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 Effects of virtual reality training on occupational performance and self-efficacy of patients with stroke: a randomized controlled trial

2020 ◽  
Author(s):  
Yi Long ◽  
Rangge Ouyang ◽  
Jiaqi Zhang
Keyword(s):  
Virtual Reality ◽  
Upper Extremity ◽  
Self Efficacy ◽  
Controlled Trial ◽  
Performance Measure ◽  
Group Differences ◽  
Occupational Performance ◽  
Randomized Controlled ◽  
Canadian Occupational Performance Measure ◽  
Vr Training

Abstract Background—Virtual reality (VR) has been broadly applied in post-stroke rehabilitation. However, studies on occupational performance and self-efficacy as primary outcomes of stroke rehabilitation using VR are lacking. Thus, this study aims to investigate the effects of VR training on occupational performance and self-efficacy in patients with stroke.Methods—This was an assessor-blinded, randomized controlled trial. Sixty participants with first-ever stroke (< 1-year onset) underwent rehabilitation in a single acute hospital. Participants were randomly assigned to either the VR group (n = 30) or control group (n = 30). Both groups received dose-matched conventional rehabilitation (i.e., 45 min, five times per week over 3 weeks). The VR group received additional 45-min VR training for five weekdays over 3 weeks. The primary outcome measures were the Canadian Occupational Performance Measure and Stroke Self-Efficacy Questionnaire. Secondary outcome measures included Modified Barthel Index, Fugl-Meyer Assessment-Upper Extremity, and Functional Test for the Hemiplegic Upper Extremity. The assessment was conducted at baseline and after the 3-week intervention.Results—A total of 52 participants (86.7%) completed the trial. Significant between-group differences in Stroke Self-Efficacy Questionnaire (Median Difference = 8, P = 0.043) and Modified Barthel Index (Median Difference = 10, P = 0.030) were found; however, no significant between-group differences in Canadian Occupational Performance Measure, Fugl-Meyer Assessment-Upper Extremity, and Functional Test for the Hemiplegic Upper Extremity were noted. No serious adverse reactions related to the program were reported.Conclusions—Additional VR training could help improve the self-efficacy and activities of daily living of patients with stroke; however, it was not superior to conventional training in the improvement of upper limb functions, occupational performance, and satisfaction. Nevertheless, VR could be integrated into conventional rehabilitation programs to enhance self-efficacy of patients after stroke.Trial Registration—This study was successfully registered under the title “Effects of virtual reality training on occupational performance and self-efficacy of patients with stroke” on October 13 2019 and could be located in http://www.chictr.org with the study identifier ChiCTR1900026550.

P1-142: Reliability of the Canadian occupational performance measure in Brazilian older adults with mild cognitive impairment

2011 ◽  
Vol 7 ◽  
pp. S156-S157
Author(s):  
Giseli de Fátima dos Santos Chaves ◽  
Orestes Forlenza ◽  
Breno Diniz ◽  
Alexandra Oliveira ◽  
Juliana Chaves ◽  
...  
Keyword(s):  
Older Adults ◽  
Cognitive Impairment ◽  
Mild Cognitive Impairment ◽  
Performance Measure ◽  
Occupational Performance ◽  
Canadian Occupational Performance Measure

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.

scholarly journals Assessment of impairment in activities of daily living in mild cognitive impairment using an individualized scale

2016 ◽  
Vol 74 (7) ◽  
pp. 549-554 ◽  
Author(s):  
Giseli de Fátima dos Santos Chaves ◽  
Alexandra Martini Oliveira ◽  
Juliana Aparecida dos Santos Chaves ◽  
Orestes Vicente Forlenza ◽  
Ivan Aprahamian ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Mild Cognitive Impairment ◽  
Activities Of Daily Living ◽  
Functional Impairment ◽  
Daily Living ◽  
Performance Measure ◽  
Occupational Performance ◽  
Validity And Reliability ◽  
Canadian Occupational Performance Measure ◽  
Mild Impairment

ABSTRACT Mild impairment in activities of daily living (ADL) can occur in Mild Cognitive Impairment (MCI), but the nature and extent of these difficulties need to be further explored. The Canadian occupational performance measure (COPM) is one of the few individualized scales designed to identify self-perceived difficulties in ADL. The present study investigated impairments in ADL using the COPM in elderly with MCI. A total of 58 MCI patients were submitted to the COPM for studies of its validity and reliability. The COPM proved a valid and consistent instrument for evaluating ADL in elderly MCI patients. A total of 74.6% of the MCI patients reported difficulties in ADL. Of these problems, 41.2% involved self-care, 31.4% productivity and 27.4% leisure. This data further corroborates recent reports of possible functional impairment in complex ADL in MCI.

scholarly journals Effects of Virtual Reality Training on Occupational Performance and Self-efficacy of Patients With Stroke: A Randomized Controlled Trial

2020 ◽  
Author(s):  
Yi Long ◽  
Rangge Ouyang ◽  
Jiaqi Zhang
Keyword(s):  
Virtual Reality ◽  
Upper Extremity ◽  
Self Efficacy ◽  
Controlled Trial ◽  
Performance Measure ◽  
Group Differences ◽  
Occupational Performance ◽  
Randomized Controlled ◽  
Canadian Occupational Performance Measure ◽  
Vr Training

