of range of motion, and changes in sensation and cognition. These impairments are often long lasting, which categorizes cancer survivorship as a chronic condition. This categorization presents treatment challenges, especially in creating rehabilitation and habilitation service options that support cancer survivors. Occupational therapy provides a unique focus that can benefit cancer survivors as they face limitations in participation in all aspects of daily living. Research, advocacy, and education efforts are needed to focus on the specific rehabilitation and habilitation needs of cancer survivors to increase access to occupational therapy's distinct value.

Database: CINAHL

Somatosensory Discrimination Intervention Improves Body Position Sense and Motor Performance in Children With Hemiplegic Cerebral Palsy.

Author(s): McLean, Belinda; Taylor, Susan; Blair, Eve; Valentine, Jane; Carey, Leeanne; Elliott, Catherine



Abstract: OBJECTIVE. This study examined the use of the adult neuroscience-based Sense© intervention with children with hemiplegic cerebral palsy (HCP) to improve upper-limb somatosensory discrimination, motor function, and goal performance. METHOD. Seventeen children with HCP (9 boys, 8 girls; mean age = 10.2 yr) participated in this pilot matched-pairs trial with random allocation and 6-mo follow-up (intervention, n = 7; control, n = 10). The intervention group received Sense training 3x/wk for 6 wk (18 hr). Outcome measures included Goal Attainment Scaling, Sense_assess© Kids, and the Assisting Hand Assessment. RESULTS. The intervention group improved in goal performance, proprioception, and bimanual hand use and maintained improvement at 6-mo follow-up. The control group improved in occupational performance by 6-mo follow-up. CONCLUSION. This study established the feasibility of using the Sense intervention in a pediatric setting and adds preliminary evidence to suggest that improving somatosensory function can improve motor function and goal performance among children with HCP.

Database: CINAHL

Supporting Stroke Motor Recovery Through a Mobile Application: A Pilot Study.

Author(s): Lawson, Sonia; Ziying Tang; Jinjuan Feng



Abstract: Neuroplasticity and motor learning are promoted with repetitive movement, appropriate challenge, and performance feedback. ARMStrokes, a smartphone application, incorporates these qualities to support motor recovery. Engaging exercises are easily accessible for improved compliance. In a multiple-case, mixed-methods pilot study, the potential of this technology for stroke motor recovery was examined. Exercises calibrated to the participant's skill level targeted forearm, elbow, and shoulder motions for a 6-wk protocol. Visual, auditory, and vibration feedback promoted self-assessment. Pre- and posttest data from 6 chronic stroke survivors who used the app in different ways (i.e., to measure active or passive motion, to track endurance) demonstrated improvements inaccuracy of movements, fatigue, range of motion, and performance of daily activities. Statistically significant changes were not obtained with this pilot study. Further study on the efficacy of this technology is supported.

Database: CINAHL

Revision of the Competency Standards for Occupational Therapy Driver Assessors: An overview of the evidence for the inclusion of cognitive and perceptual assessments within fitness-to-drive evaluations.

Author(s): Fields, Sally M; Unsworth, Carolyn A

Source: Australian occupational therapy journal; May 2017

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Abstract: BACKGROUND/AIM Determination of fitness-to-drive after illness or injury is a complex process typically requiring a comprehensive driving assessment, including off-road and on-road assessment components. The competency standards for occupational therapy driver assessors (Victoria, Australia) define the requirements for performance of a comprehensive driving assessment, and we are currently revising these. Assessment of cognitive and perceptual skills forms an important part of the off-road assessment. The aim of this systematic review of systematic reviews (known as an overview) is to identify what evidence exists for including assessment of cognitive and perceptual skills within fitness-to-drive evaluations to inform revision of the competency standards. METHODS Five electronic databases (MEDLINE, CINAHL, PsycINFO, The Cochrane Library, OT Seeker) were systematically searched. Systematic review articles were appraised by two authors for eligibility. Methodological quality was independently assessed using the AMSTAR tool. Narrative analysis was conducted to summarise the content of eligible reviews. RESULTS A total of 1228 results were retrieved. Fourteen reviews met the inclusion criteria. Reviews indicated that the components of cognition and perception most frequently identified as being predictive of fitness-to-drive were executive function (n = 13), processing speed (n = 12), visuospatial skills, attention, memory and mental flexibility (n = 11). Components less indicative were perception, concentration (n = 10), praxis (n = 9), language (n = 7) and neglect (n = 6).CONCLUSION This overview of systematic reviews supports the inclusion of assessment of a range of cognitive and perceptual skills as key elements in a comprehensive driver assessment and therefore should be included in the revised competency standards for occupational therapy driver assessors.

Database: Medline

Embracing international students in occupational therapy higher education in Australia: Challenge or asset?

Author(s): Yu, Mong-Lin; Brown, Ted; Farnworth, Louise


Database: Medline

A bibliometric analysis of occupational therapy publications.

Author(s): Brown, Ted; Gutman, Sharon A; Ho, Yuh-Shan; Fong, Kenneth N K

Source: Scandinavian journal of occupational therapy; May 2017 ; p. 1-14

Abstract: BACKGROUND Bibliometrics involves the statistical analysis of the publications in a specific discipline or subject area. A bibliometric analysis of the occupational therapy refereed literature is needed. AIM A bibliometric analysis was completed of the occupational therapy literature from 1991-2014, indexed in the Science Citation Index-Expanded or the Social Sciences Citation Index. METHOD Publications were searched by title, abstract, keywords, and KeyWords Plus. Total number of article citations, citations per journal, and contributions per country, individual authors, and institution were calculated.RESULTS5,315 occupational therapy articles were published in 821 journals. It appears that there is a citation window of an approximate 10-year period between the time of publication and the peak number of citations an article receives. The top three most highly cited articles were published in Developmental Medicine and Child Neurology, JAMA, and Lancet. AJOT, BJOT and AOTJ published the largest number of occupational therapy articles with the United States, Australia, and Canada producing the highest number of publications. McMaster University, the University of Queensland, and the University of Toronto were the institutions that published the largest number of occupational therapy journal articles. CONCLUSION The occupational therapy literature is growing and the frequency of article citation is increasing.

Database: Medline

Exploring the role of occupational therapy in caring for cancer survivors in Australia: A cross sectional study.

Author(s): Buckland, Nicole; Mackenzie, Lynette


Abstract: BACKGROUND/AIM With increasing rates of cancer survival in Australia, more people are living with long-term side effects of cancer and its treatment, and cancer survivorship is now considered a distinct phase of cancer care. While occupational therapists play an integral role in multidisciplinary care for people with chronic conditions, there is little evidence documenting the occupational therapy role for people living with chronic cancer-related conditions. This study aimed to explore the views of Australian occupational therapists about current practice and what constitutes best practice for cancer survivors. METHODS A cross-sectional online survey was developed and distributed via emailed invitations to the Occupational Therapy Australia membership to collect responses from occupational therapists in a range of locations and

practice settings around Australia. RESULTS A total of 204 completed surveys were returned (response rate of 4%). More than 70% (n = 143) of respondents worked with people with cancer at least sometimes and most worked in acute (13.8%, n = 28) or community (11.2%, n = 23) settings. Participants rated equipment provision as the most common intervention (94%, n = 192), followed by energy conservation (91%, n = 185) and pressure care (78%, n = 160). Lack of funding for occupational therapy positions and a lack of recognition of the role of occupational therapy by health professionals and consumers were identified as key barriers to survivorship care. CONCLUSION Research is needed to provide evidence supporting the role and practice of occupational therapy with cancer survivors. Collaborative work with multidisciplinary teams is needed to develop long-term routine treatment pathways that include occupational therapy interventions.

Database: Medline

Characteristics and consequences of falls among older adult trauma patients: Considerations for injury prevention programs.

Author(s): Chippendale, Tracy; Gentile, Patricia A; James, Melissa K


Abstract: BACKGROUND/AIM Health promotion and prevention is an important component of occupational therapy practice. Falls are one of the most common causes of ER visits among older adults and injurious falls requiring trauma care can have a significant impact on the health and quality of life of elders. The aim of this study was to compare characteristics and consequences of falls among older adult trauma patients across different age groups with an eye towards informing injury prevention programs. METHODS A retrospective study using the trauma database from a level one trauma centre in the U.S. (N = 711) was conducted. We compared patient and fall characteristics across age groups and then used logistic regression to estimate odds ratios for hospital length of stay >4 days, discharge disposition, and injury severity (ISS >15).RESULTS Associations between age group and fall height, location and alcohol use at the time of the fall were statistically significant (P < 0.0001). As compared to the reference group (85 and older), younger age groups had lower odds ratios for discharge to a facility for rehabilitation. CONCLUSION Results highlight differences among age groups of fallers admitted for trauma care and can help to inform injury prevention programs related to outdoor and indoor falls.

Database: Medline

Problem-based learning in occupational therapy curriculum - implications and challenges.

Author(s): Avrech Bar, Michal; Pade, Margalit; Jarus, Tal; Gat, Sarah; Kaufman Cohen, Yael; Lipskaya-Velikovsky, Lena

Source: Disability and rehabilitation; May 2017 ; p. 1-7

Abstract: PURPOSE Problem-based learning (PBL) is an educational method that fosters self-directed study in small groups. The purpose of this study was to describe the Tel Aviv University's occupational therapy (OT) program and the challenges implementing such program. In addition, the study compared the PBL grades obtained by students who are native Hebrew speakers with those students who are native Arabic speakers; and, assessed the correlation between the grades in the PBL course and the grades in the clinical fieldwork studies.METHOD166-second year OT undergraduate students participated. All completed three PBL courses and seven weeks of clinical fieldwork studies. Data collection included students' grades in PBL course (based on PBL evaluation forms) and in clinical fieldwork studies (based on preceptor's evaluation and a written assignment).RESULTS Pearson correlations revealed significant correlations between PBL grades and clinical fieldwork studies grades. T-test analysis between students who are native Hebrew speakers and those who are native Arabic speakers revealed significant differences in PBL grades. CONCLUSIONS Findings imply partial congruence between students' grades in the PBL course and their achievements in the fieldwork studies. Findings might suggest that adjustments should be made in order to assist students from minorities (challenged by language requirements) in gaining higher grades in the PBL program. Implications for Rehabilitation Problem-Based Learning (PBL) is an educational method, which fosters independent, self-directed study in small groups. PBL studies have the potential to prepare students for their clinical experience during studies. The PBL program should be adjusted for students from minorities (challenged by language requirements and different cultural backgrounds) in order to assist them in gaining more benefits from the program.

Database: Medline

Occupational therapists' perception of the concept of occupational balance.

Author(s): Yazdani, Farzaneh; Harb, Alia; Rassafiani, Mehdi; Nobakht, Laya; Yazdani, Nastaran

Source: Scandinavian journal of occupational therapy; May 2017 ; p. 1-10

Abstract: INTRODUCTION Occupational balance is one of the concepts used by occupational therapists with no consensus on its definition. Literature demonstrates different perspectives when this concept is applied in practice and in its link to other concepts such as health and well-being. This study aims to explore how the concept of occupational balance is perceived and practised by occupational therapy practitioners. METHOD A qualitative methodology was employed. Fourteen occupational therapists volunteered for the study. Nine occupational therapy practitioners were interviewed individually and five attended a focus group. Thematic analysis was applied to analyze the data. RESULTS Six themes were identified as follows: (1) occupational balance: what it is; (2) how occupational balance is formed; (3) occupational balance and well-being (4); subjective and objective representations of occupational balance (5); what disrupts/affects occupational balance; and (6) occupational balance/imbalance and occupational therapy practice. CONCLUSIONS Both objective and subjective experiences of occupational balance need to be considered in order to make an informed decision in practice. The right occupational balance for each individual should be based on his/her values but with consideration of the principal of no harm to others.

