LSVT BIG in late stroke rehabilitation: A single-case experimental design study

2019 ◽  
Vol 86 (2) ◽  
pp. 87-94
Author(s):  
Valerie Metcalfe ◽  
Mary Egan ◽  
Katrine Sauvé-Schenk
Keyword(s):  
Experimental Design ◽  
Repeated Measures ◽  
Stroke Rehabilitation ◽  
Single Case ◽  
Performance Measure ◽  
Occupational Performance ◽  
Self Assessment ◽  
Canadian Occupational Performance Measure ◽  
Improved Performance ◽  
Daily Occupation

Background. Late stroke rehabilitation interventions often target impairment with limited carryover to daily occupation. Purpose. This study explored whether the LSVT BIG program could lead to improved performance in client-identified occupations and decreased impairment late poststroke. Method. A single-case experimental design with one repetition was completed. Participants were two adults who had experienced a stroke 3 and 12 years previously. Each participant selected up to six occupational goals, and the intervention was applied to half. Repeated measures were taken using the Canadian Occupational Performance Measure and the Rating of Everyday Arm-Use in the Community and Home. Additional measures of performance and impairment were applied pre- and postintervention. Findings. Performance improved on either self-assessment or blinded-rater assessment for all but one activity (trained or untrained). Implications. LSVT BIG is a promising intervention to improve occupational performance. Further research is required to clarify elements of the program essential to improving occupational performance.

Cognitive orientation to daily occupation group in the adult day rehabilitation setting: A feasibility study Cognitive Orientation to daily Occupational Performance in day rehabilitation

2021 ◽  
pp. 030802262110087
Author(s):  
Sarah M Zera ◽  
Kathy Preissner ◽  
Heidi Fischer ◽  
Ashley Stoffel
Keyword(s):  
Feasibility Study ◽  
Performance Measure ◽  
Group Model ◽  
Occupational Performance ◽  
Subjective Data ◽  
Group Format ◽  
Cognitive Orientation ◽  
Canadian Occupational Performance Measure ◽  
Occupation Group ◽  
Daily Occupation

Introduction The Cognitive Orientation to daily Occupational Performance (CO-OP) ApproachTM is a leading approach in occupational therapy. Implementing the CO-OP ApproachTM in a group format in day rehabilitation has not yet been explored. Method In day rehabilitation, a barrier to implementing the CO-OP ApproachTM is the group model. To address these challenges, this feasibility study involved the development, implementation, and evaluation of a CO-OP group for adults. Four patients participated in six group sessions. Pre- and post-measures included the Canadian Occupational Performance Measure (COPM) and the Assessment of Motor and Process Skills (AMPS). Subjective data were collected to reflect the participant’s experiences during the group. Results 80% of participants recruited completed the group. All participants demonstrated improvement in goals addressed within the group and goals not addressed within the group on the COPM. AMPS findings were inconclusive. Subjective findings indicated participants appreciated the group learning environment, valued the CO-OP process, were motivated to participate, and would have liked more groups. Conclusion To our knowledge, this is the first adult CO-OP group in a clinical setting. Results support the feasibility of a CO-OP group in day rehabilitation and the need for further examination of the effectiveness of this intervention.

CO-OP Intervention for Young Children with Developmental Coordination Disorder

2007 ◽  
Vol 27 (4) ◽  
pp. 124-130 ◽  
Author(s):  
Shannon Taylor ◽  
Nora Fayed ◽  
Angela Mandich
Keyword(s):  
Developmental Coordination Disorder ◽  
Single Case ◽  
Performance Measure ◽  
Occupational Performance ◽  
Single Case Design ◽  
Motor Tasks ◽  
Canadian Occupational Performance Measure ◽  
And Performance ◽  
Coordination Disorder ◽  
Performance Research

Children with developmental coordination disorder experience difficulties with fine and gross motor tasks that affect their occupational performance. Research has found the Cognitive Orientation to daily Occupational Performance (CO-OP) measure to be an effective approach for improving skills in daily occupations with children between 7 and 12 years old who have developmental coordination disorder. The purpose of this single-case design study was to determine the effectiveness of using the CO-OP approach with children ages 5 to 7 years. Four children chose three different goals to work on during therapy. Child and parent Canadian Occupational Performance Measure ratings and performance observation ratings at follow-up demonstrated the effectiveness of the CO-OP approach, supporting the use of the CO-OP with younger children and suggesting further research on the CO-OP with younger children is warranted.

