scholarly journals Abordagens específicas da Terapia Ocupacional na Reabilitação após acidente vascular encefálico/Specifc approaches of Occupational Therapy in the rehabilitation after Stroke

2019 ◽  
Vol 3 (2) ◽  
pp. 191-209
Author(s):  
Marcelo Marques Cardoso ◽  
Denis Carvalho Lobo ◽  
Michelle Jacob Da Cruz ◽  
Rogéria Pimentel De Araújo Monteiro ◽  
Adriene Damasceno Seabra ◽  
...  
Keyword(s):  
Muscle Strength ◽  
Occupational Therapy ◽  
Activities Of Daily Living ◽  
Range Of Motion ◽  
Daily Living ◽  
Functional Independence Measure ◽  
Functional Independence ◽  
Tactile Perception ◽  
Functional Abilities ◽  
Physical Tests

ResumoAinda há carência por mais estudos qualificados que possibilitem o debate sobre limitações, benefícios e possíveis melhorias na conduta de Terapia Ocupacional na reabilitação. Objetivouse evidenciar a eficácia de abordagens específicas da Terapia Ocupacional baseadas no treino de Atividades Vida Diária, complementadas pela Cinesioatividade. Estudo quantitativo, caso único, paciente do sexo femino hemiparética à esquerda por isquemia encefálica. Os Procedimentos foram aprovados pelo comitê de ética e pesquisa com seres humanos através do parecer nº 1.337.714, comitê de ética em pesuisa do Instituto de Ciências da Saúde da Universidade Federal do Pará, e ocorreram ao longo de 20 sessões, duas vezes por semana, duração de 40 a 60 minutos por sessão. Avaliações em três tempos: admissão (1ª sessão), reavaliação (10ª sessão) e alta (20ª sessão). Testes físicos apontaram a resposta ao tratamento: percepção tátil (estesiômetro), grau de força muscular e amplitude articular de movimento. A Medida de Independência Funcional promoveu inferências sobre a recuperação de habilidades funcionais. Os dados gerados foram plotados no Programa Graph Pad, Prism – 6.0, análise de variância, pós-teste de Tukey, índice de significância: p 0,05. Gráficos em coluna (média ± desvio padrão). Os testes físicos conseguiram evidenciar ganhos importantes aos componentes de desempenho ocupacional como a percepção tátil, a força muscular e a ADM. Isso também representou recuperação de habilidades funcionais prejudicadas pelo AVE, validada pela medida de independência funcional. Conclui-se que a relevância na associação de diferentes abordagens e prática específica da Terapia Ocupacional promovem importantes ganhos físicos e funcionais no decorrer da reabilitação. Abstract There is still a lack of qualified studies that allow the debate on limitations, benefits and possible improvements in the conduct of Occupational Therapy in rehabilitation. The objective of this study was to demonstrate the efficacy of specific approaches to Occupational Therapy based on activities of daily living, supplemented by kinesioactivity. Quantitative study, single case, female patient presenting left hemiparesis due to brain ischemia. Procedures approved by research ethics committee ICS-UFPA number 1.337.714, occurred over 20 sessions, twice a week, duration of 40 to 60 minutes per session. Three-time assessments: admission (1st session), re-evaluation (10th session) and discharge (20th session). Physical tests indicated the response to the treatment: tactile perception, degree of muscle strength and range of motion. The Functional Independence Measure promoted inferences about the recovery of functional abilities. The data generated were plotted in the Graph Pad Program, Prism - 6.0, Analysis of Variance, Tukey post - test, significance index: p 0.05. Column graphs. Physical tests were able to show important gains to occupational performance components such as tactile perception, muscle strength and range of motion. This also represented recovery of functional abilities impaired by the stroke, validated by Functional Independence Measure. The relevance of the association of different approaches and specific practice of Occupational Therapy promotes important physical and functional gains in the course of rehabilitation.Keywords: Activities of daily living; Kinesioactivity; Occupational Therapy; Rehabilitation; Stroke.

Compliance with Prescribed Adaptive Equipment: A Literature Review

2000 ◽  
Vol 63 (2) ◽  
pp. 65-75 ◽  
Author(s):  
Trish Wielandt ◽  
Jenny Strong
Keyword(s):  
Occupational Therapy ◽  
Literature Review ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Current Practice ◽  
Functional Independence ◽  
Under Five ◽  
Functional Potential ◽  
And Training

This article describes a literature review that examined the topic of the postdischarge compliance of individuals with prescribed adaptive equipment. Assisting individuals to accomplish tasks relevant to their activities of daily living and thereby achieve functional independence is central to the role of occupational therapy. The prescription of adaptive equipment is a frequently used intervention. The rationale for prescribing adaptive equipment is that it maximises a client's functional potential, allows for independence in activities of daily living and fosters confidence as a result of being able to accomplish such tasks. All studies that surveyed compliance with prescribed adaptive equipment between 1963 and 1996 were reviewed. The factors that reportedly affect compliance by individuals can be considered under five discrete categories: medical-related, client-related, equipment-related, assessment-related and training-related. On the basis of the findings of this literature review, recommendations are made for further research, specifically investigating methods that therapists could incorporate into current practice to address the problem of non-compliance with prescribed adaptive equipment.

