Enabling functional independence in Parkinson's disease: Update on occupational therapy intervention

2010 ◽  
Vol 25 (S1) ◽  
pp. S146-S151 ◽  
Author(s):  
Ashwini K. Rao
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Occupational Therapy ◽  
Functional Independence ◽  
Occupational Therapy Intervention ◽  
Therapy Intervention

A process evaluation of a home-based occupational therapy intervention for Parkinson’s patients and their caregivers performed alongside a randomized controlled trial

2016 ◽  
Vol 30 (12) ◽  
pp. 1186-1199 ◽  
Author(s):  
Ingrid HWM Sturkenboom ◽  
Maria WG Nijhuis-van der Sanden ◽  
Maud JL Graff
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Randomized Controlled Trial ◽  
Occupational Therapy ◽  
Contextual Factors ◽  
Controlled Trial ◽  
Randomized Controlled ◽  
Home Based ◽  
Occupational Therapy Intervention ◽  
Therapy Intervention

Objective: To evaluate fidelity, treatment enactment and the experiences of an occupational therapy intervention in Parkinson’s disease, to identify factors that affect intervention delivery and benefits. Design: Mixed methods alongside a randomized controlled trial. Subjects: These include 124 home-dwelling Parkinson’s disease patients and their primary caregivers (recipients), and 18 occupational therapists. Intervention: Ten-week home-based intervention according to the Dutch guidelines for occupational therapy in Parkinson’s disease. Main measures: Data were collected on intervention dose, protocol process, content of treatment (fidelity), offered and performed strategies (treatment enactment), and recipients’ experiences. Therapists’ experiences were collected through case note analyses and focus group interviews. Results: Mean intervention dose was 9.3 (SD 2.3) hours. Mean protocol process adherence was high (93%; SD 9%), however the intervention did not (fully) address the goal for 268 of 617 treatment goals. Frequencies of offered and performed strategies appeared similar, apart from ‘using other tools and materials’ which showed a drop from 279 advised to 149 used. The recipients were satisfied overall with the intervention (mean score 8 out of 10). The therapists noted positive or negative influencing factors on both process and benefits: the research context, the socio-political healthcare context, the recipients’ personal and contextual factors, and the therapists’ competence. Conclusion: We found some prerequisite factors in equipment provision and available dose important for treatment delivery. Other elicited factors related to, or affected, the required professional competencies and tools to tailor interventions to the complexity of interacting personal and contextual factors of patients and caregivers.

scholarly journals Effectiveness of Occupational Therapy Intervention in Young Onset Parkinson’s Disease- A Case Report

2021 ◽  
Vol 6 (3) ◽  
pp. 173-178
Author(s):  
Baldeep Kaur Sehra ◽  
Preetee Gokhale
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Case Report ◽  
Occupational Therapy ◽  
Rating Scale ◽  
Post Intervention ◽  
Young Onset ◽  
Disease Rating ◽  
Occupational Therapy Intervention ◽  
Therapy Intervention

This is a case study of 32 year old Mrs. M, a case of Young Onset Parkinson's Disease (YOPD) with hypothyroidism. With informed consent, Mrs. M was selected for the case report because Young Onset Parkinson’s Disease is a rare diagnosis. She was assessed using MDS-UPDRS pre- and post-intervention .She was provided Occupational Therapy intervention using the Person-Environment-Occupation Model for a period of three months and has shown significant improvement in UPDRS scores. Her primary diagnosis is Young Onset Parkinson’s Disease, secondary diagnosis being hypothyroidism.The patient, being in her early 30s, many of her life roles were altered. The patient’s main concerns are that she has difficulty in performing her basic and instrumental ADLs and difficulty in caring for her loved ones. Mrs. M was treated on weekly basis for an intervention period of three months using the Person Environment Occupation Model and assessed using the Unified Parkinson’s Disease Rating Scale; pre and post treatment. She was in stage 3 of Hoehn and Yahr scale of classification of Parkinson’s Disease. Scores were assessed on Unified Parkinson’s Disease Rating Scale, pre and post three months of intervention; showed improvement in non motor and motor aspects of experiences of daily living, motor examination and motor complications. Component scores were decreased dramatically especially in the areas of anxious mood, fatigue, tremors, posture and bradykinesia which revealed that functional levels improved following intervention. Keywords: Young Onset Parkinson’s Disease, Unified Parkinson’s Disease Rating Scale, Person Environment Occupation (PEO) based Occupational Therapy Intervention, case report.

scholarly journals Early Occupational Therapy Intervention in the Hospital Discharge after Stroke

2021 ◽  
Vol 18 (24) ◽  
pp. 12877
Author(s):  
Patricia García-Pérez ◽  
María del Carmen Rodríguez-Martínez ◽  
José Pablo Lara ◽  
Carlos de la Cruz-Cosme
Keyword(s):  
Occupational Therapy ◽  
Hospital Discharge ◽  
Intervention Program ◽  
Functional Independence ◽  
Rehabilitation Service ◽  
Control Group ◽  
Controlled Clinical Trial ◽  
Joint Decision ◽  
Occupational Therapy Intervention ◽  
Therapy Intervention

Stroke is the leading cause of acquired disability in adults which is a cerebrovascular disease of great impact in health and social terms, not only due to its prevalence and incidence but also because of its significant consequences in terms of patient dependence and its consequent impact on the patient and family lives. The general objective of this study is to determine whether an early occupational therapy intervention at hospital discharge after suffering a stroke has a positive effect on the functional independence of the patient three months after discharge—the patient’s level of independence being the main focus of this research. Data will be collected on readmissions to hospitals, mortality, returns to work and returns to driving, as well as an economic health analysis. This is a prospective, randomized, controlled clinical trial. The sample size will be made up of 60 patients who suffered a stroke and were discharged from the neurology unit of a second-level hospital in west Malaga (Spain), who were then referred to the rehabilitation service by the joint decision of the neurology and rehabilitation department. The patients and caregivers assigned to the experimental group were included in an early occupational therapy intervention program and compared with a control group that receives usual care.

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