An innovative approach to measuring youth concussion recovery: Occupational performance

2019 ◽  
Vol 83 (4) ◽  
pp. 220-227
Author(s):  
Robyn Chen Sang ◽  
Yasira Vawda ◽  
Dayna Greenspoon ◽  
Nick Reed ◽  
Anne W Hunt
Keyword(s):  
Repeated Measures ◽  
Performance Measure ◽  
Occupational Performance ◽  
Post Intervention ◽  
Concussion Management ◽  
Canadian Occupational Performance Measure ◽  
Performance Issues ◽  
Concussion Recovery ◽  
Active Rehabilitation ◽  
The Relationship

Introduction Concussion is a common injury in youth. Studies report that active rehabilitation interventions reduce symptoms in these youth. There is no literature that addresses its impact on occupational performance. The purpose of this study was to identify: (a) occupational performance issues experienced by these youth; (b) changes in occupational performance and satisfaction following participation in a 6-week active rehabilitation intervention; and (c) the relationship between changes in occupational performance and symptoms. Method As part of a larger prospective repeated measures study, measures of occupational performance (Canadian Occupational Performance Measure) and self-reported symptoms (Post-Concussion Symptom Inventory) were collected pre and post intervention. Paired t-test, Spearman correlation, and descriptive analyses were conducted. Results Youth (9–18 years; n = 52) reported a range of occupational performance issues in self-care, productivity, and leisure domains. The most frequently reported occupational performance issues were sport (32.70%) and school (31.75%) activities. Positive changes were found in both performance and satisfaction of occupational performance issues post intervention ( p<.001). Correlation analysis revealed that as symptoms decreased, occupational performance improved ( rs = –.359, p = .020). Conclusion Using a measure of occupational performance may provide meaningful insight into the functional recovery of concussion, and can help identify targeted functional approaches to paediatric concussion management.

scholarly journals Telehealth Rehabilitation for Cognitive Impairment: Randomized Controlled Feasibility Trial (Preprint)

2017 ◽  
Author(s):  
Rachel L Burton ◽  
Megan E O'Connell
Keyword(s):  
Cognitive Impairment ◽  
Cognitive Rehabilitation ◽  
Single Case ◽  
Performance Measure ◽  
Multiple Baseline ◽  
Feasibility Trial ◽  
Random Assignment ◽  
Occupational Performance ◽  
Randomized Controlled ◽  
Canadian Occupational Performance Measure

BACKGROUND Nonpharmacological interventions are needed to support the function of older adults struggling with subjective cognitive impairment (SCI), mild cognitive impairment (MCI), and dementia due to Alzheimer disease (AD). Telerehabilitation aims to provide rehabilitation at a distance, but cognitive rehabilitation by videoconferencing has not been explored. OBJECTIVE The objective of this study was to compare goal-oriented cognitive rehabilitation delivered in-person with videoconferencing to determine whether telehealth cognitive rehabilitation appears feasible. METHODS Random assignment to in-person or telehealth videoconferencing cognitive rehabilitation with a combined between-subjects, multiple baseline single-case experimental design, cognitive rehabilitation was delivered by a therapist to 6 participants with SCI (n=4), MCI (n=1), or dementia due to AD (n=1). RESULTS Two of the 6 participants randomly assigned to the telehealth condition withdrew before beginning the intervention. For those who participated in the intervention, 6 out of 6 goals measured with the Canadian Occupational Performance Measure improved for those in the in-person group, and 7 out of 9 goals improved for those in the telehealth group. CONCLUSIONS Delivery of cognitive rehabilitation by telehealth appeared feasible but required modifications such as greater reliance on caregivers and clients for manipulating materials.

scholarly journals Using a wearable camera to support everyday memory following brain injury: a single-case study

