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Full-Text Articles in Rehabilitation and Therapy
Functional Electrical Stimulation Compared To Stretching/Strengthening Interventions For The Multiple Sclerosis Individual, Kara Johnsen, Jessica Tariske
Functional Electrical Stimulation Compared To Stretching/Strengthening Interventions For The Multiple Sclerosis Individual, Kara Johnsen, Jessica Tariske
Occupational Therapy Graduate Student Evidenced-Based Research Reviews
In an outpatient clinic for adults, the OT frequently works with clients diagnosed with Multiple Sclerosis. Personalized interventions that include stretching and strengthening to maintain UE function are typically used for this clientele within this setting. The OT has seen results with UE stretching and strengthening but is curious to know if there are any other interventions that can be used with his MS patients in order to maintain function. The therapist has looked into a new intervention of functional electrical stimulation. FMES is an emerging intervention that is being used to strengthen muscles through electrical impulses. Repetitive muscle contractions …
An Effective Cognition Assessment In Ventilated Patients, Gabrielle Lober, Rachel Walker
An Effective Cognition Assessment In Ventilated Patients, Gabrielle Lober, Rachel Walker
Occupational Therapy Graduate Student Evidenced-Based Research Reviews
No abstract provided.
Pediatric Constraint Induced Movement Therapy Vs. Bimanual Training For Hemiplegia, Heather Duyck
Pediatric Constraint Induced Movement Therapy Vs. Bimanual Training For Hemiplegia, Heather Duyck
Occupational Therapy Graduate Student Evidenced-Based Research Reviews
Sarah is a five year old girl diagnosed with congenital hemiplegia from cerebral palsy. Her right side is affected, and she has no intellectual disabilities. While her parents want her to start first grade in the fall, they are worried about her ability to do well in the classroom because she is right handed. As her occupational therapist, you are interested in whether pediatricconstraint induced movement therapy (pCIMT) or bimanual training (BIT) would be a more effective treatment plan for Sarah.
The Effectiveness Of Compression Gloves For Reducing Hand Edema, Colleen Pastunink, Ryan Steele
The Effectiveness Of Compression Gloves For Reducing Hand Edema, Colleen Pastunink, Ryan Steele
Occupational Therapy Graduate Student Evidenced-Based Research Reviews
Sally is a 72-year-old Caucasian female. She is 8 weeks post left Cerebral Vascular Accident (CVA) which resulted in left hemiparesis and expressive aphasia. She has now been discharged to home and is to attend outpatient therapy twice per week for 12 weeks. Prior to her stroke, Sally was independent in all self-care activities and was very socially active in her community. During an initial occupational therapy evaluation, therapists report that Sally is independent in all transfers and ambulates with the use of a quad cane. Circumferential measurements were taken during evaluation of the right upper extremity secondary to the …
Long Term Benefits Of Lsvt-Big Program For Individuals With Parkinson’S Disease, Emily Sandberg, Katelyn Weiandt
Long Term Benefits Of Lsvt-Big Program For Individuals With Parkinson’S Disease, Emily Sandberg, Katelyn Weiandt
Occupational Therapy Graduate Student Evidenced-Based Research Reviews
A 60 year old, male has been diagnosed with Parkinson’s Disease for 5 years. Referral received from MD stating deficits in the following areas: balance, perception, gait, postural instability, coordination, swallowing, tremors, rigidity, bradykinesia, hypokinesia, and loss of higher cognitive functions. Currently there is not a cure, but there are treatment options for Parkinson’s Disease. LSVT-BIG is one type of treatment that Occupational or Physical Therapist can implement. This program uses high amplitude movements to overcome bradykinesiaand hypokinesia. The client attended 16 sessions in total (1 hour sessions, 4 days a week, for 4 weeks). The client has been discharged …
Sling Use With The Flaccid Upper Extremity: Central Nervous System Brain Injury, Cameron Guster, Brittany Domin
Sling Use With The Flaccid Upper Extremity: Central Nervous System Brain Injury, Cameron Guster, Brittany Domin
Occupational Therapy Graduate Student Evidenced-Based Research Reviews
In the acute care setting, an occupational therapist often evaluates and treats patients after a central nervous system (CNS) brain injury. There are many intervention strategies used to help treat these conditions. Slings are most commonly used short-term with patients who present with a flaccid upper extremity. The main concern is the efficacy for the sling use with patients who fall under this diagnosis.
Age, Frequency, And Precautions In Relation To Stimulation In The Nicu, Kathleen Nickens, Ceara Fauble
Age, Frequency, And Precautions In Relation To Stimulation In The Nicu, Kathleen Nickens, Ceara Fauble
Occupational Therapy Graduate Student Evidenced-Based Research Reviews
In a Neonatal Intensive Care Unit (NICU), occupational therapists work with infants and their families to provide the appropriate stimulation and environmental adaptations necessary for growth and development. Occupational therapists are utilized in the NICU setting to contribute to a multidisciplinary approach, as well as focus holistically on an infant’s neurobehavioral development, sensorimotor regulation, and developmentally-appropriate occupations. One key component of an occupational therapist’s role in the NICU is determining appropriate stimulation in regards to their gestational age and providing protocols to prevent overstimulation.
