Wireless Measurement of Sympathetic Arousal During in vivo Occupational Therapy Sessions

Evaluation and Change in a Psychogeriatric Ward Through Direct Observation and Feedback

The British Journal of Psychiatry ◽

10.1192/bjp.137.6.566 ◽

1980 ◽

Vol 137 (6) ◽

pp. 566-571 ◽

Cited By ~ 15

Author(s):

Mark Burton

Keyword(s):

Occupational Therapy ◽

Direct Observation ◽

Direct Observations ◽

Therapy Sessions

SummaryDirect observations were made of patients' behaviour during occupational therapy sessions in a psychogeriatric ward, and were used to suggest changes in the conduct of these sessions, and to evaluate the effectiveness of the changes. The intervention was successful in bringing about situation-specific increases in clients' appropriate behaviour.

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Occupational Therapy Home Safety Intervention via Telehealth

International Journal of Telerehabilitation ◽

10.5195/ijt.2016.6183 ◽

2016 ◽

Vol 8 (1) ◽

pp. 29-40 ◽

Cited By ~ 3

Author(s):

Lori E. Breeden

Keyword(s):

Content Analysis ◽

Occupational Therapy ◽

Occupational Therapist ◽

Safety Education ◽

Home Safety ◽

Web Based ◽

Safety Intervention ◽

Occupational Therapy Intervention ◽

Therapy Sessions ◽

Narrative Learning

Photography can be an effective addition for education-based telehealth services delivered by an occupational therapist. In this study, photography was used as antecedent to telehealth sessions delivered by an occupational therapist focused on narrative learning about home safety. After taking photographs of past home safety challenges, six participants experienced three web-based occupational therapy sessions each. Sessions were recorded and transcribed. Data were examined using content analysis. A content analysis identified the following themes as well as an understanding of the learning process. Analyses yielded themes of: the value of photos to support learning, the value of narrative learning related to home safety education, abstract versus concrete learners. Procedural findings are included to support future endeavors. Findings indicate that within a wellness context, home safety education for older adults can be delivered effectively via telehealth when using photography as a part of an occupational therapy intervention.

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Novel wireless measurement system of pressure dedicated to in vivo studies

Current Directions in Biomedical Engineering ◽

10.1515/cdbme-2016-0030 ◽

2016 ◽

Vol 2 (1) ◽

pp. 123-127

Author(s):

Enrique Bances ◽

Antonio Fiestas ◽

Hartmut Witte

Keyword(s):

Radio Frequency ◽

Measurement System ◽

Remote Monitoring ◽

Implantable Devices ◽

In Vivo Studies ◽

Thoracic Cavity ◽

Cavity Pressure ◽

Wireless System ◽

Wireless Measurement

AbstractThis paper reports on the development of a wireless system to monitor the thoracic cavity pressure in mammals. This project seeks to open a new field using the radio frequency (RF) technology in the studies of the interaction between breathing and locomotion in mammals. Furthermore, this study embodies the first step to develop a method of telemetry and remote monitoring based on implantable devices. In addition, it can be modified with other sensors to measure different physiological parameters.

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Case study assessing the feasibility of using a wearable haptic device or humanoid robot to facilitate transitions in occupational therapy sessions for children with autism spectrum disorder

Journal of Rehabilitation and Assistive Technologies Engineering ◽

10.1177/20556683211049041 ◽

2021 ◽

Vol 8 ◽

pp. 205566832110490

Author(s):

Audrée Jeanne Beaudoin ◽

Frédérique Pedneault ◽

Marina Houle ◽

Cynthia Bilodeau ◽

Marie-Pier Gauvin ◽

...

Keyword(s):

Autism Spectrum Disorder ◽

Occupational Therapy ◽

Humanoid Robot ◽

Single Case ◽

Children With Autism ◽

Autism Spectrum ◽

Haptic Device ◽

Spectrum Disorder ◽

Children With Asd ◽

Therapy Sessions

Introduction Some children with autism spectrum disorder (ASD) have difficulties with transitions that may lead to problem behaviours. Although the use of technologies with children with ASD is receiving increasing attention, no study has looked at their effect on transitions in activities of daily living. This study aimed to document the feasibility of (1) using two intervention technologies (NAO humanoid robot or wearable haptic device) separately to facilitate transitions in occupational therapy sessions for children with ASD and (2) the method used to document changes. Methods Using a single case reversal (ABA) design, two children with ASD were randomly assigned to one of the intervention technologies (humanoid robot or haptic bracelet). Each technology was used as an antecedent to stimulate the start of transitions in eight intervention sessions at a private occupational therapy clinic. Data concerning the time required for transitions, child’s behaviours during transitions at the clinic and mother’s perception of the child’s performance in transitions at home were analysed graphically. Results When using technology, both children’s behaviours were appropriate, quick and relatively stable. Also, both mothers reported improved perceptions of their child’s performance in transitions. Conclusions This exploratory study suggests no detrimental effect of using these technologies.