2021 ◽  
pp. 1-17
Author(s):  
Ali Mair ◽  
Rochelle Shackleton
Keyword(s):  
Mental Health Problems ◽  
Single Case ◽  
Memory Loss ◽  
Performance Measure ◽  
Occupational Performance ◽  
Memory Problems ◽  
Wearable Camera ◽  
Canadian Occupational Performance Measure ◽  
With Memory

Abstract Background: Wearable cameras have been shown to improve memory in people with hippocampal amnesia and Alzheimer's disease. It is not known whether this benefit extends to people with amnesia of complex or uncertain origin. Method: This case study examined the effect of wearable camera use on memory and occupational performance in a patient with memory loss and complex mental health problems following a severe neurological incident. With the help of his occupational therapist (OT), Mr A used a wearable camera to record a series of eight personally significant events over a 6-week period. During visits from his OT, Mr A was asked to report what he could remember about the events, both before (baseline) and during the review of time-lapsed photographs captured automatically by the camera. Results: The results showed striking improvements in recall while reviewing the photographs, relative to baseline recall, but the additional details recalled during review did not appear to be maintained at later tests, after several days. Across the study period, there were moderate increases in occupational performance, measured using the Canadian Occupational Performance Measure. However, after the study period ended, Mr A ceased to use the wearable camera due to technological difficulty. Conclusion: There was a clear benefit of wearable camera use, but the real-world impact of the technology was limited by the complexity of the system. The results of the study are discussed alongside novel clinical insights and suggestions for developing wearable camera support systems that can be used independently by people with memory problems.

scholarly journals Using a wearable camera to support everyday memory following brain injury: a single case study

2020 ◽  
Author(s):  
Ali Mair ◽  
Rochelle Shackleton
Keyword(s):  
Mental Health Problems ◽  
Single Case ◽  
Memory Loss ◽  
Performance Measure ◽  
Occupational Therapist ◽  
Occupational Performance ◽  
Wearable Camera ◽  
Canadian Occupational Performance Measure ◽  
With Memory

This case study examined the effect of wearable camera use on memory and occupational performance in a patient with memory loss and complex mental health problems following a severe neurological incident. With the help of his occupational therapist, Mr A used a wearable camera to record a series of eight personally significant events over a six-week period. During visits from his occupational therapist, Mr A was asked to report what he could remember about the events, both before (baseline) and during review of time-lapsed photographs captured automatically by the camera. The results showed striking improvements in recall while reviewing the photographs, relative to baseline recall, but the additional details recalled during review did not appear to be maintained at later tests, after several days. Across the study period there were moderate increases in occupational performance, measured using the Canadian Occupational Performance Measure. However, after the study period ended, Mr A ceased to use the wearable camera due to technological difficulty. The results of the study are discussed alongside novel clinical insights and suggestions for developing wearable camera support systems that can be used independently by people with memory problems.

Investigating the Effect of Cognitive-behavioral Stress Management on Occupational Performance among Women with Breast Cancer

2020 ◽  
Vol 16 (2) ◽  
pp. 152-159
Author(s):  
Arezoo Shayan ◽  
Mansoureh Refaei ◽  
Farkhondeh Jamshidi
Keyword(s):  
Breast Cancer ◽  
Stress Management ◽  
Repeated Measures ◽  
Intervention Group ◽  
Performance Measure ◽  
Cognitive Behavioral ◽  
Occupational Performance ◽  
Cognitive Behavioral Stress Management ◽  
Behavioral Stress ◽  
Significant Difference

Background: Treatment of breast cancer can be accompanied by long-term consequences affecting women’s participation in many tasks. Objective: This study aimed to assess the effect of cognitive behavioral stress management (CBSM) program on occupational performance of women with breast cancer. Methods: In this randomized clinical trial, conducted between Feb 3 and Oct 26, 2016, 104 women with breast cancer who had referred to Imam Khomeini clinic in Hamadan, and who fulfilled the inclusion criteria (20-60 years old, married, suffering from grade 1-3 breast cancer with a history of recent surgery) were enrolled. They were randomly divided into two groups of 52 using a permuted block size of four. The intervention group took part in four 60-minute sessions of CBSM over four weeks. The study data were collected using a demographic information form and the Canadian Occupational Performance Measure. The statistical analyst was masked to intervention allocation. The data were analyzed using descriptive statistics, paired t-test, and repeated measures ANOVA. Results: A significant difference was observed between the two groups regarding the mean scores of occupational performance (p=0.02) and satisfaction (p=0.005) after the intervention. Each variable was measured at three time points (before the intervention, immediately and 2 weeks after intervention). A significant difference was observed in the two groups’ mean scores of performance (p=0.026) and satisfaction (p=0.01), irrespective of the time of assessment. Conclusion: The CBSM program promoted the occupational performance immediately and two weeks after the intervention in women with breast cancer. This technique can be used as a complementary method alongside medical therapies in oncology centers.