The Relationship between Knee Extension Strength and Activities of Daily Living in Patients with Dementia

2011 ◽  
pp. 244-256
Author(s):  
Makoto Suzuki ◽  
Hikari Kirimoto ◽  
Atsushi Inamura ◽  
Yoshitsugu Omori ◽  
Sumio Yamada
Keyword(s):  
Lower Extremity ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Functional Independence Measure ◽  
Knee Extensor ◽  
Functional Independence ◽  
Knee Extension ◽  
Daily Activities ◽  
Lower Body ◽  
Knee Extensor Strength

The purpose of this study was to examine the test-retest reliability of hand-held dynamometer measurements in patients with dementia and determine if predictions about a patient’s ability to perform daily activities can be made from knee extension strength measurements. This study was composed of two rounds of data collection. Sixty patients with dementia were enrolled in the first round to assess the reliability of hand-held dynamometer measurements, and 54 patients with dementia were enrolled in the second round for predicting their ability to perform daily activities. Knee extensor strength was measured twice, separated by a three minute interval, with hand-held dynamometer. The authors also assessed daily activities related to the patient’s lower extremities, including dressing the lower body, using the toile, transferring to the bed/toilet/shower, and walking. Lower extremity activities of the Functional Independence Measure were assessed by the nursing home caregiver that had the most regular contact with each subject. When the Functional Independence Measure score of each lower extremity function was =6 points, the subject was considered to be independent. The intraclass correlation coefficient was 0.97. Bland-Altman plots showed the 95% difference value to be within 2 SDs of the mean. The curves of negative and positive predictive values revealed the following threshold levels: 0.8 Nm/kg was the best predictor for dressing the lower body and using the toilet; 1.2 Nm/kg was the best predictor for transferring to the bed/toilet/shower; and 0.6 Nm/kg was the best predictor for gait performance. Strength measurements taken with a hand-held dynamometer were reliable in patients with dementia, and normalized knee extensor strength was found to be a predictor of the ability to perform activities of daily living.

scholarly journals Relationship between upper limb motor function and activities of daily living after removing the influence of lower limb motor function in subacute patients with stroke: A cross-sectional study

2020 ◽  
pp. 156918612092660
Author(s):  
Haruka Yamamoto ◽  
Kazuya Takeda ◽  
Soichiro Koyama ◽  
Keisuke Morishima ◽  
Yuichi Hirakawa ◽  
...  
Keyword(s):  
Activities Of Daily Living ◽  
Motor Function ◽  
Upper Limb ◽  
Lower Limb ◽  
Daily Living ◽  
Functional Independence Measure ◽  
Functional Independence ◽  
Motor Score ◽  
Cross Sectional ◽  
The Relationship

Background Previous studies have reported a relationship between upper limb motor function and activities of daily living. However, their relationship after removing the influence of lower limb motor function has not been clarified. Objective This study aimed to investigate the relationship between Fugl-Meyer assessment upper limb and total Functional Independence Measure motor score and between Fugl-Meyer assessment upper limb and each item contained in Functional Independence Measure motor score after eliminating the influence of the motor function of the affected lower limb. Methods This retrospective cross-sectional study included 58 subacute stroke patients. To investigate the relationship between the Fugl-Meyer assessment upper limb and total Functional Independence Measure motor score before and after removing the influence of Fugl-Meyer assessment lower limb, Spearman’s rank correlation coefficient and partial correlation analysis were used. Additionally, the relationship between Fugl-Meyer assessment upper limb and each item of Functional Independence Measure motor score after removing the influence was assessed. Results Before removing the influence of Fugl-Meyer assessment lower limb, Fugl-Meyer assessment upper limb was strongly correlated with total Functional Independence Measure motor score (r = 0.74, p < 0.001). However, it became weak after removing the influence (r = 0.27, p = 0.04). Regarding each item of Functional Independence Measure motor score, Fugl-Meyer assessment upper limb was correlated with grooming (r = 0.27, p = 0.04), bathing (r = 0.28, p = 0.03), dressing upper body (r = 0.33, p = 0.01), dressing lower body (r = 0.31, p = 0.02), and stair-climbing (r = 0.31, p = 0.02) after removing the influence. Conclusion These findings suggest that the relationship between the upper limb motor function and activities of daily living is strongly influenced by lower limb motor function.

scholarly journals Terapia Ocupacional na clínica médica: experiências práticas em estágio supervisionado/ Occupational therapy in the medical clinic: practical experiences in supervised internship