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Designing a Gait Enhancer and Determining its Effect on Standing Ability and Gait Speed of Children With Cerebral Palsy Spastic Diplegia

Journal of Rehabilitation ◽

10.32598/rj.21.4.542.1 ◽

2021 ◽

Vol 21 (4) ◽

pp. 436-453

Author(s):

Seyed Mehdi Hosseini ◽

◽

Saeid Fatorehchy ◽

Seyed Ali Hosseini ◽

Hojjat Allah Haghgoo ◽

...

Keyword(s):

Cerebral Palsy ◽

Occupational Therapy ◽

Effect Size ◽

Gait Speed ◽

Walking Speed ◽

Spastic Diplegia ◽

Cohen’S D ◽

Children With Cerebral Palsy ◽

Cohen's D ◽

Therapy Sessions

Objective: This study aimed to design a “gait enhancer” and investigate its effect on standing ability and gait speed of children with cerebral palsy spastic diplegia. Materials & Methods: A new gate trainer was designed based on Theo Johnson mechanism. Johnson's two separate movement chains were placed on either side of the gate trainer body and attached to the lower limbs by a foot plate. To investigate the effect of the designed device, a single-item experimental study with baseline design, treatment and maintenance (ABA) was performed on four children with available spastic diplegia cerebral palsy. These children received routine occupational therapy sessions. Results: The designed “gait enhancer” increased standing ability and gait speed scores in all subjects. Non-overlapping measures also indicated the improvement in both variables. Measured by Cohen’s d, the effect size for standing ability were 1.95, 2.29, 1.83, and 2.3 for the child No. 1, 2, 3, and 4, respectively. Regarding walking speed, the effect size for these children, No. 1 to 4, were 1.13, 3.37, 2.15, and 2.21, respectively. Cohen’s d values were greater than 0.8, indicating the considerable effect of the intervention. Hedges’ g was also calculated due to the small sample size, which was greater than 0.8 for all subjects in standing ability and gait speed. Conclusion: Following the use of Gait Enhancer along with conventional occupational therapy, we observed an increase in the ability to stand and walk at children with cerebral palsy. Findings showed that the change in standing ability and walking speed occurred more during the period of using the designed device than other stages, which could be a consequence of using Gait Enhancer along with routine occupational therapy sessions at this stage of the study. However, it should be noted that this study was only a single case study and to prove the effectiveness of this tool in children with cerebral palsy, it is necessary to conduct clinical trial studies.

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VISUAL SUPPORT REDUCES ANXIETY IN AUTISM SPECTRUM DISORDER AND ENHANCE THEIR VISUAL PERCEPTUAL SKILLS

Pakistan Journal of Rehabilitation ◽

10.36283/pjr.zu.8.1/007 ◽

2019 ◽

Vol 8 (1) ◽

pp. 31-36

Author(s):

Ramsha Ghous ◽

Hina Naz

Keyword(s):

Autism Spectrum Disorder ◽

Occupational Therapy ◽

Autism Spectrum ◽

Spectrum Disorder ◽

Control Group ◽

Children With Asd ◽

Significant Difference ◽

Anxiety Levels ◽

Therapy Sessions ◽

Experimental Group

BACKGROUND Children with Autism Spectrum Disorder (ASD) have difficulties with sensory processing that result in anxiety in certain situations. Aim of this study is to determine the efficacy of visual supports in reduction of anxiety levels and tolerance of transitions or switch over in children with ASD. STUDY DESIGN Randomized controlled trial METHODS With a sample size of 57, comparison was made between two groups i.e.; the experimental and the control group to see the efficacy of the visual inputs in reducing anxiety in children with ASD of age bracket 8-12 years old. Experimental group was given visual aids with occupational therapy sessions, while control group was only given conventional Occupational Therapy sessions. Pre and post analysis of visual perceptual ages and the anxiety levels of children were compared by anxiety scale for children-spectrum disorder and motor-free visual perception test. RESULT Significant increase in the visual perceptual ages with reduction in anxiety level was observed in experimental; no significant difference was found in control group. CONCLUSION Reduction in the anxiety levels was achieved after 4 weeks of intervention with improvement in the visual perceptual ages in the experimental group.

