scholarly journals Multidisciplinary Rehabilitation of a Patient With Neuromyelitis Optica

2020 ◽  
Vol 3 (1) ◽  
pp. 69-76
Author(s):  
Mohammad Mohebbirad ◽  
◽  
Saeed Sheykh Chalandari ◽  
Ghodsiyeh Joveini ◽  
◽  
...  

Background and Objectives: Neuro Myelitis Optica (NMO) is a rare progressive and disabling autoimmune disease. The disabling consequences of the disease affect many aspects of the patients and their family life. multidisciplinary rehabilitation can be very effective in promoting quality of life and slowing disease progression by working with different disciplines. The aim of this study is to report the effects of multidisciplinary rehabilitation on the performance and quality of life of a patient with NMO and her family. Case Report: This study reports a six-month multidisciplinary rehabilitation program conducted for a woman with NMO and her caregiver. The rehabilitation team included the patient’s caregiver, a neurologist, an occupational therapist, and a speech therapist. The approaches of stabilization and recovery, maintenance, modification, and prevention were used through 70 sessions of occupational therapy. Also, the occupational performance was assessed with the Canadian Occupational Performance Measure. Furthermore, the Persian version of SF36 was used to assess the quality of life. The speech therapy intervention was performed in 24 sessions and included breath strengthening exercises, sound therapy, and laryngeal muscle manipulation. After six months, the results showed a great improvement in the quality of life of the patient and her caregiver. Conclusion: The use of team approaches in the face of progressive neurodegenerative diseases such as NMO has a significant impact on improving the quality of life of these patients and their families.

2012 ◽  
Vol 70 (2) ◽  
pp. 140-144 ◽  
Author(s):  
Renato Nickel ◽  
Carlos Eduardo Silvado ◽  
Francisco Manoel Branco Germiniani ◽  
Luciano de Paola ◽  
Nicolle Lucena da Silveira ◽  
...  

Epilepsy causes restrictions in the performance of various daily activities. The aiming of this study was to investigate whether these restrictions affect the perceived quality of life. The assessments Quality of Life in Epilepsy-31 (QOLIE-31) and Canadian Occupational Performance Measure (COPM) were applied in a sample that consisted of a single group of 34 subjects with at least two years of uncontrolled seizures. The results indicated that the most affected domains of QOLIE-31 were seizure worry, 29.77 (±21.72), and effects of drugs, 49.75 (±28.58), and for the COPM, the average of performance and satisfaction were respectively 3.10 (±3.07) and 4.45 (±3.29), and performance limitations most frequently cited were maintain employment (18), left home alone (15) and courses (15). The application of the Spearman correlation coefficient showed that the three main performance limitations posed by the COPM, especially regarding the level of satisfaction, influence the perception of quality of life. Thus, occupational performance proves to be an important area of intervention with subjects with epilepsy.


2021 ◽  
pp. 153944922110382
Author(s):  
Berkan Torpil ◽  
Özgür Kaya

There is known to be a decrease in quality of life and perceived occupational performance and satisfaction following total knee arthroplasty (TKA). This study was planned to examine the effectiveness of a client-centered (CC) intervention with the telerehabilitation (TR) method on the quality of life, perceived occupational performance, and satisfaction after TKA. A total of 38 patients who had undergone TKA were randomly assigned to the CC and control groups. A 12-day intervention program was applied to the CC group. The Nottingham Health Profile (NHP) and Canadian Occupational Performance Measure (COPM) were applied before and after intervention. The 12-day intervention showed a strong effect on all parameters in the CC group ( p<.001). In the postintervention comparisons, a significant difference was found in favor of the CC group ( p < .001). CC interventions with the TR method can be used in post-TKA interventions.


2005 ◽  
Vol 72 (5) ◽  
pp. 298-300 ◽  
Author(s):  
Mary Ann McColl ◽  
Mary Law ◽  
Sue Baptiste ◽  
Nancy Pollock ◽  
Anne Carswell ◽  
...  

Background. The Canadian Occupational Performance Measure (COPM) is an outcome measure designed to assess performance and satisfaction with occupation. It was developed to coincide with the occupation-focused, client-centred Canadian Model of Occupational Performance. Purpose. The COPM has been a feature of the occupational therapy landscape for approximately 15 years and has pervaded the consciousness of occupational therapists around the world. In this paper, we examine issues associated with application of the COPM in targeted clinical and non-clinical situations. Results. The paper suggests considerations required to ensure that the highest quality of information is derived from the COPM in all situations. Practice Implications. Although the paper emphasizes the centrality of the client-centred approach, it also demonstrates the flexibility and adaptability of the COPM to different situations, clients, settings and purposes.