Database: Medline

Approaches to studying predict academic performance in undergraduate occupational therapy students: a cross-cultural study.

Author(s): Bonsaksen, Tore; Brown, Ted; Lim, Hua Beng; Fong, Kenneth

Source: BMC medical education; May 2017; vol. 17 (no. 1); p. 76

Publication Date: May 2017

Publication Type(s): Journal Article

Available in full text at BMC Medical Education - from BioMed Central

Abstract: BACKGROUND Learning outcomes may be a result of several factors including the learning environment, students' predispositions, study efforts, cultural factors and approaches towards studying. This study examined the influence of demographic variables, education-related factors, and approaches to studying on occupational therapy students' Grade Point Average (GPA).METHODS Undergraduate occupational therapy students (n = 712) from four countries completed the Approaches and Study Skills Inventory for Students (ASSIST). Demographic background, education-related factors, and ASSIST scores were used in a hierarchical linear regression analysis to predict the students' GPA.RESULTS Being older, female and more time engaged in self-study activities were associated with higher GPA among the students. In addition, five ASSIST subscales predicted higher GPA: higher scores on 'seeking meaning', 'achieving', and 'lack of purpose', and lower scores on 'time management' and 'fear of failure'. The full model accounted for 9.6% of the variance related to the occupational therapy students' GPA.CONCLUSIONS To improve academic performance among occupational therapy students, it appears important to increase their personal search for meaning and motivation for achievement, and to reduce their fear of failure. The results should be interpreted with caution due to small effect sizes and a modest amount of variance explained by the regression model, and further research on predictors of academic performance is required.

Database: Medline

Developing a Life Skills Program to Address Functional Needs of Middle School Students With Disabilities.

Author(s): Kiraly-Alvarez, Anne F.



Database: CINAHL

Cancer and Employment: Opportunities for Occupational Therapy in the Coming Decade.

Author(s): Braveman, Brent



Database: CINAHL

Impact of PANS and PANDAS Exacerbations on Occupational Performance: A Mixed-Methods Study.

Author(s): Trigilio Tona, Janice; Bhattacharjya, Sutanuka; Calaprice, Denise


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Abstract: OBJECTIVE. Pediatric acute-onset neuropsychiatric syndrome (PANS) includes pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and involves sudden-onset neuropsychiatric symptoms, including obsessions, compulsions, sensory difficulties, and dysgraphia after infection or other triggers. Our objective was to identify problems with areas of occupation, body functions, and performance skills during exacerbations. METHOD. In this online retrospective study, based on the Occupational Therapy Practice Framework: Domain and Process (2nd ed.), we surveyed parents of 111 children with PANS. RESULTS. Activities of daily living, math, handwriting, extracurricular activities, free play, organized sports, community and family social participation, higher level thinking, attention, memory, sequencing, emotional coping, and energy and drive were commonly affected during exacerbations. During exacerbations, children often required assistance and adaptation to remain functional or were unable to function at a typical level. CONCLUSION. Children with PANS present with pervasive occupational performance needs during exacerbation. Children and families may benefit from accommodations to maximize function during this turbulent period.

Database: CINAHL

Occupational Performance Coaching for Stroke Survivors: A Pilot Randomized Controlled Trial.

Author(s): Kessler, Dorothy; Egan, Mary; Dubouloz, Claire-Jehanne; McEwen, Sara; Graham, Fiona P.



Abstract :OBJECTIVE. We examined the feasibility of study procedures and explored the potential efficacy of Occupational Performance Coaching for stroke survivors (OPC--Stroke), an intervention designed to improve participation after stroke. METHOD. In this pilot randomized controlled trial, 21 participants were randomized to receive the intervention or usual care. Recruitment, retention, and outcome completion rates were calculated. Direction of change and effect sizes were examined for the outcomes of participation, goal performance and satisfaction, goal self-efficacy, emotional well-being, and cognition. RESULTS. Rates of recruitment (66%) and retention (81%) were satisfactory. Participation scores improved for both groups with different trajectories. Results showed a moderate effect of OPC--Stroke for goal performance (η²partial d = .075) and satisfaction (η²partial d = .078) and a large effect for cognition (η²partial d = .167). Other outcome measures did not change as expected. CONCLUSION. Study procedures were generally feasible. Preliminary findings support testing to examine the efficacy of OPC--Stroke.

Database: CINAHL

Occupational Therapy Interventions for Adults With Traumatic Brain Injury.

Author(s): Wheeler, Steven; Acord-Vira, Amanda; Arbesman, Marian; Lieberman, Deborah



Abstract: This Evidence Connection describes a case report of an adult with traumatic brain injury (TBI), applying the evidence for intervention from the systematic reviews on TBI that were conducted in conjunction with the American Occupational Therapy Association's (AOTA's) Evidence-Based Practice Project. The occupational therapy assessment and treatment processes for hospital, home, and community settings are described. Evidence Connection articles provide a clinical application of systematic reviews developed in conjunction with AOTA's Evidence-Based Practice Project.

Database: CINAHL

Occupational Therapy's Role in Cancer Survivorship as a Chronic Condition.

Author(s): Baxter, Mary Frances; Newman, Robin; Longpre, Sheila M.; Polo, Katie M.


Available in full text at American Journal of Occupational Therapy, The - from National Library of Medicine

Abstract: Improved medical care has resulted In a documented Increase In cancer survivors In the United States. Cancer survivors face challenges in participation across all facets of life as a result of the cancer and subsequent cancer treatments. Long-term and late-term sequelae can result in impairments in neurological systems, decreased stamina, loss of range of motion, and changes in sensation and cognition. These impairments are often long lasting, which categorizes cancer survivorship as a chronic condition. This categorization presents treatment challenges, especially in creating rehabilitation and habilitation

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service options that support cancer survivors. Occupational therapy provides a unique focus that can benefit cancer survivors as they face limitations in participation in all aspects of daily living. Research, advocacy, and education efforts are needed to focus on the specific rehabilitation and habilitation needs of cancer survivors to increase access to occupational therapy's distinct value.

Database: CINAHL

Navigating the Evidence for Sensory-Based Therapies.

Author(s): Watling, Renee; Lane, Alison E.



Database: CINAHL

Using Multi-Message Switches to Promote Participation in Children With Disabilities.

Author(s): Lancaster, Stephanie



Database: CINAHL

Goal-Directed, Protocol-Driven, and Parent-Led Home-Based Infant Enrichment Programs.

Author(s): Bristol, Stephanie; Coker-Bolt, Patty



Database: CINAHL

Occupational Therapy Outcome Measures for Community Mental Health Services.

Author(s): Lannigan, Elizabeth Griffin



Database: CINAHL

Preemptive Home Modifications for Fall Prevention and Facilitating Participation in Older Adults in PACE Program.

Author(s): Mulry, Claire; Gardner, Jennifer; Hardaway, Holly; Zissler-Syers, Kimberly; Scimeca, Kelly; Curcio, Christopher M.; Shah, Monica; Herrera, Louis



Database: CINAHL

Living Life With Vision Loss: A Community-Based Self-Management Program for People With Low Vision.

Author(s): Perlmutter, Monica S.; Hussey, Gabrielle



Database: CINAHL

Speech & Language Therapy

Mary's Case: An Illustration of Interprofessional Collaborative Practice for a Child With Severe Disabilities.

Author(s): Ogletree, Billy T; Brady, Nancy; Bruce, Susan; Dean, Evan; Romski, MaryAnn; Sylvester, Lorraine; Westling, David

Source: American journal of speech-language pathology; May 2017; vol. 26 (no. 2); p. 217-226

Available in full text at American Journal of Speech-Language Pathology - from EBSCOhost

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http://linker2.worldcat.org/?rft.institution_id=130084&spage=7&pkgName=nhshospital&PQUEST.WAYFlessID=146454&issn=1084-4902&linkclass=to_article&jKey=33664&provider=PQUEST&date=2017-05&aulast=Lancaster%2C+Stephanie&atitle=Using+Multi-Message+Switches+to+Promote+Participation+in+Children+With+Disabilities.&title=OT+Practice&rft.content=fulltext%2Cprint&linkScheme=pquest.athens&jHome=http%3A%2F%2Fsearch.proquest.com%2Fpublication%2F33664%2Fshibboleth%3Faccountid%3D146454&rft.id=info%3Apmid%2F&rft.order_by=preference&linktype=best

http://linker2.worldcat.org/?rft.institution_id=130084&spage=9&pkgName=nhshospital&PQUEST.WAYFlessID=146454&issn=1084-4902&linkclass=to_article&jKey=33664&provider=PQUEST&date=2017-05&aulast=Bristol%2C+Stephanie%3B+Coker-Bolt%2C+Patty&atitle=Goal-Directed%2C+Protocol-Driven%2C+and+Parent-Led+Home-Based+Infant+Enrichment+Programs.&title=OT+Practice&rft.content=fulltext%2Cprint&linkScheme=pquest.athens&jHome=http%3A%2F%2Fsearch.proquest.com%2Fpublication%2F33664%2Fshibboleth%3Faccountid%3D146454&rft.id=info%3Apmid%2F&rft.order_by=preference&linktype=best

http://linker2.worldcat.org/?rft.institution_id=130084&spage=16&pkgName=nhshospital&PQUEST.WAYFlessID=146454&issn=1084-4902&linkclass=to_article&jKey=33664&provider=PQUEST&date=2017-05&aulast=Lannigan%2C+Elizabeth+Griffin&atitle=Occupational+Therapy+Outcome+Measures+for+Community+Mental+Health+Services.&title=OT+Practice&rft.content=fulltext%2Cprint&linkScheme=pquest.athens&jHome=http%3A%2F%2Fsearch.proquest.com%2Fpublication%2F33664%2Fshibboleth%3Faccountid%3D146454&rft.id=info%3Apmid%2F&rft.order_by=preference&linktype=best

http://linker2.worldcat.org/?rft.institution_id=130084&spage=21&pkgName=nhshospital&PQUEST.WAYFlessID=146454&issn=1084-4902&linkclass=to_article&jKey=33664&provider=PQUEST&date=2017-05&aulast=Mulry%2C+Claire%3B+Gardner%2C+Jennifer%3B+Hardaway%2C+Holly%3B+Zissler-Syers%2C+Kimberly%3B+Scimeca%2C+Kelly%3B+Curcio%2C+Christopher+M.%3B+Shah%2C+Monica%3B+Herrera%2C+Louis&atitle=Preemptive+Home+Modifications+for+Fall+Prevention+and+Facilitating+Participation+in+Older+Adults+in+PACE+Program.&title=OT+Practice&rft.content=fulltext%2Cprint&linkScheme=pquest.athens&jHome=http%3A%2F%2Fsearch.proquest.com%2Fpublication%2F33664%2Fshibboleth%3Faccountid%3D146454&rft.id=info%3Apmid%2F&rft.order_by=preference&linktype=best