2020 ◽  
Vol 4 (1) ◽  
pp. 123-129
Author(s):  
Mariana De Pontes Santiago ◽  
Janaína Marcelino Rocha de Abreu ◽  
Raquel Costa Albuquerque
Keyword(s):  
Occupational Therapy ◽  
Activities Of Daily Living ◽  
Elderly People ◽  
Daily Living ◽  
Functional Independence ◽  
Occupational Therapist ◽  
Medical Clinic ◽  
Practical Experiences ◽  
De Medicina

O objetivo deste artigo é apresentar as vivências da Terapia Ocupacional na enfermaria de clínica médica do Instituto de Medicina Integral Professor Fernando Figueira, como práticas de estágio supervisionado, no ano de 2019. A experiência evidencia um perfil de adultos e idosos acometidos por múltiplas patologias, com perdas em seu nível de independência funcional e comprometimento das Atividades Básicas de Vida Diária após a hospitalização. As intervenções foram voltadas principalmente para o resgate da funcionalidade e demonstraram efetividade ao longo dos atendimentos. Portanto, reforça-se a importância do terapeuta ocupacional no hospital, para a recuperação da saúde e autonomia dos indivíduos. Abstract: The objective of this article is to present the Occupational Therapy experiences in the medical clinic ward of the Instituto de Medicina Integral Professor Fernando Figueira, as supervised internship practices, in 2019. The experience shows a profile of adults and elderly people with multiple pathologies, with losses in their level of functional independence and impairment of the Basic Activities of Daily Living after hospitalization. The interventions were mainly aimed at the rescue of functionality and demonstrated effectiveness throughout the care. Therefore, the importance of the occupational therapist in the hospital is reinforced for the recovery of health and autonomy of individuals.Key words: Internship; Functionality; Hospital; Occupational therapy. Resumen: El objetivo de este trabajo es presentar las experiencias de terapia ocupacional en el pabellón de la clínica médica del Instituto de Medicina Integral Professor Fernando Figueira, como prácticas supervisadas, en 2019. La experiencia muestra un perfil de adultos y ancianos con patologías múltiples, con pérdidas en su nivel de independencia funcional y deterioro de las Actividades Básicas de la Vida Diaria después de la hospitalización. Las intervenciones se dirigieron principalmente al rescate de la funcionalidad y la efectividad demostrada en toda la atención. Por lo tanto, la importancia del terapeuta ocupacional en el hospital se refuerza para la recuperación de la salud y la autonomía de las personas.Palabras clave: Funcionalidad; Hospital; Prácticas; Terapia ocupacional.

scholarly journals Effects of In-Hospital Physical Therapy on Activities of Daily Living in Patients with Hepatocellular Carcinoma

2020 ◽  
Vol 17 (23) ◽  
pp. 9098
Author(s):  
Hayato Narao ◽  
Keisuke Hirota ◽  
Shunji Koya ◽  
Manabu Tomita ◽  
Yuta Manako ◽  
...  
Keyword(s):  
Hepatocellular Carcinoma ◽  
Physical Therapy ◽  
Activities Of Daily Living ◽  
Cancer Treatment ◽  
Daily Living ◽  
Functional Independence Measure ◽  
Functional Independence ◽  
Knee Extension ◽  
Significant Difference ◽  
Before And After

Activities of daily living (ADL) are frequently impaired in patients with hepatocellular carcinoma (HCC). In this retrospective study, we aimed to investigate the effects of physical therapy on ADLs in patients with HCC during hospitalization for cancer treatment. Nineteen patients with HCC were enrolled. During hospitalization, patients performed a combination of resistance training, stretching, and aerobic exercise (20–60 min/day). ADLs were assessed using the functional independence measure (FIM). Changes in FIM were evaluated by before–after analysis. No significant difference was seen in Child–Pugh class before and after physical therapy. The bilateral knee extension strength and chair stand test were significantly increased after physical therapy compared with before physical therapy (p = 0.001 and p = 0.008, respectively). The total FIM score was significantly increased after physical therapy compared with that before physical therapy (p = 0.0156). Among the 18 indexes of FIM, the stairs index was significantly improved after physical therapy compared with that before physical therapy (5.9 vs. 6.4 points, p = 0.0241). We demonstrated that physical therapy improved muscle strength without worsening liver function. Furthermore, physical therapy improved FIM, especially in the stairs index, in patients with HCC. Thus, physical therapy may be beneficial in patients with HCC during cancer treatment.

scholarly journals Activities of Daily Living in Patients with Schizophrenia Analysis by the Functional Independence Measure (FIM).

2002 ◽  
Vol 17 (1) ◽  
pp. 71-75
Author(s):  
Hiroyuki SENBA ◽  
Mariko SEKIGUCHI ◽  
Hitoshi NAKAYAMA ◽  
Hirotaka NAGUMO ◽  
Yoko IMAMURA ◽  
...  
Keyword(s):  
Activities Of Daily Living ◽  
Daily Living ◽  
Functional Independence Measure ◽  
Functional Independence
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