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People with stroke who received up to seven occupational therapy sessions at home over 3 months were 1.72 times more likely to get out of the house as often as they wanted

Australian Occupational Therapy Journal ◽

10.1111/j.1440-1630.2005.00518.x ◽

2005 ◽

Vol 52 (4) ◽

pp. 365-366 ◽

Cited By ~ 2

Author(s):

Natasha Lannin ◽

Annie McCluskey ◽

Karl Schurr

Keyword(s):

Occupational Therapy ◽

Therapy Sessions ◽

At Home

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277 Frailty and Early Supported Discharge (ESD) Post-Stroke: Are Frail Patients Referred to ESD and is Frailty Associated with Rehabilitation Outcomes?

Age and Ageing ◽

10.1093/ageing/afz102.62 ◽

2019 ◽

Vol 48 (Supplement_3) ◽

pp. iii1-iii16

Author(s):

Marie Condon ◽

Louise O'Regan ◽

Lucy Pope ◽

Anne Barrett

Keyword(s):

Quality Of Life ◽

Occupational Therapy ◽

Functional Independence ◽

Stroke Survivors ◽

Post Stroke ◽

Rehabilitation Outcomes ◽

Frail Patients ◽

Early Supported Discharge ◽

Therapy Sessions

Abstract Background Frailty presents in one in four stroke survivors and can be a determinant of recovery post-stroke. Healthcare services provided at home, instead of in hospitals, results in improved outcomes for frail patients. Early supported discharge (ESD) provides multidisciplinary rehabilitation at home post-stroke. It is unknown if frail stroke survivors receive ESD and if they benefit from it. The objectives were to evaluate the prevalence of pre-stroke frailty among ESD patients and examine if frailty is associated with rehabilitation outcomes. Methods Consecutive patients in the ESD programme were assessed for pre-stroke frailty using the Clinical Frailty Scale (CFS) from November 2018 to April 2019. Baseline characteristics and programme outcomes were recorded, including admission and discharge scores on the Functional Independence Measure and Functional Assessment Measure (FIM+FAM) and the Stroke Aphasia Quality of Life-39 measure (SAQOL-39). The duration of ESD rehabilitation and number of therapy sessions provided were also recorded. Distributions using Pearson’s Chi Squared test and associations using the Mann–Whitney U test were calculated. Results Results from 23 patients were analysed, median age 75±14.8 years, 82.6% male. The prevalence of frailty (CFS >5) was 4.3% (1/23) and pre-frailty (CFS=4) was 26.1% (6/23). Patients who were frail or pre-frail (CFS>4) were less likely to receive speech and language therapy (SLT) (z=-2.201; p=0.03) and have a lower SAQOL-39 on discharge (z=-2.294; p=0.02). No significant differences were noted in the FIM+FAM or the number of physiotherapy and occupational therapy sessions provided. Conclusion Frail patients are not routinely referred for ESD post-stroke. Patients who are pre-frail or frail make similar improvements with ESD compared to non-frail patient in functional independence but not quality of life. Comparable levels of physiotherapy and occupational therapy are provided but frail patients require less SLT. Further research is needed to ascertain if frail patients are appropriate for ESD.

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Examining Guided and Directed Cues in Strategy Training and Usual Rehabilitation

OTJR Occupation Participation and Health ◽

10.1177/1539449218758618 ◽

2018 ◽

Vol 38 (3) ◽

pp. 151-156

Author(s):

Stephanie Rouch ◽

Elizabeth R. Skidmore

Keyword(s):

Physical Therapy ◽

Occupational Therapy ◽

Usual Care ◽

Inpatient Rehabilitation ◽

Active Role ◽

Strategy Training ◽

Rehabilitation Care ◽

Coding Scheme ◽

Occupational And Physical Therapy ◽

Therapy Sessions

Therapist approach and feedback during rehabilitation may influence patient outcomes. It is unclear how much guided cueing, the approach used in strategy training, is present in usual rehabilitation care. We compared the frequency of guided and directed cueing in strategy training sessions with cueing in usual care occupational and physical therapy. We videotaped strategy training, occupational therapy, and physical therapy sessions among 20 patients admitted to inpatient rehabilitation after stroke. Using a standardized coding scheme, we coded and analyzed frequencies of therapists’ cues (guided or directed). The proportion of guided cues was significantly higher in strategy training intervention (42%) compared with occupational therapy (4%) and physical therapy (3%). Preliminary research suggests that guided cueing may be more prevalent in strategy training than in usual care. Given that guided cueing provides more opportunity for patients to take an active role in their rehabilitation, guided cueing may lead to superior outcomes.

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