http://linker2.worldcat.org/?rft.institution_id=130084&spage=24&pkgName=nhshospital&PQUEST.WAYFlessID=146454&issn=1084-4902&linkclass=to_article&jKey=33664&provider=PQUEST&date=2017-05&aulast=Perlmutter%2C+Monica+S.%3B+Hussey%2C+Gabrielle&atitle=Living+Life+With+Vision+Loss%3A+A+Community-Based+Self-Management+Program+for+People+With+Low+Vision.&title=OT+Practice&rft.content=fulltext%2Cprint&linkScheme=pquest.athens&jHome=http%3A%2F%2Fsearch.proquest.com%2Fpublication%2F33664%2Fshibboleth%3Faccountid%3D146454&rft.id=info%3Apmid%2F&rft.order_by=preference&linktype=best

http://linker2.worldcat.org/?rft.institution_id=130084&ebscohost.authotype=%26authtype%3DAthens&spage=217&pkgName=c8h&issn=1058-0360&linkclass=to_article&jKey=5E7&issue=2&provider=EBSCOhost&date=2017-05&aulast=Ogletree%2C+Billy+T%3B+Brady%2C+Nancy%3B+Bruce%2C+Susan%3B+Dean%2C+Evan%3B+Romski%2C+MaryAnn%3B+Sylvester%2C+Lorraine%3B+Westling%2C+David&atitle=Mary%27s+Case%3A+An+Illustration+of+Interprofessional+Collaborative+Practice+for+a+Child+With+Severe+Disabilities.&title=American+Journal+of+Speech-Language+Pathology&rft.content=fulltext%2Cprint&linkScheme=ebscoh.athens&jHome=http%3A%2F%2Fsearch.ebscohost.com%2Flogin.aspx%3Fauthtype%3Dathens%26lp%3Dathens.asp%26URL%3Dhttp%253a%252f%252fsearch.ebscohost.com%252fdirect.asp%253fdb%253dc8h%2526jid%253d5E7%2526scope%253dsite&volume=26&dbKey=c8h&rft.id=info%3Apmid%2F&rft.order_by=preference&linktype=best

Abstract: Purpose The principles of interprofessional collaborative practice (IPCP) are illustrated through the case of Mary, a child with severe disabilities. Method Mary's experiences from early childhood to young adulthood are highlighted by both optimal and less-than-ideal examples of clinical services and collaborative practice. The range of collaboration illustrates potential variations in service delivery. Thematic comments and resources are provided by professionals experienced with and committed to IPCP who represent the following four disciplines: occupational therapy, physical therapy, special education, and speech-language pathology. Conclusions Although potentially challenging, IPCP is a dynamic practice methodology appropriate for speech-language pathologists and others serving persons with severe disabilities.

Database: Medline

Cotreatment as a Vehicle for Interprofessional Collaborative Practice: Physical Therapists and Speech-Language Pathologists Collaborating in the Care of Children With Severe Disabilities.

Author(s): Sylvester, Lorraine; Ogletree, Billy T.; Lunnen, Karen

Source: American Journal of Speech-Language Pathology; May 2017; vol. 26 (no. 2); p. 206-216


Database: CINAHL

Practice Patterns of Speech-Language Pathologists in Pediatric Vocal Health.

Author(s): Hartley, Naomi A.; Braden, Maia; Thibeault, Susan L.



Database: CINAHL

Investigating the Adequacy of Intervention Descriptions in Recent Speech-Language Pathology Literature: Is Evidence From Randomized Trials Useable?

Author(s): Ludemann, Arabella; Power, Emma; Hoffmann, Tammy C.



Database: CINAHL

'Seesaw' Between School and Home.

Author(s): RAY, ANNA

Source: ASHA Leader; May 2017 ; p. 1-2

Available in full text at ASHA Leader - from EBSCOhost

Abstract: The article reviews the application Seesaw which helps a speech language pathologist or educator bridge the gap between home and school.

Database: CINAHL

Make a Fine Front-Line Impression.

Author(s): St. Clergy, Kevin D.



Abstract: The article offers tips shared by private-practice expert Kevin St. Clergy at an American Speech-Language-Hearing Association (ASHA) online conference chat. Topics covered include the proper way for front-desk staff to handle unhappy parents, the techniques to overcome a caller's objections to scheduling an appointment with the speech-language pathologist and the formula for what to include in an outgoing voice-mail message.

Database: CINAHL

Speech Sound Disorders: Where Do I Begin? Try these tips on successful starting points and target selection in phonological intervention.

Author(s): SANCIBRIAN, SHERRY


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http://linker2.worldcat.org/?rft.institution_id=130084&ebscohost.authotype=%26authtype%3DAthens&spage=443&pkgName=c8h&issn=1058-0360&linkclass=to_article&jKey=5E7&issue=2&provider=EBSCOhost&date=2017-05&aulast=Ludemann%2C+Arabella%3B+Power%2C+Emma%3B+Hoffmann%2C+Tammy+C.&atitle=Investigating+the+Adequacy+of+Intervention+Descriptions+in+Recent+Speech-Language+Pathology+Literature%3A+Is+Evidence+From+Randomized+Trials+Useable%3F&title=American+Journal+of+Speech-Language+Pathology&rft.content=fulltext%2Cprint&linkScheme=ebscoh.athens&jHome=http%3A%2F%2Fsearch.ebscohost.com%2Flogin.aspx%3Fauthtype%3Dathens%26lp%3Dathens.asp%26URL%3Dhttp%253a%252f%252fsearch.ebscohost.com%252fdirect.asp%253fdb%253dc8h%2526jid%253d5E7%2526scope%253dsite&volume=26&dbKey=c8h&rft.id=info%3Apmid%2F&rft.order_by=preference&linktype=best

http://linker2.worldcat.org/?rft.institution_id=130084&ebscohost.authotype=%26authtype%3DAthens&spage=1&pkgName=c8h&issn=1085-9586&linkclass=to_article&jKey=5FZ&provider=EBSCOhost&date=2017-05&aulast=RAY%2C+ANNA&atitle=%27Seesaw%27+Between+School+and+Home.&title=ASHA+Leader&rft.content=fulltext%2Cprint&linkScheme=ebscoh.athens&jHome=http%3A%2F%2Fsearch.ebscohost.com%2Flogin.aspx%3Fauthtype%3Dathens%26lp%3Dathens.asp%26URL%3Dhttp%253a%252f%252fsearch.ebscohost.com%252fdirect.asp%253fdb%253dc8h%2526jid%253d5FZ%2526scope%253dsite&dbKey=c8h&rft.id=info%3Apmid%2F&rft.order_by=preference&linktype=best

http://linker2.worldcat.org/?rft.institution_id=130084&ebscohost.authotype=%26authtype%3DAthens&spage=1&pkgName=c8h&issn=1085-9586&linkclass=to_article&jKey=5FZ&provider=EBSCOhost&date=2017-05&aulast=St.+Clergy%2C+Kevin+D.&atitle=Make+a+Fine+Front-Line+Impression.&title=ASHA+Leader&rft.content=fulltext%2Cprint&linkScheme=ebscoh.athens&jHome=http%3A%2F%2Fsearch.ebscohost.com%2Flogin.aspx%3Fauthtype%3Dathens%26lp%3Dathens.asp%26URL%3Dhttp%253a%252f%252fsearch.ebscohost.com%252fdirect.asp%253fdb%253dc8h%2526jid%253d5FZ%2526scope%253dsite&dbKey=c8h&rft.id=info%3Apmid%2F&rft.order_by=preference&linktype=best


Abstract: The article offers guidelines for speech-language pathologists on dealing with students with speech sound disorders (SSDs). Topics covered include the application of traditional target selection criteria when working with students on form, the principles considered when choosing target words such as building the frame first and the advantage of working on words that children use frequently in everyday interactions.

Database: CINAHL

GETTING IN SYNC.

Author(s): HUMBERT, IANESSA



Abstract: The article offers tips for speech language pathologists (SLPs) on communicating about videofluoroscopy and swallow studies to coordinate treatment of patients. Topics covered include the groups of clinicians involved in videofluoroscopy, the medical risks associated with swallowing and the ways in which risk-averse tendencies may manifest in videofluoroscopy.

Database: CINAHL

NSSLHA Chapters, Try These Better Hearing and Speech Month Ideas.



Abstract: The article offers ideas for local National Student Speech Language Hearing Association (NSSLHA) on participating in the Better Hearing and Speech Month including the collection of money for NSSLHA Loves and the demonstration of what living with a swallowing disorder can look.

Database: CINAHL

Cohesive and coherent connected speech deficits in mild stroke.

Author(s): Barker, Megan S.; Young, Breanne; Robinson, Gail A.

Source: Brain & Language; May 2017; vol. 168 ; p. 23-36

Abstract: Spoken language production theories and lesion studies highlight several important prelinguistic conceptual preparation processes involved in the production of cohesive and coherent connected speech. Cohesion and coherence broadly connect sentences with preceding ideas and the overall topic. Broader cognitive mechanisms may mediate these processes. This study aims to investigate (1) whether stroke patients without aphasia exhibit impairments in cohesion and coherence in connected speech, and (2) the role of attention and executive functions in the production of connected speech. Eighteen stroke patients (8 right hemisphere stroke [RHS]; 6 left [LHS]) and 21 healthy controls completed two self-generated narrative tasks to elicit connected speech. A multi-level analysis of within and between-sentence processing ability was conducted. Cohesion and coherence impairments were found in the stroke group, particularly RHS patients, relative to controls. In the whole stroke group, better performance on the Hayling Test of executive function, which taps verbal initiation/suppression, was related to fewer propositional repetitions and global coherence errors. Better performance on attention tasks was related to fewer propositional repetitions, and decreased global coherence errors. In the RHS group, aspects of cohesive and coherent speech were associated with better performance on attention tasks. Better Hayling Test scores were related to more cohesive and coherent speech in RHS patients, and more coherent speech in LHS patients. Thus, we documented connected speech deficits in a heterogeneous stroke group without prominent aphasia. Our results suggest that broader cognitive processes may play a role in producing connected speech at the early conceptual preparation stage.

Database: CINAHL

Three- and four-dimensional mapping of speech and language in patients with epilepsy.