Efficacy Of Eye Patching In Post-Stroke Patients, Ann Marta, Elizabeth Kos
Efficacy Of Eye Patching In Post-Stroke Patients, Ann Marta, Elizabeth Kos
Occupational Therapy Graduate Student Evidenced-Based Research Reviews
The question is in regards to occupational therapy in an acute care setting. The treatment team is considering eye patching as a treatment for post stroke victims suffering from visual field deficits. They are interested in how eye patching can improve the effectiveness and use of the affected visual field. The team is also interested in having better long term outcomes for their patients.
Addressing Ataxia Among Children With Cerebellar Disorders, Maureen Mcconville, Shane O’Shea
Addressing Ataxia Among Children With Cerebellar Disorders, Maureen Mcconville, Shane O’Shea
Occupational Therapy Graduate Student Evidenced-Based Research Reviews
Valerie is a 7-year-old girl who presents with cerebellar ataxia, causing lack of coordination in her movements. Among dysmetria, she displays many other symptoms of ataxia that cause dysfunction in her daily life such as clumsy gait and dysdiadochokinesia. She is unable to control her arms and hands. Valerie has difficulty with bilateral tasks of her upper and lower extremities. Valerie’s Occupational Therapist is determined to help improve her symptoms but is limited in specific interventions designed to help ataxia. The occupational therapist is interested in determining the most effective treatment for improving upper extremity function in children with ataxia.
Examining Sensory Processing Tools For A School System, Rachel Chaney, Lisa Wilkey
Examining Sensory Processing Tools For A School System, Rachel Chaney, Lisa Wilkey
Occupational Therapy Graduate Student Evidenced-Based Research Reviews
A child with sensory processing issues leads a life that differs significantly from typically developing children. There are numerous types of sensations that children encounter every day in different environments, especially in school. If a child does not process the incoming stimuli correctly then their motor response is affected. As a result of this, the child is unable to perform to their fullest potential in school. The Sensory Profile (SP) and the Sensory Processing Measure (SPM) are two tools that help assess sensory processing.
The Effectiveness Of Extracorporeal Shock Wave Therapy On Burns And Scars, Brandon Lubish, Patrick Yee
The Effectiveness Of Extracorporeal Shock Wave Therapy On Burns And Scars, Brandon Lubish, Patrick Yee
Occupational Therapy Graduate Student Evidenced-Based Research Reviews
In an outpatient clinic, an occupational therapist is treating a client who has recently suffered a thermal burn on his left forearm 2 weeks prior to the session. The therapist wants to know if Extracorporeal Shock Wave Therapy (ESWT) would be an appropriate treatment for their client to improve healing, appearance and mobility of the scar.
Inter-Rater Reliability: Wrist Goniometer Placement, Jamie Hain, Kelli Turner
Inter-Rater Reliability: Wrist Goniometer Placement, Jamie Hain, Kelli Turner
Occupational Therapy Graduate Student Evidenced-Based Research Reviews
A 26-year-old female client sustained a right distal radius fracture due to a fall on an outstretched hand (FOOSH) while riding her bike with her dog two weeks ago. She had an open reduction internal fixation (ORIF) and now has limited range of motion (ROM) in both her right wrist and hand. ROM measurements were completed in order to accurately determine her progress in therapy. Correct goniometer placement is of great importance when making clinical decisions and when looking at overall therapy outcomes.
Pediatric Constraint Induced Movement Therapy Protocols For Hemiplegia, Christina Fisher, Brittany Newton
Pediatric Constraint Induced Movement Therapy Protocols For Hemiplegia, Christina Fisher, Brittany Newton
Occupational Therapy Graduate Student Evidenced-Based Research Reviews
In a variety of settings, the OT works with children with hemiplegic cerebral palsy (CP). Hemiplegic CP often affects sensation, perception, cognition, communication, and motor movements. These skills impact participation in home, school, community life, and activities of daily living (ADLs) such as grooming, dressing, and feeding. The OT has the responsibility to decide the most effective way to allocate treatment. Constraint induced movement therapy has been shown to improve developmental disuse in the effected upper extremity. As there are many variations of this intervention, the OT wants to know what is the most effective type, frequency, duration, and intensity …
Effective Utilization Of Progressive Mobility Programs In Medical Intensive Care Units (Micu’S), Abby Davis, Megan Palczewski
Effective Utilization Of Progressive Mobility Programs In Medical Intensive Care Units (Micu’S), Abby Davis, Megan Palczewski
Occupational Therapy Graduate Student Evidenced-Based Research Reviews
In medical intensive care units (MICU’s), the OT frequently works with clients who are in the early stages of mobility. Clients with orders of bed rest are at heightened risk to co-morbid conditions that significantly impact client health. The OT plays an important role in the mobility process, and wants to know the most effective utilization of progressive mobility programs. The OT is ideally interested in their role in the progressive mobility process.
Best Practices In Weaning Children Off Tube Feeds To Oral Intake, Kylie Abernathy, Andrea Newton
Best Practices In Weaning Children Off Tube Feeds To Oral Intake, Kylie Abernathy, Andrea Newton
Occupational Therapy Graduate Student Evidenced-Based Research Reviews
In an outpatient pediatric clinic, the multidisciplinary team frequently works with the child to promote oral intake. Assessments and questionnaires were utilized to identify challenges faced by the client ability to properly intake food. The OT was approached by the child’s family to help meet their feeding goals to make mealtime more enjoyable. As the OT is generally not involved in the act of proper weaning technique, they are interested in what steps they can take to provide the family with support and to develop subsequent feeding skills.family with support and to develop subsequent feeding skills. family with support and …