A gaming system with haptic feedback to improve upper extremity function: A prospective case series

2021 ◽  
pp. 1-12
Author(s):  
Hamilton Hernandez ◽  
Isabelle Poitras ◽  
Linda Fay ◽  
Ajmal Khan ◽  
Jean-Sébastien Roy ◽  
...  
Keyword(s):  
Upper Extremity ◽  
Haptic Feedback ◽  
Low Cost ◽  
Case Series ◽  
Performance Measure ◽  
Occupational Performance ◽  
Canadian Occupational Performance Measure ◽  
Prospective Case Series ◽  
Paediatric Rehabilitation ◽  
Therapeutic Settings

BACKGROUND: Video games can be used to motivate repetitive movements in paediatric rehabilitation. Most upper limb videogaming therapies do not however include haptic feedback which can limit their impact. OBJECTIVE: To explore the effectiveness of interactive computer play with haptic feedback for improving arm function in children with cerebral palsy (CP). METHODS: Eleven children with hemiplegic CP attended 12 therapist-guided sessions in which they used a gaming station composed of the Novint Falcon, custom-built handles, physical supports for the child’s arm, games, and an application to manage and calibrate therapeutic settings. Outcome measures included Quality of Upper Extremity Skills Test (QUEST) and Canadian Occupational Performance Measure (COPM). The study protocol is registered on clinicaltrials.gov (NCT04298411). RESULTS: Participants completed a mean of 3858 wrist extensions and 6665 elbow/shoulder movements during the therapist-guided sessions. Clinically important improvements were observed on the dissociated and grasp dimensions on the QUEST and the performance and satisfaction scales of the COPM (all p< 0.05). CONCLUSION: This study suggests that computer play with haptic feedback could be a useful and playful option to help improve the hand/arm capacities of children with CP and warrants further study. The opportunities and challenges of using low-cost, mainstream gaming software and hardware for therapeutic applications are discussed.

scholarly journals Effectiveness of Home-Based Occupational Therapy on COPM Performance and Satisfaction Scores in Patients with COPD

2020 ◽  
pp. 000841742097112
Author(s):  
Eleonore H. Koolen ◽  
Martijn A. Spruit ◽  
Marianne de Man ◽  
Jeanine C. Antons ◽  
Elieke Nijhuis ◽  
...  
Keyword(s):  
Occupational Therapy ◽  
Integrated Management ◽  
Performance Measure ◽  
Occupational Performance ◽  
Post Intervention ◽  
Canadian Occupational Performance Measure ◽  
Home Based ◽  
Copd Patients ◽  
The Mean ◽  
Mean Differences

Background. Occupational therapy (OT) may be an important intervention in patients with COPD, but studies show conflicting results. Purpose. To evaluate the effectiveness of home-based monodisciplinary OT in COPD patients Method. We conducted an observational clinical study. Main outcomes were the mean differences in the Canadian Occupational Performance Measure (COPM) performance and satisfaction scores, pre and post intervention. Findings. Pre- and postintervention data were obtained from 41 patients. Statistically significant increases were observed in COPM performance (5.0 ± 1.1 versus 6.9 ± 0.9; P<0.001) and satisfaction (4.6 ± 1.3 versus 6.9 ± 1.0; P<0.001). The most frequently reported occupational performance problems were found in the domains of productivity (47%) and mobility (40%), fewer in self-care (10%) and the least in leisure (3%). Implications. Home-based monodisciplinary OT can contribute significantly to the improvement of daily functioning of patients with COPD. OT should therefore be considered more often as part of the integrated management of these patients.

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