Author(s): Nakai, Yasuo; Jeong, Jeong-won; Brown, Erik C.; Rotherme, Robert; Kojima, Katsuaki; Kambara, Toshimune; Shah, Aashit; Mitta, Sandeep; Sood, Sandeep; Asano, Eishi; Rothermel, Robert; Mittal, Sandeep

Source: Brain: A Journal of Neurology; May 2017; vol. 140 (no. 5); p. 1351-1370

Available in full text at Brain - from Highwire Press

Abstract: We have provided 3-D and 4D mapping of speech and language function based upon the results of direct cortical stimulation and event-related modulation of electrocorticography signals. Patients

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http://linker2.worldcat.org/?rft.institution_id=130084&ebscohost.authotype=%26authtype%3DAthens&spage=60&pkgName=c8h&issn=1085-9586&linkclass=to_article&jKey=5FZ&provider=EBSCOhost&date=2017-05&atitle=NSSLHA+Chapters%2C+Try+These+Better+Hearing+and+Speech+Month+Ideas.&title=ASHA+Leader&rft.content=fulltext%2Cprint&linkScheme=ebscoh.athens&jHome=http%3A%2F%2Fsearch.ebscohost.com%2Flogin.aspx%3Fauthtype%3Dathens%26lp%3Dathens.asp%26URL%3Dhttp%253a%252f%252fsearch.ebscohost.com%252fdirect.asp%253fdb%253dc8h%2526jid%253d5FZ%2526scope%253dsite&dbKey=c8h&rft.id=info%3Apmid%2F&rft.order_by=preference&linktype=best

http://linker2.worldcat.org/?rft.institution_id=130084&spage=1351&pkgName=freeart&issn=0006-8950&linkclass=to_article&jKey=brain.oxfordjournals.org&issue=5&provider=highwire&date=2017-05&aulast=Nakai%2C+Yasuo%3B+Jeong%2C+Jeong-won%3B+Brown%2C+Erik+C.%3B+Rotherme%2C+Robert%3B+Kojima%2C+Katsuaki%3B+Kambara%2C+Toshimune%3B+Shah%2C+Aashit%3B+Mitta%2C+Sandeep%3B+Sood%2C+Sandeep%3B+Asano%2C+Eishi%3B+Rothermel%2C+Robert%3B+Mittal%2C+Sandeep&atitle=Three-+and+four-dimensional+mapping+of+speech+and+language+in+patients+with+epilepsy.&title=Brain&rft.content=fulltext%2Cprint&eissn=1460-2156&linkScheme=highwire3&jHome=http%3A%2F%2Fbrain.oxfordjournals.org&volume=140&rft.id=info%3Apmid%2F&rft.order_by=preference&linktype=best

estimated to have right-hemispheric language dominance were excluded. Thus, 100 patients who underwent two-stage epilepsy surgery with chronic electrocorticography recording were studied. An older group consisted of 84 patients at least 10 years of age (7367 artefact-free non-epileptic electrodes), whereas a younger group included 16 children younger than age 10 (1438 electrodes). The probability of symptoms transiently induced by electrical stimulation was delineated on a 3D average surface image. The electrocorticography amplitude changes of high-gamma (70-110 Hz) and beta (15-30 Hz) activities during an auditory-naming task were animated on the average surface image in a 4D manner. Thereby, high-gamma augmentation and beta attenuation were treated as summary measures of cortical activation. Stimulation data indicated the causal relationship between (i) superior-temporal gyrus of either hemisphere and auditory hallucination; (ii) left superior-/middle-temporal gyri and receptive aphasia; (iii) widespread temporal/frontal lobe regions of the left hemisphere and expressive aphasia; and (iv) bilateral precentral/left posterior superior-frontal regions and speech arrest. On electrocorticography analysis, high-gamma augmentation involved the bilateral superior-temporal and precentral gyri immediately following question onset; at the same time, high-gamma activity was attenuated in the left orbitofrontal gyrus. High-gamma activity was augmented in the left temporal/frontal lobe regions, as well as left inferior-parietal and cingulate regions, maximally around question offset, with high-gamma augmentation in the left pars orbitalis inferior-frontal, middle-frontal, and inferior-parietal regions preceded by high-gamma attenuation in the contralateral homotopic regions. Immediately before verbal response, high-gamma augmentation involved the posterior superior-frontal and pre/postcentral regions, bilaterally. Beta-attenuation was spatially and temporally correlated with high-gamma augmentation in general but with exceptions. The younger and older groups shared similar spatial-temporal profiles of high-gamma and beta modulation; except, the younger group failed to show left-dominant activation in the rostral middle-frontal and pars orbitalis inferior-frontal regions around stimulus offset. The human brain may rapidly and alternately activate and deactivate cortical areas advantageous or obtrusive to function directed toward speech and language at a given moment. Increased left-dominant activation in the anterior frontal structures in the older age group may reflect developmental consolidation of the language system. The results of our functional mapping may be useful in predicting, across not only space but also time and patient age, sites specific to language function for presurgical evaluation of focal epilepsy.awx051media15361817553001.

Database: CINAHL

Specific language impairment is associated with maternal and family factors.

Author(s): B. Diepeveen, F.; Dommelen, P.; Oudesluys-Murphy, A. M.; Verkerk, P. H.

Source: Child: Care, Health & Development; May 2017; vol. 43 (no. 3); p. 401-405

Abstract: Background This study aimed to identify risk factors associated with specific language impairment (SLI). Methods In a nested case-control design, 253 children attending special needs schools for severe speech and language difficulties in the Netherlands were matched for sex and date of birth with 253 children attending mainstream education. Data on perinatal, maternal and family issues were retrieved from well-child care files registered shortly after birth. Results Children with SLI had younger mothers than children in the control group (mean 30 years 9 months vs. mean 31 years 9 months) ( P = 0.02). Children with SLI were less frequently breastfed directly after birth (55% vs. 71%) ( P = 0.0007) and were less frequently firstborns (33.3% vs. 46.2%) ( P = 0.002). No statistically significant differences were found for any of the other risk factors. Conclusions A relationship was found between SLI and maternal age, being breastfed and place in the birth order. Perinatal risk factors do not seem to be strongly associated with SLI.

Database: CINAHL

Patient Fatigue During Aphasia Treatment: A Survey of Speech-Language Pathologists.

Author(s): Riley, Ellyn A.

Source: Communication Disorders Quarterly; May 2017; vol. 38 (no. 3); p. 143-153

Abstract: The purpose of this study was to measure speech-language pathologists’ (SLPs) perceptions of fatigue in clients with aphasia and identify strategies used to manage client fatigue during speech and language therapy. SLPs completed a short online survey containing a series of questions related to their perceptions of patient fatigue. Of 312 respondents, 80% reported observing fatigue in their patients with aphasia. Notably, 96% of respondents agreed that declining client performance was an indicator of fatigue during sessions. The most commonly reported clinical strategies used when encountering fatigue were taking short breaks and switching to another task. Participants reported that these strategies were primarily selected based on clinical experience (98%) rather than academic or specific clinical training. The study results suggest that current applications of fatigue management are highly variable and that few clinicians base selection of these strategies on any kind of formal training, despite the known importance of this issue.

Database: CINAHL

Sounds Affecting the Moments of Stuttering in Multilingualism: A Case Study.

Author(s): Morrish, Taryn; Nesbitt, Amy; le Roux, Mia; Zsilavecz, Ursula; van der Linde, Jeannie

Source: Communication Disorders Quarterly; May 2017; vol. 38 (no. 3); p. 154-160

Abstract: Research involving stuttering in multilingual individuals is limited. Speech-language therapists face the challenge of treating a diverse client base, which includes multilingual individuals. The aim of this study was to examine the stuttering moments across English, Afrikaans, and German in a multilingual speaker. A single multilingual adult with a severe developmental stutter participated in this study. A mixed-method design was implemented. The results were perceptually analyzed, and interrater reliability was determined. The results revealed that the voiceless plosive [k], the voiceless fricative [f], and the plosive-lateral approximant cluster [kl] caused stuttering moments across the languages. More stuttering moments occurred on consonants as opposed to vowels. The most prominent core behavior was prolongations. Language proficiency plays a role in the increase of the moments of stuttering in the least proficient language. Future research on a larger sample size is recommended. Research on African language speaking multilingual person who stutters (PWS) should be pursued.

Database: CINAHL

Measuring communication and participation in children with speech and language disorders.

Author(s): Mccartney, Elspeth

Source: Developmental Medicine & Child Neurology; May 2017; vol. 59 (no. 5); p. 459-459

Abstract: The article discusses the responsive measures of language and speech disorders in children. Topics discussed include predictors and outcomes in preschoolers with developmental mobility impairment, measures the ability of children to receive and send messages through Communication Function Classification System (CFCS) and therapy outcome measures for rehabilitation professionals.

Database: CINAHL

Validity of the Communication Function Classification System for use with preschool children with communication disorders.

Author(s): Hidecker, Mary Jo Cooley; Cunningham, Barbara Jane; Thomas-Stonell, Nancy; Oddson, Bruce; Rosenbaum, Peter

Source: Developmental Medicine & Child Neurology; May 2017; vol. 59 (no. 5); p. 526-530

Abstract: Aim: To evaluate construct and predictive validity of the Communication Function Classification System (CFCS) for use with preschool children with a range of speech and language disorders.Method: Seventy-seven preschool children with speech and language disorders (50 males, 27 females; mean 2y 7mo, standard deviation [SD] 1y) participated in this cohort study. Preschool children had speech and language, language-only, or speech-only disorders. Together with parent input, speech-language pathologists (SLPs) completed the CFCS at time 1. Parents and SLPs then independently completed a validated change-detecting functional communication outcome measure, the Focus on the outcomes of Communication Under Six (FOCUS), three times: at assessment (time 1), at the start of treatment (time 2), and at the end of treatment (time 3).Results: There was a significant negative correlation between CFCS classifications and FOCUS scores at all three measurement points for the ratings by both parents and SLPs (correlations ranged from -0.60 to -0.76). As expected, no correlations between CFCS classifications and FOCUS change scores were statistically significant.Interpretation: This study provides evidence of construct and predictive validity of the CFCS, demonstrating its value as a discriminative tool for use with preschool children with a range of speech and language disorders.

Database: CINAHL

Neolexon-Therapiesystem.

Author(s): Späth, Mona; Haas, Elisabet; Jakob, Hanna

Source: Forum Logopadie; May 2017; vol. 31 (no. 3); p. 20-24

Abstract: Digital therapy systems can support speech and language therapists in treatment and have the potential to considerably increase therapy frequency. However, previous applications can only be individualised to a limited extent. Therefore, a completely individualizable therapy system was developed at the Entwicklungsgruppe Klinische Neuropsychologie. The therapy system "neolexon" provides a database of currently more than 5.700 words including information relevant to therapy (e.g. number of syllables, syllable complexity, etc.) for therapists. Via www.neolexon.de therapists can access the database and

create individual word sets for every patient according to phonetic-phonological and semantic criteria. All patient profiles and word sets are available for therapists in the neolexon therapist app in order to practice them in therapy sessions. Moreover, the individual word sets can be transferred to the neolexon aphasia app allowing the patient to continue training at home without time limits. The system can already be used to a full extent and is free of charge at the moment.

Database: CINAHL

Paradoxical perceptions towards the introduction of assistants in speech-language pathology and potential impact on consumers.

Author(s): O'Brien, Rachael; Mitchell, Rebecca; Byrne, Nicole

Source: Scandinavian journal of caring sciences; May 2017

Publication Date: May 2017

Publication Type(s): Journal Article

Abstract: RATIONALE AND AIM Working with assistants has the potential to be an economically and professionally sustainable solution to workforce shortages in speech-language pathology. However, there is some resistance to the workforce redesign, and factors that determine how assistants are utilised are not well understood. The aim of this study was to understand the perceptions that engender professional resistance and identify factors that may lessen such resistance .METHOD Semi-structured interviews were conducted with 20 speech-language pathologists (SLPs) to learn about perceptions towards implementing assistants into the profession. FINDINGS AND DISCUSSION While assistants were seen as augmenting existing capacity, findings demonstrated ambivalence towards their utilisation, with tension between perceived benefits and risks of SLPs utilising assistants. Sharing workload and reducing administrative duties in favour of increasing clinical output was an important positive perception. However, this perception was moderated by the concern that the introduction of assistants would result in a decrease in consumer focus, which was seen as being at odds with the strongly held values of the profession. Findings provide insight into professional acceptance of this vocationally trained group and highlight discrepancies between perceptions and actualities, both of which may influence how assistants are utilised. They suggest that implementation of a workforce redesign involving assistants may result in paradoxical perceptions among SLPs. Understanding the way SLPs think about working with assistants and how this workforce redesign may be realised will impact on how SLPs view their role and their relationships with co-workers. This understanding will also be useful in a wider sense for organisations seeking to introduce assistants, by allowing enhanced understanding of likely areas of resistance, as well as highlighting possible strategies that may be useful to address such issues.