2021 ◽  
Vol 75 (Supplement_2) ◽  
pp. 7512500025p1-7512500025p1
Author(s):  
Abdullah Alsaeed ◽  
Kristen A. Pickett ◽  
Heidi Wagner ◽  
Sarah Zurawski ◽  
Maria Mertzenich ◽  
...  

Abstract Date Presented 04/200/21 OT has a valuable role in promoting quality of life for individuals with PD in all aspects of daily life. The Canadian Occupational Performance Measure (COPM) enables practitioners to address the holistic needs of clients, rather than exclusively focusing on predetermined areas of disability. This study has shown that the full breadth of clients' needs are vast and varied and exist beyond those included in standardized assessment tools because only one-third of the items identified by the COPM were included in the Movement Disorder Society—Unified Parkinson's Disease Rating Scale. Primary Author and Speaker: Abdullah Alsaeed Additional Authors and Speakers: Kristen A. Pickett Contributing Authors: Maria Widmer


2019 ◽  
pp. bmjspcare-2019-001788 ◽  
Author(s):  
Pamela Ferreira Nascimento ◽  
Maria Julia Gonçalves Mello ◽  
Nancy de Barros Correia ◽  
Nahãmi Cruz Lucena ◽  
Raquel Costa Albuquerque ◽  
...  

ObjectivesTo analyse the association between occupational performance and women’s health-related quality of life (HRQoL) during breast cancer treatment.MethodsAn analytical cross-sectional study was conducted using the Canadian Occupational Performance Measure, the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire and its specific breast cancer-specific module (BR-23). The association between occupational performance scores and the HRQoL domains was evaluated using multiple linear regression analysis.ResultsThe sample included 97 women. Overall, occupational performance was poor and the women’s dissatisfaction with their performance resulted in a decrease in HRQoL. Following adjustment, satisfaction was associated with HRQoL in the global health status, functional, role, emotional and social functioning domains of the functional scale. In BR-23, a statistically significant association was found between satisfaction and HRQoL in the functional scale and in the body image domain.ConclusionsWomen’s occupational performance was impaired during breast cancer treatment, with limitations and/or restrictions in activities related to self-care, productivity and leisure that were ultimately associated with poorer HRQoL. During cancer treatment, rehabilitation strategies should focus on restoring occupational performance to levels as close as possible to that present prior to the beginning of the disease process, enabling the woman to preserve her occupational life, consequently resulting in an improvement in HRQoL.


2019 ◽  
Vol 26 (8) ◽  
pp. 313-319 ◽  
Author(s):  
Herlinde Jacobs ◽  
Martine Bockaert ◽  
Jan Bonte ◽  
Mark D'Haese ◽  
Jan Degrande ◽  
...  

Author(s):  
Maarit E. Karhula ◽  
Katja Kanelisto ◽  
Päivi Hämäläinen ◽  
Juhani Ruutiainen ◽  
Pertti Era ◽  
...  

Abstract Background: Few multidisciplinary rehabilitation studies with a heterogeneous design have focused on people with multiple sclerosis (MS). This study compared subjective-reported changes in performance and satisfaction with daily activities among moderately and severely disabled people with MS during a 2-year, multidisciplinary, group-based, outpatient rehabilitation program comprising education in self-management and compensatory techniques, exercise, and guided peer support. Methods: Thirty-eight adults with moderate disability (Expanded Disability Status Scale [EDSS] score of 4.0–5.5, 74% women, mean age of 48 years) and 41 persons with severe disability (EDSS 6.0–8.5, 63% women, mean age of 48 years) were assessed at baseline and after 12 and 21 months of outpatient rehabilitation using the Canadian Occupational Performance Measure. Group × time interactions were analyzed using mixed analysis of variance. Participants’ explanations of reasons for changes in activity performance were collected via semistructured interviews and content analyzed. Results: Statistically significant improvements in Canadian Occupational Performance Measure performance and satisfaction scores were reported in both groups from baseline to 21 months of rehabilitation. No significant between-group differences in improvement were observed. The self-reported reasons for improvement were mainly linked to environmental factors. Conclusions: The outpatient rehabilitation program, including four themes—cognition, mood, energy conservation, and body control—improved the self-reported performance of patients with MS with moderate and severe disabilities. Environmental factors warrant consideration during rehabilitation.


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