Database: Medline

Tutorial: Speech Assessment for Multilingual Children Who Do Not Speak the Same Language(s) as the Speech-Language Pathologist.

Author(s): McLeod, Sharynne; Verdon, Sarah; International Expert Panel on Multilingual Children's Speech

Source: American journal of speech-language pathology; May 2017 ; p. 1-18


Abstract: Purpose The aim of this tutorial is to support speech-language pathologists (SLPs) undertaking assessments of multilingual children with suspected speech sound disorders, particularly children who speak languages that are not shared with their SLP .Method The tutorial was written by the International Expert Panel on Multilingual Children's Speech, which comprises 46 researchers (SLPs, linguists, phoneticians, and speech scientists) who have worked in 43 countries and used 27 languages in professional practice. Seventeen panel members met for a 1-day workshop to identify key points for inclusion in the tutorial, 26 panel members contributed to writing this tutorial, and 34 members contributed to revising this tutorial online (some members contributed to more than 1 task).Results This tutorial draws on international research evidence and professional expertise to provide a comprehensive overview of working with multilingual children with suspected speech sound disorders. This overview addresses referral, case history, assessment, analysis, diagnosis, and goal setting and the SLP's cultural competence and preparation for working with interpreters and multicultural support workers and dealing with organizational and government barriers to and facilitators of culturally competent practice. Conclusion The issues raised in this tutorial are applied in a hypothetical case study of an English-speaking SLP's assessment of a multilingual Cantonese- and English-speaking 4-year-old boy. Resources are listed throughout the tutorial.

Database: Medline

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Comparing the Effects of Speech-Generating Device Display Organization on Symbol Comprehension and Use by Three Children With Developmental Delays.

Author(s): Barton-Hulsey, Andrea; Wegner, Jane; Brady, Nancy C; Bunce, Betty H; Sevcik, Rose A



Abstract: Purpose Three children ages 3;6 to 5;3 with developmental and language delays were provided experience with a traditional grid-based display and a contextually organized visual scene display on a speech-generating device to illustrate considerations for practice and future research in augmentative and alternative communication assessment and intervention. Method Twelve symbols were taught in a grid display and visual scene display using aided input during dramatic play routines. Teaching sessions were 30 minutes a day, 5 days a week for 3 weeks. Symbol comprehension and use was assessed pre and post 3 weeks of experience. Results Comprehension of symbol vocabulary on both displays increased after 3 weeks of experience. Participants 1 and 2 used both displays largely for initiation. Participant 3 had limited expressive use of either display. Conclusions The methods used in this study demonstrate one way to inform individual differences in learning and preference for speech-generating device displays when making clinical decisions regarding augmentative and alternative communication supports for a child and their family. Future research should systematically examine the role of extant comprehension, symbol experience, functional communication needs, and the role of vocabulary type in the learning and use of grid displays versus visual scene displays.

Database: Medline

Comprehensive Literacy Instruction, Interprofessional Collaborative Practice, and Students With Severe Disabilities.

Author(s): Erickson, Karen A



Abstract: Purpose The purpose of this clinical focus article is to briefly describe comprehensive emergent and conventional literacy instruction for students with severe disabilities. Specific attention is given to interprofessional collaborative practice and the roles of team members in planning and delivering instruction. Method A rationale for the delivery of comprehensive instruction that balances skill and meaning emphases is provided with reference to new college and career readiness standards, the literature on literacy acquisition for students without disabilities, and, when possible, the literature on literacy acquisition for students with severe disabilities. Specific instructional approaches are presented to demonstrate how teams can actively engage students with severe disabilities in instruction that is collaborative, participatory, and interactive. Results/Conclusions Successful provision of comprehensive literacy instruction that allows students with severe disabilities to achieve conventional literacy takes time and the efforts of a collaborative interprofessional team. Speech-language pathologists play a critical role on these teams as they ensure that students with severe disabilities have the language and communication supports they need to be successful.

Database: Medline

Effective Team Practices: Interprofessional Contributions to Communication Issues With a Parent's Perspective.

Author(s): Cooper-Duffy, Karena; Eaker, Kerri



Abstract: Purpose This clinical focus article contains a detailed description of how to build effective teams that use interprofessional collaborative practice (IPCP) with special-education professionals, speech-language pathologists, and families of children with severe disabilities. Method This clinical focus article provides information on using the essential elements of team building and IPCP to provide quality care to families who have children with severe disabilities. The 6 essential elements for team building are described, with suggestions for including families in each: goal-setting, roles and responsibilities, effective and efficient process, communication and interpersonal relationships, collaborative problem solving, and evaluation. The 4 competency domains of IPCP are embedded into each of the team-building elements to demonstrate how teams can implement IPCP. Results A case study illustrates the difficulty one parent experienced working with a team across the 6 essential team-building elements when seeking

http://linker2.worldcat.org/?rft.institution_id=130084&ebscohost.authotype=%26authtype%3DAthens&spage=227&pkgName=c8h&issn=1058-0360&linkclass=to_article&jKey=5E7&issue=2&provider=EBSCOhost&date=2017-05&aulast=Barton-Hulsey%2C+Andrea%3B+Wegner%2C+Jane%3B+Brady%2C+Nancy+C%3B+Bunce%2C+Betty+H%3B+Sevcik%2C+Rose+A&atitle=Comparing+the+Effects+of+Speech-Generating+Device+Display+Organization+on+Symbol+Comprehension+and+Use+by+Three+Children+With+Developmental+Delays.&title=American+Journal+of+Speech-Language+Pathology&rft.content=fulltext%2Cprint&linkScheme=ebscoh.athens&jHome=http%3A%2F%2Fsearch.ebscohost.com%2Flogin.aspx%3Fauthtype%3Dathens%26lp%3Dathens.asp%26URL%3Dhttp%253a%252f%252fsearch.ebscohost.com%252fdirect.asp%253fdb%253dc8h%2526jid%253d5E7%2526scope%253dsite&volume=26&dbKey=c8h&rft.id=info%3Apmid%2F&rft.order_by=preference&linktype=best

http://linker2.worldcat.org/?rft.institution_id=130084&ebscohost.authotype=%26authtype%3DAthens&spage=193&pkgName=c8h&issn=1058-0360&linkclass=to_article&jKey=5E7&issue=2&provider=EBSCOhost&date=2017-05&aulast=Erickson%2C+Karen+A&atitle=Comprehensive+Literacy+Instruction%2C+Interprofessional+Collaborative+Practice%2C+and+Students+With+Severe+Disabilities.&title=American+Journal+of+Speech-Language+Pathology&rft.content=fulltext%2Cprint&linkScheme=ebscoh.athens&jHome=http%3A%2F%2Fsearch.ebscohost.com%2Flogin.aspx%3Fauthtype%3Dathens%26lp%3Dathens.asp%26URL%3Dhttp%253a%252f%252fsearch.ebscohost.com%252fdirect.asp%253fdb%253dc8h%2526jid%253d5E7%2526scope%253dsite&volume=26&dbKey=c8h&rft.id=info%3Apmid%2F&rft.order_by=preference&linktype=best

http://linker2.worldcat.org/?rft.institution_id=130084&ebscohost.authotype=%26authtype%3DAthens&spage=181&pkgName=c8h&issn=1058-0360&linkclass=to_article&jKey=5E7&issue=2&provider=EBSCOhost&date=2017-05&aulast=Cooper-Duffy%2C+Karena%3B+Eaker%2C+Kerri&atitle=Effective+Team+Practices%3A+Interprofessional+Contributions+to+Communication+Issues+With+a+Parent%27s+Perspective.&title=American+Journal+of+Speech-Language+Pathology&rft.content=fulltext%2Cprint&linkScheme=ebscoh.athens&jHome=http%3A%2F%2Fsearch.ebscohost.com%2Flogin.aspx%3Fauthtype%3Dathens%26lp%3Dathens.asp%26URL%3Dhttp%253a%252f%252fsearch.ebscohost.com%252fdirect.asp%253fdb%253dc8h%2526jid%253d5E7%2526scope%253dsite&volume=26&dbKey=c8h&rft.id=info%3Apmid%2F&rft.order_by=preference&linktype=best

communication services for her child with severe disabilities. Conclusions Building teams with IPCP can be effective for including families and creating high-quality outcomes for individuals with severe disabilities.

Database: Medline

Addressing the Communication and Other Needs of Persons With Severe Disabilities Through Engaged Interprofessional Teams: Introduction to a Clinical Forum.

Author(s): Ogletree, Billy T



Abstract: Purpose Interprofessional collaborative practice (IPCP) is introduced as a viable and preferred clinical methodology for speech-language pathologists and others serving persons with severe disabilities. Contributions to this clinical forum dedicated to IPCP and severe disabilities are described. Method This clinical focus article introduces IPCP and reviews literature specific to its origins and effectiveness, defines severe disabilities, and proposes IPCP as a vital tenet in effective communication-related and other service delivery for this population. Conclusion IPCP is supported as a recommended practice methodology for speech-language pathologists and other team members providing services to persons with severe disabilities.

Database: Medline

Influences of speech familiarity on immediate perception and final comprehension

Author(s): Perry, Lynn K.; Mech, Emily N.; MacDonald, Maryellen C.; Seidenberg, Mark S.

Source: Psychonomic Bulletin & Review; May 2017

Available in full text at Psychonomic Bulletin and Review - from ProQuest

Abstract: Unfamiliar speech—spoken in a familiar language but with an accent different from the listener’s—is known to increase comprehension difficulty. However, there is evidence of listeners’ rapid adaptation to unfamiliar accents (although perhaps not to the level of familiar accents). This paradox might emerge from prior focus on isolated word perception and/or use of single comprehension measures. We investigated processing of fluent connected speech spoken either in a familiar or unfamiliar accent, using participants’ ability to "shadow" the speech as an immediate measure as well as a comprehension test at passage end. Shadowing latencies and errors and comprehension errors increased for Unfamiliar relative to Familiar Speech conditions, especially for relatively informal rather than more academic content. Additionally, there was evidence of less adaptation to Unfamiliar than Familiar Speech. These results suggest that unfamiliar speech imposes costs, especially in the immediate timescale of perceiving speech.

Database: PsycINFO

Words are not enough: How preschoolers’ integration of perspective and emotion informs their referential understanding

Author(s): Graham, Susan A.; San Juan, Valerie; Khu, Melanie

Source: Journal of Child Language; May 2017; vol. 44 (no. 3); p. 500-526

Abstract: When linguistic information alone does not clarify a speaker's intended meaning, skilled communicators can draw on a variety of cues to infer communicative intent. In this paper, we review research examining the developmental emergence of preschoolers’ sensitivity to a communicative partner's perspective. We focus particularly on preschoolers’ tendency to use cues both within the communicative context (i.e. a speaker's visual access to information) and within the speech signal itself (i.e. emotional prosody) to make on-line inferences about communicative intent. Our review demonstrates that preschoolers’ ability to use visual and emotional cues of perspective to guide language interpretation is not uniform across tasks, is sometimes related to theory of mind and executive function skills, and, at certain points of development, is only revealed by implicit measures of language processing

Database: PsycINFO

Longitudinal Impacts of Print-Focused Read-Alouds for Children With Language Impairment.

Author(s): Justice, Laura M.; Logan, Jessica; Kaderavek, Joan N.



Database: CINAHL

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http://linker2.worldcat.org/?rft.institution_id=130084&ebscohost.authotype=%26authtype%3DAthens&spage=383&pkgName=c8h&issn=1058-0360&linkclass=to_article&jKey=5E7&issue=2&provider=EBSCOhost&date=2017-05&aulast=Justice%2C+Laura+M.%3B+Logan%2C+Jessica%3B+Kaderavek%2C+Joan+N.&atitle=Longitudinal+Impacts+of+Print-Focused+Read-Alouds+for+Children+With+Language+Impairment.&title=American+Journal+of+Speech-Language+Pathology&rft.content=fulltext%2Cprint&linkScheme=ebscoh.athens&jHome=http%3A%2F%2Fsearch.ebscohost.com%2Flogin.aspx%3Fauthtype%3Dathens%26lp%3Dathens.asp%26URL%3Dhttp%253a%252f%252fsearch.ebscohost.com%252fdirect.asp%253fdb%253dc8h%2526jid%253d5E7%2526scope%253dsite&volume=26&dbKey=c8h&rft.id=info%3Apmid%2F&rft.order_by=preference&linktype=best

Developing the Alphabetic Principle to Aid Text-Based Augmentative and Alternative Communication Use by Adults With Low Speech Intelligibility and Intellectual Disabilities.

Author(s): Schmidt-Naylor, Anna C.; Saunders, Kathryn J.; Brady, Nancy C.



Database: CINAHL

Building Auditory Skills in Children Who Sign.

Author(s): BRENNAN, KATIE



Abstract: The article focuses on the importance of collaboration in optimizing auditory outcomes for children who use sign. Topics covered include the need to determine how a child uses sign, the teams needed by children who continue to use sign as part of their communication systems and the areas of information provided by the team's audiologist to inform intervention approaches such as audibility and speech-perception performance.

Database: CINAHL

General

Technology for dementia: attitudes and practices of occupational therapists in providing assistive technology for way finding.

Author(s): Jarvis, Fiona; Clemson, Lindy Maxted; Mackenzie, Lynette

Source: Disability & Rehabilitation: Assistive Technology; May 2017; vol. 12 (no. 4); p. 373-377

Abstract: Purpose: One of the many difficulties a person with dementia can experience is difficulty with way finding and subsequently getting lost in the community. Prescriptions of assistive technology are a key role for occupational therapists. This study aimed to describe the attitudes and practices of occupational therapists in recommending and using assistive technology for persons with dementia who have difficulties with way finding in the community. Methods: An online survey was distributed to members of Occupational Therapy Australia NSW and included 25 items on demographics, frequency of use of assistive technology and assessment. Results: A total of 85 occupational therapists responded to the survey. Significant differences were identified in the approaches used, the types of assistive technology used and the evaluation of outcomes, between community-based and hospital-based occupational therapists. Over half of the participants had never prescribed any of the assistive devices listed in the survey for people with dementia. The most frequently prescribed assistive devices were low-tech items that were already freely available to carers and other professions. Conclusion: Therapists used a conservative approach to problem solving with their clients with dementia. There is a limited understanding from occupational therapists about available interventions for people with dementia. Implications for Rehabilitation There is limited awareness on how assistive technology might be used to support occupational performance for persons with dementia. This survey suggests that occupational therapists experience barriers in identifying and providing appropriate assistive technology for this group. Access to targeted education and online resources for occupational therapists is recommended to provide better awareness of the types of assistive technology available to assist persons with dementia and their caregivers.

Database: CINAHL

Effectiveness of iPad apps on visual-motor skills among children with special needs between 4y0m–7y11m.

Author(s): Coutinho, Franzina; Bosisio, Marie-Elaine; Brown, Emma; Rishikof, Stephanie; Skaf, Elise; Zhang, Xiaoting; Perlman, Cynthia; Kelly, Shannon; Freedin, Erin; Dahan-Oliel, Noemi

Source: Disability & Rehabilitation: Assistive Technology; May 2017; vol. 12 (no. 4); p. 402-410

Abstract: Aims: The aim of this randomized controlled trial was to assess the effectiveness of interventions using iPad applications compared to traditional occupational therapy on visual-motor integration (VMI) in school-aged children with poor VMI skills. Methods: Twenty children aged 4y0m to 7y11m with poor VMI skills were randomly assigned to the experimental group (interventions using iPad apps targeting VMI skills) or control group (traditional occupational therapy intervention sessions targeting VMI skills). The intervention phase consisted of two 40-min sessions per week, over a period of 10 weeks. Participants

http://linker2.worldcat.org/?rft.institution_id=130084&ebscohost.authotype=%26authtype%3DAthens&spage=397&pkgName=c8h&issn=1058-0360&linkclass=to_article&jKey=5E7&issue=2&provider=EBSCOhost&date=2017-05&aulast=Schmidt-Naylor%2C+Anna+C.%3B+Saunders%2C+Kathryn+J.%3B+Brady%2C+Nancy+C.&atitle=Developing+the+Alphabetic+Principle+to+Aid+Text-Based+Augmentative+and+Alternative+Communication+Use+by+Adults+With+Low+Speech+Intelligibility+and+Intellectual+Disabilities.&title=American+Journal+of+Speech-Language+Pathology&rft.content=fulltext%2Cprint&linkScheme=ebscoh.athens&jHome=http%3A%2F%2Fsearch.ebscohost.com%2Flogin.aspx%3Fauthtype%3Dathens%26lp%3Dathens.asp%26URL%3Dhttp%253a%252f%252fsearch.ebscohost.com%252fdirect.asp%253fdb%253dc8h%2526jid%253d5E7%2526scope%253dsite&volume=26&dbKey=c8h&rft.id=info%3Apmid%2F&rft.order_by=preference&linktype=best

http://linker2.worldcat.org/?rft.institution_id=130084&ebscohost.authotype=%26authtype%3DAthens&spage=14&pkgName=c8h&issn=1085-9586&linkclass=to_article&jKey=5FZ&provider=EBSCOhost&date=2017-05&aulast=BRENNAN%2C+KATIE&atitle=Building+Auditory+Skills+in+Children+Who+Sign.&title=ASHA+Leader&rft.content=fulltext%2Cprint&linkScheme=ebscoh.athens&jHome=http%3A%2F%2Fsearch.ebscohost.com%2Flogin.aspx%3Fauthtype%3Dathens%26lp%3Dathens.asp%26URL%3Dhttp%253a%252f%252fsearch.ebscohost.com%252fdirect.asp%253fdb%253dc8h%2526jid%253d5FZ%2526scope%253dsite&dbKey=c8h&rft.id=info%3Apmid%2F&rft.order_by=preference&linktype=best

were required to attend a minimum of 8 and a maximum of 12 sessions. The subjects were tested using the Beery-VMI and the visual-motor subscale of the M-FUN, at baseline and follow-up. Results: Results from a 2-way mixed design ANOVA yielded significant results for the main effect of time for the M-FUN total raw score, as well as in the subscales Amazing Mazes, Hidden Forks, Go Fishing and VM Behavior. However, gains did not differ between intervention types over time. No significant results were found for the Beery-VMI. Conclusions: This study supports the need for further research into the use of iPads for the development of VMI skills in the pediatric population.Implications for Rehabilitation This is the first study to look at the use of iPads with school-aged children with poor visual-motor skills. There is limited literature related to the use of iPads in pediatric occupational therapy, while they are increasingly being used in practice. When compared to the traditional occupational therapy interventions, participants in the iPad intervention appeared to be more interested, engaged and motivated to participate in the therapy sessions. Using iPad apps as an adjunct to therapy in intervention could be effective in improving VMI skills over time.

Database: CINAHL

Mindfulness and rehabilitation

Author(s): Dan, Bernard

Source: Developmental Medicine & Child Neurology; May 2017; vol. 59 (no. 5)

Abstract: This editorial discusses mindfulness and rehabilitation. The concept of mindfulness is useful in the management of developmental disabilities. The mindfulness practices have been applied in various health care programmes and interventions. Mindfulness has been defined as ‘the awareness that emerges through paying attention on purpose, in the present moment, and non-judgmentally to the unfolding of experience moment by moment’. Beneficial effects of mindfulness practice have been documented in domains ranging from general physical and mental wellbeing to selected challenges including eating disorders and attention-deficit–hyperactivity disorder. The use of mindfulness practice in conditions such as stroke, Parkinson’s disease, and multiple sclerosis has mostly focused on management of fatigue or stress, and not on motor control. The practice also have therapeutic potential in developmental neuromotor conditions such as cerebral palsy and developmental coordination disorder. Motivation likely plays a determining part, not least because the programmes are demanding both in time and concentration. The publicity around mindfulness has projected high expectations where it has been applied.

Database: PsycINFO

Chorus helps dementia patients, caregivers build community and self-esteem.

Source: Modern Healthcare; May 2017; vol. 47 (no. 20); p. 36-36

Available in full text at Modern Healthcare - from EBSCOhost

Abstract: The article offers information on the Unforgettables, a chorus for people with dementia and their caregivers started by Mary Mittelman, director of NYU Langone Medical Center's Alzheimer's Disease and Related Dementias Family Support Program.

Database: CINAHL

Improving Exercise Performance with an Accelerometer-Based Smartphone App.

Author(s): Bittel, Daniel C.; Bittel, Adam J.; Williams, Christine; Elazzazi, Ashraf

Source: American Journal of Physical Medicine & Rehabilitation; May 2017; vol. 96 (no. 5); p. 307-314

Abstract: Objective: Proper exercise form is critical for the safety and efficacy of therapeutic exercise. This research examines if a novel smartphone application, designed to monitor and provide real-time corrections during resistance training, can reduce performance errors and elicit a motor learning response. Design: Forty-two participants aged 18 to 65 years were randomly assigned to treatment and control groups. Both groups were tested for the number of movement errors made during a 10-repetition set completed at baseline, immediately after, and 1 to 2 weeks after a single training session of knee extensions. The treatment group trained with real-time, smartphone-generated feedback, whereas the control subjects did not. Group performance (number of errors) was compared across test sets using a 2-factor mixed-model analysis of variance. Results: No differences were observed between groups for age, sex, or resistance training experience. There was a significant interaction between test set and group. The treatment group demonstrated fewer errors on posttests 1 and 2 compared with pretest (P < 0.05). There was no reduction in the number of errors on any posttest for control subjects. Conclusion: Smartphone apps, such as the one used in this study, may enhance patient supervision, safety, and exercise efficacy across rehabilitation settings. A single training session with the app promoted motor learning and improved exercise performance.

http://linker2.worldcat.org/?rft.institution_id=130084&ebscohost.authotype=%26authtype%3DAthens&spage=36&pkgName=mdc&issn=0160-7480&linkclass=to_article&jKey=MHL&issue=20&provider=EBSCOhost&date=2017-05&atitle=Chorus+helps+dementia+patients%2C+caregivers+build+community+and+self-esteem.&title=Modern+Healthcare&rft.content=fulltext%2Cprint&linkScheme=ebscoh&jHome=http%3A%2F%2Fsearch.ebscohost.com%2Fdirect.asp%3Fdb%3Dmdc%26jid%3DMHL%26scope%3Dsite&volume=47&dbKey=mdc&rft.id=info%3Apmid%2F&rft.order_by=preference&linktype=best

Database: CINAHL

The Effectiveness of Technology-Supported Exercise Therapy for Low Back Pain.

Author(s): Matheve, Thomas; Brumagne, Simon; Timmermans, Annick A. A.

Source: American Journal of Physical Medicine & Rehabilitation; May 2017; vol. 96 (no. 5); p. 347-356

Abstract: Various technological systems have been developed to assist exercise therapy for low back pain. The aim of this systematic review was to provide an overview and to assess the effectiveness of the available technology-supported exercise therapy (TSET) programs for low back pain. The electronic databases Pubmed, Embase, Cochrane Central Register of Controlled Trials, PEDro, IEEE, and ACM were searched until January 2016. Randomized controlled trials (RCTs) using electronic technological systems simultaneously with exercise therapy for patients with low back pain were included. Twenty-five RCTs met the inclusion criteria. Seventeen studies involved patients with chronic low back pain, and electromyography biofeedback was the most prevalent type of technological support. This review shows that TSET seems to improve pain, disability, and quality of life for patients with low back pain, and that a standard treatment combined with an additional TSET program might be superior to a standard treatment alone. However, TSET seems not more effective compared to other interventions or a placebo intervention for improving these outcomes, which may partially be explained by the analytical approach of the current TSET-programs. For most technologies, only a limited number of RCTs are available, making it difficult to draw firm conclusions about the effectiveness of individual technological systems.

Database: CINAHL

Content and Evaluation of the Benefits of Effective Exercise for Older Adults With Knee Pain Trial Physiotherapist Training Program.

Author(s): Holden, Melanie A.; Whittle, Rebecca; Healey, Emma L.; Hill, Susan; Mullis, Ricky; Roddy, Edward; Sowden, Gail; Tooth, Stephanie; Foster, Nadine E.


Abstract: Objective To explore whether participating in the Benefits of Effective Exercise for knee Pain (BEEP) trial training program increased physiotherapists' self-confidence and changed their intended clinical behavior regarding exercise for knee pain in older adults. Design Before/after training program evaluation. Physiotherapists were asked to complete a questionnaire before the BEEP trial training program, immediately after, and 12 to 18 months later (postintervention delivery in the BEEP trial). The questionnaire included a case vignette and associated clinical management questions. Questionnaire responses were compared over time and between physiotherapists trained to deliver each intervention within the BEEP trial. Setting Primary care. Participants Physiotherapists (N=53) who completed the BEEP trial training program. Interventions Not applicable. Main Outcome Measures Self-confidence in the diagnosis and management of knee pain in older adults; and intended clinical behavior measured by a case vignette and associated clinical management questions. Results Fifty-two physiotherapists (98%) returned the pretraining questionnaire, and 44 (85%) and 39 (74%) returned the posttraining and postintervention questionnaires, respectively. Posttraining, self-confidence in managing older adults with knee pain increased, and intended clinical behavior regarding exercise for knee pain in older adults appeared more in line with clinical guidelines. However, not all positive changes were maintained in the longer-term. Conclusions Participating in the BEEP trial training program increased physiotherapists' self-confidence and changed their intended clinical behavior regarding exercise for knee pain, but by 12 to 18 months later, some of these positive changes were lost. This suggests that brief training programs are useful, but additional strategies are likely needed to successfully maintain changes in clinical behavior over time.

Database: CINAHL

Functional Goals and Predictors of Their Attainment in Low-Income Community-Dwelling Older Adults.

Author(s): Waldersen, Brian W.; Wolff, Jennifer L.; Roberts, Laken; Bridges, Allysin E.; Gitlin, Laura N.; Szanton, Sarah L.


Abstract: Objective To describe functional goals and factors associated with goal attainment among low-income older adults with disabilities living in the community. Design Secondary analysis. Setting Participants' homes. Participants Older adults (N=226) with disability who participated in the Community Aging in Place, Advancing Better Living for Elders trial. Interventions A 5-month, home-based, person-directed, structured program delivered by an interprofessional team: occupational therapist, registered nurse, and handyman. Main Outcome Measures Process of occupational therapist goal setting and

attainment at the final occupational therapist visit. Results Participants identified 728 functional goals (mean of 3.2 goals per participant), most commonly related to transferring (22.0%; n=160 goals), changing or maintaining body position (21.4%; n=156 goals), and stair climbing (13.0%; n=95 goals). Participants attained 73.5% (n=535) of goals. Goal attainment was highest for stair climbing (86.3%), transferring (85.6%), and self-care (84.6%); walking goals were less likely attained (54.0%). Goal attainment was not associated with age, sex, education, depressive symptoms, function, or health-related quality of life but was less likely among participants who had severe pain compared with those without pain (adjusted odds ratio, 0.38; 95% confidence interval, 0.17–0.86). When participant readiness to change score increases by 1 point on the 4-point scale, goal attainment was 62% more likely (adjusted odds ratio, 1.62; 95% confidence interval, 1.14–2.29). Conclusions Home-based collaborative goal setting between older adults and occupational therapists is feasible and particularly effective when individuals are ready or willing to adopt new strategies to achieve identified goals.

Database: CINAHL

Delphi Study to Determine Rehabilitation Research Priorities for Older Adults With Cancer.

Author(s): Lyons, Kathleen Doyle; Radomski, Mary Vining; Alfano, Catherine M.; Finkelstein, Marsha; Sleight, Alix G.; Marshall, Timothy F.; McKenna, Raymond; Fu, Jack B.


Abstract: Objective To solicit expert opinions and develop consensus around the research that is needed to improve cancer rehabilitation for older adults. Design Delphi methods provided a structured process to elicit and prioritize research questions from national experts. Setting National, Web-based survey. Participants Members (N=32) of the American Congress of Rehabilitation Medicine completed at least 1 of 3 investigator-developed surveys. Interventions Not applicable. Main Outcome Measures In the first survey, participants identified up to 5 research questions that needed to be answered to improve cancer rehabilitation for older adults. In 2 subsequent surveys, participants viewed the compilation of questions, rated the importance of each question, and identified the 5 most important questions. This generated priority scores for each question. Consensus scores were created to describe the degree of agreement around the priority of each question. Results Highest priority research concerns the epidemiology and measurement of function and disability in older adult cancer survivors; the effects of cancer rehabilitation interventions on falls, disability, participation, survival, costs, quality of care, and health care utilization; and testing models of care that facilitate referrals from oncology to rehabilitation providers as part of coordinated, multicomponent care. Conclusions A multipronged approach is needed to fill these gaps, including targeted funding opportunities developed with an advisory panel of cancer rehabilitation experts, development of a research network to facilitate novel collaborations and grant proposals, and coordinated efforts of clinical groups to advocate for funding, practice change, and policy change.

Database: CINAHL

Characterization of Cancer Patients in Inpatient Rehabilitation Facilities: A Retrospective Cohort Study.

Author(s): Mix, Jacqueline M.; Granger, Carl V.; LaMonte, Michael J.; Niewczyk, Paulette; DiVita, Margaret A.; Goldstein, Richard; Yates, Jerome W.; Freudenheim, Jo L.


Abstract: Objectives To identify the types of cancer patients admitted to inpatient medical rehabilitation and to describe their rehabilitation outcomes. Design Retrospective cohort study. Setting U.S. inpatient rehabilitation facilities (IRFs). Participants Adult patients (N=27,952) with a malignant cancer diagnosis admitted to an IRF with a cancer-related impairment between October 2010 and September 2012 were identified from the Uniform Data System for Medical Rehabilitation database. Interventions Not applicable. Main Outcome Measures Demographic, medical, and rehabilitation characteristics for patients with various cancer tumor types were summarized using data collected from the Inpatient Rehabilitation Facility–Patient Assessment Instrument. Rehabilitation outcomes included the percentage of patients discharged to the community and acute care settings, and functional change from admission to discharge. Functional status was measured using the FIM instrument. Results Cancer patients constituted about 2.4% of the total IRF patient population. Cancer types included brain and nervous system (52.9%), digestive (12.0%), bone and joint (8.7%), blood and lymphatic (7.6%), respiratory (7.1%), and other (11.7%). Overall, 72% were discharged to a community setting, and 16.5% were discharged back to acute care. Patients with blood and lymphatic cancers had the highest frequency of discharge back to acute care (28%). On average, all cancer patient groups made significant functional gains during their IRF stay (mean FIM total change ± SD, 23.5±16.2). Conclusions In a database representing approximately 70% of all U.S. patients in IRFs, we found that patients with a variety of cancer types are admitted to inpatient rehabilitation. Most cancer

patients admitted to IRFs were discharged to a community setting and, on average, improved their function. Future research is warranted to understand the referral patterns of admission to postacute care rehabilitation and to identify factors that are associated with rehabilitation benefit in order to inform the establishment of appropriate care protocols.

Database: CINAHL

Physical Activity After a Hip Fracture: Effect of a Multicomponent Home-Based Rehabilitation Program—A Secondary Analysis of a Randomized Controlled Trial.

Author(s): Turunen, Katri; Salpakoski, Anu; Edgren, Johanna; Törmäkangas, Timo; Arkela, Marja; Kallinen, Mauri; Pesola, Maija; Hartikainen, Sirpa; Nikander, Riku; Sipilä, Sarianna


Abstract: Objectives To investigate the effect of a yearlong multicomponent rehabilitation program on the level of physical activity (PA) and the maintenance of the level of PA over 1-year follow-up among older people recovering from a recent hip fracture. Design Secondary analysis of a randomized, controlled, parallel-group trial. Setting Home-based rehabilitation; measurements in university laboratory. Participants Community-dwelling people (N=81) aged ≥60 years recovering from a hip fracture. Participants were randomly assigned to an intervention (n=40) or a control (n=41) group, on average, 42±23 days after discharge from the hospital. Intervention A yearlong intervention included evaluation and modification of environmental hazards, guidance for safe walking, nonpharmacologic pain management, a progressive home exercise program, PA counseling, and standard care. Main Outcome Measures The outcome was the level of PA, which was assessed with the questionnaire (a modified Grimby scale) at baseline, and 3, 6, 12, and 24 months after baseline. Three PA categories were defined: inactivity, light PA, and moderate to heavy PA. Physical function was assessed using the Short Physical Performance Battery (SPPB) at baseline. The effects of the intervention were analyzed with generalized estimating equations. Results In the intervention group, a significant increase was observed in the level of PA after the intervention (interaction P =.005) and after 1-year follow-up ( P =.021) compared with the standard care only. The benefit was particularly evident among the participants with a baseline SPPB score of ≥7 (interaction P <.001). Conclusions The 12-month individualized multicomponent rehabilitation program increased PA among older patients with hip fracture. The increase was found to be maintained at the 1-year follow-up.

Database: CINAHL

Predatory Open Access in Rehabilitation.

Author(s): Manca, Andrea; Martinez, Gianluca; Cugusi, Lucia; Dragone, Daniele; Mercuro, Giuseppe; Deriu, Franca


Abstract: Increasingly scholars and researchers are being solicited by predatory open access journals seeking manuscript submissions and abusing the author-pays model by charging authors with publishing fees without any or proper peer review. Such questionable editorial practices are threatening the reputation and credibility of scholarly publishing. To date, no investigation has been conducted on this phenomenon in the field of rehabilitation. This study attempts to identify specific predatory journals operating in this field to quantify the phenomenon and its geographic distribution. Beall's List has been used to this end which, although not perfect, is a comprehensive and up-to-date report of predatory publishers. Of the 1113 publishers on the list, 59 journals were identified, for a total of 5610 published articles. The median number of articles published by each journal was 21, and the median amount of article processing charges was $499. Only 1 out of 59 journals was included in the Directory of Open Access Journals, whereas 7 (12%) were indexed by PubMed. Most of the publishers were based in India (36%) followed by the United States (25%) and Pakistan (5%), and 25% were without a verifiable address. The data indicate that the threat of predatory publishing in rehabilitation is real. Physiatrists, physiotherapists, researchers, and academics operating in this field are advised to use the tools available to recognize predatory practices before considering publishing in open access journals.

Database: CINAHL

IMPROVE HOW YOU MOVE.

Author(s): VARGO, BRYAN D.

Source: Arthritis Today; May 2017; vol. 31 (no. 3); p. 24-24

Abstract: The article offers step-by-step instructions for "functional fitness" exercises for making everyday tasks easier.

Database: CINAHL

Get Your Dance on - Safely.

Author(s): DUNKIN, MARY ANNE


Abstract: The article discusses the role of dance fitness classes like step aerobics and Zumba Gold in improving cardiovascular fitness. Topics include need to wear a knee brace for support and stability, reducing the number of repetitions for arm moves above the head, and avoiding extreme ranges of motion of the neck or back by reducing the speed.

Database: CINAHL

What's Your Fitness IQ?

Author(s): LIAO, SHARON


Abstract: The article presents quiz related to fitness including aerobic exercise, whether lifting weights helps support joints, and strength training.

Database: CINAHL

Simplify With Silicone.

Author(s): M. A. D.


Abstract: The article evaluates silicone devices for kitchen work including the non-slip cutting board from Top Home Choice, Good Grips Silicone Collapsible Colander from Oxo, and the food storage bags from Stasher.

Database: CINAHL

New Clinical Guideline for Low Back Pain Says Try Nondrug Therapies First.

Author(s): Stockwell, Serena

Source: The American journal of nursing; May 2017; vol. 117 (no. 5); p. 16

Abstract: Most such pain resolves on its own.

Database: Medline

Return to work helps maintain treatment gains in the rehabilitation of whiplash injury.

Author(s): Sullivan, Michael; Adams, Heather; Thibault, Pascal; Moore, Emily; Carriere, Junie S; Larivière, Christian

Source: Pain; May 2017; vol. 158 (no. 5); p. 980-987

Abstract: This study examined the relation between return to work and the maintenance of treatment gains made over the course of a rehabilitation intervention. The study sample consisted of 110 individuals who had sustained whiplash injuries in rear collision motor vehicle accidents and were work-disabled at the time of enrolment in the study. Participants completed pre- and post-treatment measures of pain severity, disability, cervical range of motion, depression, posttraumatic stress symptoms, and catastrophizing. Pain severity was assessed again at 1-year follow-up. At 1-year follow-up, 73 participants had returned to work and 37 remained work-disabled. Analyses revealed that participants who returned to work were more likely to maintain treatment gains (77.5%) than participants who remained work-disabled (48%), χ = 6.3, P < 0.01. The results of a regression analysis revealed that the relation between return to work and the maintenance of treatment gains remained significant (β = 0.30, P < 0.01), even when controlling for potential confounders such as pain severity, restricted range of motion, depression, and pain catastrophizing. The Discussion addresses the processes by which prolonged work-disability might contribute to the failure to maintain treatment gains. Important knowledge gaps still remain concerning the individual, workplace, and system variables that might play a role in whether or not the gains made in the rehabilitation of whiplash injury are maintained. Clinical implications of the findings are also addressed.

Database: Medline

Photographs of Daily Activities-Youth English: validating a targeted assessment of worry and anticipated pain.

Author(s): Simons, Laura E; Pielech, Melissa; McAvoy, Shannon; Conroy, Caitlin; Hogan, Melinda; Verbunt, Jeanine A; Goossens, Marielle E

Source: Pain; May 2017; vol. 158 (no. 5); p. 912-921

Abstract: PHODA is an electronic measure that individualizes and guides treatment for individuals with chronic pain. Implicit in its design is recognition that pain-related fear is a driving force that impedes treatment progress. With this tool, patients visually rate their expectations about the harmful consequences of specific movements. This study aimed to (1) develop and validate PHODA-Youth English (PHODA-YE) and (2) evaluate the potential impact of PHODA-YE assessment on treatment outcomes. Participants were 195 youth, age 8 to 20 years, who presented to an outpatient pain clinic for evaluation (n = 99), or enrolled at the Pediatric Pain Rehabilitation Center (PPRC) intensive program (PPRC; n = 96). All patients completed the PHODA-YE along with measures of emotional functioning and disability. Patients in the PPRC completed the measure at both admission and discharge. After eliminating infrequently endorsed and poorly loading items, factor analytic procedures yielded a 4-subscale, 50-item measure with strong internal consistency (from 0.92 to 0.97 across subscales). Fear, avoidance, and functional disability were strongly associated with PHODA-YE scores, supporting construct validity. Within the PPRC sample, PHODA-YE was sensitive to changes over time in relation to functional improvements. Across the PPRC sample, patients found it helpful to complete the PHODA and target feared activities. Altogether, the PHODA-YE is a valid and concrete assessment tool that rapidly identifies specific activities and movements that elicit fearful responses from patients.

Database: Medline

Effects of activity-based therapy interventions on mobility, independence, and quality of life for people with spinal cord injuries: A systematic review and meta-analysis

Author(s): Quel de Oliveira, Camila; Refshauge, Kathryn; Middleton, James; de Jong, Lysanne; Davis, Glen M.

Source: Journal of Neurotrauma; May 2017; vol. 34 (no. 9); p. 1726-1743

Abstract: The aim of this study was to review the literature about the effects of activity-based therapy (ABT) interventions on mobility, functional independence, and quality of life for people with a spinal cord injury (SCI). A systematic review with meta-analysis of randomized and non-randomized trials was performed, including adults with a non-progressive SCI at any level. The intervention of interest was ABT, defined as any intervention that sought to improve muscle activation or sensory function below the level of injury in the spinal cord and does not rely on compensatory mechanisms for improving function. The comparison was either no intervention or conventional physical interventions targeted to regions above the level of injury. The outcome measures were quality-of-life questionnaires, mobility assessments, and functional independence scales. Nineteen trials were included in this systematic review. Three compared ABT to no intervention and 16 to conventional physical rehabilitation. The methodological quality of the trials was assessed using the PEDro scale as moderate. Six studies investigated the effects of ABT interventions for the upper limbs, 11 investigated gait-related interventions, and two applied multi-modal interventions. Compared with no intervention, the meta-analysis found that ABT was not more effective for improving independence or lower limb mobility, but conferred a large positive effect on upper limb function. Compared with conventional physical interventions, there was no significant effect of ABT on lower limb mobility, independence, or quality of life; however, it had positive effects on upper limbs. In conclusion, there is evidence that ABT can improve independence and functional ability when applied to the upper limbs in people with SCI. However, it is not superior to conventional physical interventions when applied to the lower limbs

Database: PsycINFO

A meta-analysis and systematic literature review of virtual reality rehabilitation programs

Author(s): Howard, Matt C.

Source: Computers in Human Behavior; May 2017; vol. 70 ; p. 317-327

Abstract: A recent advancement in the study of physical rehabilitation is the application of virtual reality rehabilitation (VRR) programs, in which patients perform practice behaviors while interacting with the computer-simulation of an environment that imitates a physical presence in real or imagined worlds. Despite enthusiasm, much remains unknown about VRR programs. Particularly, two important research questions have been left unanswered: Are VRR programs effective? And, if so, why are VRR programs effective? A meta-analysis is performed in the current article to determine the efficacy of VRR programs, in general, as well as their ability to develop four specific rehabilitation outcomes: motor control, balance, gait, and strength. A systematic literature review is also performed to determine the mechanisms that may cause VRR program success or failure. The results demonstrate that VRR programs are more effective than traditional rehabilitation programs for physical outcome development. Further, three mechanisms have been proposed to cause these improved outcomes: excitement, physical fidelity, and cognitive fidelity; however, empirical research has yet to show that these mechanisms actually prompt better rehabilitation

outcomes. The implications of these results and possible avenues for future research and practice are discussed. (PsycINFO Database Record (c) 2017 APA, all rights reserved) (Source: journal abstract)

Database: PsycINFO

Family-oriented services in pediatric rehabilitation: A scoping review and framework to promote parent and family wellness

Author(s): King, G.; Williams, L.; Hahn Goldberg, S.

Source: Child: Care, Health and Development; May 2017; vol. 43 (no. 3); p. 334-347

Abstract: Family-oriented services are not as common as one would expect, given the widespread endorsement of family-centred care, the role of parents in supporting optimal child outcomes, and legislation and literature indicating that parent outcomes are important in their own right. There are no published service delivery frameworks describing the scope of services that could be delivered to promote parent and family wellness. A scoping review was conducted to identify types of family-oriented services for parents of children with physical disabilities and/or intellectual impairments. This information was then synthesized into a conceptual framework of services to inform service selection and design. A scoping review of the recent literature was performed to capture descriptions of services targeting parents/families of children with physical disabilities and/or intellectual impairments, published in a six-year period (2009 to 2014). Six databases were searched and 557 retrieved articles were screened using inclusion and exclusion criteria. Thirty six relevant articles were identified. Based on descriptions of services in these articles, along with seminal articles describing the nature of desirable services, we propose a needs-based and capacity-enhancing framework outlining a continuum of family-oriented services for parents of children with disabilities. The framework includes six types of services to meet parent/family needs, organized as a continuum from fundamental information/education services, to those supporting parents to deliver services to meet their child's needs, to a variety of services addressing parents' own needs (support groups, psychosocial services and service coordination). The framework provides pediatric rehabilitation service organizations with a way to consider different possible family-oriented services. Implications include the particular importance of providing information resources, support groups and psychosocial services to meet parents' needs, enhance capacity and promote family wellness. There is also an opportunity to provide composite parent–child services to address the needs of both parents and children. (PsycINFO Database Record (c) 2017 APA, all rights reserved) (Source: journal abstract)

Database: PsycINFO

Role of nurses in supporting patients to self-manage chronic conditions.

Author(s): Coates, Vivien

Source: Nursing Standard; May 2017; vol. 31 (no. 38); p. 42-46

Available in print at - from Nursing Standard ; Notes: Donated journal some issues missing

Abstract: The burden of chronic illness is increasing globally as a result of increased life expectancy, unhealthy lifestyles, and advances in medical interventions and treatments. Therefore, people living with chronic conditions, and their families, will have to assume greater responsibility in managing such conditions. However, to do so they require appropriate support from healthcare services. This article explores some of the tensions that hinder the self-management of chronic conditions. It emphasises the importance of individuals and their families having the desire, and being enabled, to assume an active and decisive role in the management of chronic conditions. Nurses have a role in enabling patients to optimise their self-management skills, but organisational constraints in healthcare services, as well as constraints in nurse training and nursing roles, may mean that nurses are unable to fulfil this role. This article considers some of the factors that may limit the development of patient and nursing roles in relation to self- management of chronic conditions.

Database: CINAHL

Banter can help get the message across.

Author(s): BATES, JANE

Source: Nursing Standard; May 2017; vol. 31 (no. 36); p. 31-31

Available in print at - from Nursing Standard ; Notes: Donated journal some issues missing

Abstract: The author discusses how banter helps patients and relatives relax after the ordeal of eye surgery.

Database: CINAHL

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