Abstract Background —Virtual reality (VR) has been broadly applied in post-stroke rehabilitation. However, studies on occupational performance and self-efficacy as primary outcomes of stroke rehabilitation using VR are lacking. Thus, this study aims to investigate the effects of VR training on occupational performance and self-efficacy in patients with stroke. Methods —This was an assessor-blinded, randomized controlled trial. Sixty participants with first-ever stroke (< 1-year onset) underwent rehabilitation in a single acute hospital. Participants were randomly assigned to either the VR group (n = 30) or control group (n = 30). Both groups received dose-matched conventional rehabilitation (i.e., 45 min, five times per week over 3 weeks). The VR group received additional 45-min VR training for five weekdays over 3 weeks. The primary outcome measures were the Canadian Occupational Performance Measure and Stroke Self-Efficacy Questionnaire. Secondary outcome measures included Modified Barthel Index, Fugl-Meyer Assessment-Upper Extremity, and Functional Test for the Hemiplegic Upper Extremity. The assessment was conducted at baseline and after the 3-week intervention. Results —A total of 52 participants (86.7%) completed the trial. Significant between-group differences in Stroke Self-Efficacy Questionnaire (P = 0.043) and Modified Barthel Index (P = 0.030) were found; however, no significant between-group differences in Canadian Occupational Performance Measure, Fugl-Meyer Assessment-Upper Extremity, and Functional Test for the Hemiplegic Upper Extremity were noted. No serious adverse reactions related to the program were reported. Conclusions —Additional VR training could help improve the self-efficacy and activities of daily living of patients with stroke; however, it was not superior to conventional training in the improvement of upper limb functions, occupational performance, and satisfaction. Nevertheless, VR could be integrated into conventional rehabilitation programs to enhance self-efficacy of patients after stroke. Trial Registration - This study was successfully registered under the title “Effects of virtual reality training on occupational performance and self-efficacy of patients with stroke” on October 13 2019 and could be located in http://www.chictr.org with the study identifier ChiCTR1900026550.

Pilot Study: Occupational Therapy in an Equine Environment for Youth With Autism

2020 ◽  
Vol 40 (3) ◽  
pp. 190-202
Author(s):  
B. Caitlin Peters ◽  
Wendy Wood ◽  
Susan Hepburn ◽  
Anita Bundy
Keyword(s):  
Occupational Therapy ◽  
Single Case ◽  
Social Motivation ◽  
Parent Report ◽  
Multiple Baseline ◽  
Performance Goals ◽  
Occupational Performance ◽  
Baseline Phase ◽  
Randomized Controlled ◽  
Intervention Protocol

Despite growing prevalence, research investigating occupational therapy incorporating horses for youth with autism is limited. This study aimed to (a) pilot a screening, evaluation, and intervention protocol of occupational therapy in an equine environment and (b) assess preliminary effects on occupational performance goals, behavior, and social functioning of youth with autism. A multiple baseline single-case experimental design was used. Six youth with autism participated in a no-treatment baseline phase and 10 weeks of intervention. Therapists implemented the intervention with 95% fidelity. Per parent report, participants improved in occupational performance goals, social motivation, and communication; four demonstrated decreased irritability and hyperactivity. This research operationalizes a screening, evaluation, and intervention protocol for occupational therapy in an equine environment, and demonstrates it may improve occupational, behavioral, and social outcomes for youth with autism. Next steps include manualizing the intervention, refining feasibility measures, and implementing a randomized controlled efficacy study.

Occupation-based intervention versus rote exercise in modified constraint-induced movement therapy for patients with median and ulnar nerve injuries: a randomized controlled trial

2016 ◽  
Vol 31 (8) ◽  
pp. 1087-1097 ◽  
Author(s):  
Hamid Reza Rostami ◽  
Malahat Akbarfahimi ◽  
Afsoon Hassani Mehraban ◽  
Ali Reza Akbarinia ◽  
Susan Samani
Keyword(s):  
Ulnar Nerve ◽  
Movement Therapy ◽  
Performance Measure ◽  
Occupational Performance ◽  
Nerve Injuries ◽  
Randomized Controlled ◽  
Constraint Induced Movement Therapy ◽  
Canadian Occupational Performance Measure ◽  
Post Test

Objective: To investigate effect of practice type during modified constraint-induced movement therapy on hand function in patients with chronic median and ulnar nerve injuries. Design: A prospective, single-blinded, randomized controlled clinical trial. Setting: Participants’ private home. Subjects: A convenience sample of 36 outpatient participants allocated randomly to three equal groups. Interventions: Intervention groups underwent 3-hour intensive training of affected hand each day, 3-day a week, 4-week in association with immobilisation of healthy hand: occupation-based group practiced meaningful occupations while rote exercise-based group performed rote exercises during constraint-induced movement therapy. Control group performed different activities with affected hand for 1.5-hour each day during 4-week without restriction of healthy hand. Main measures: A blinded assessor tested Canadian occupational performance measure, box and block, Static two-point discrimination, disabilities of arm, shoulder, hand questionnaire, and self-assessment manikin in a random order across sessions 3-time as baseline (pre-test), after 4-week intervention (post-test), and 1-month after intervention period (follow up). Results: Scores significantly changed in intervention groups compared to control. Despite significantly more improvement in occupation-based than rote exercise-based group in subjective measures at post-test and follow up (Canadian occupational performance measure: mean change 4.7 vs. 2.1 for performance, P< 0.001 and mean change 5.3 vs. 2.6 for satisfaction, P< 0.001), it was significant just at follow up for box and block and static two-point discrimination. Conclusions: Practice content of constraint-induced movement therapy is a critical part of its effectiveness on improving outcomes following peripheral nerve repair in favour of occupation-based intervention in present study.

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.

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.

scholarly journals Effects of virtual reality training on occupational performance and self-efficacy of patients with stroke: a randomized controlled trial

2020 ◽  
Vol 17 (1) ◽  
Author(s):  
Yi Long ◽  
Rang-ge Ouyang ◽  
Jia-qi Zhang
Keyword(s):  
Virtual Reality ◽  
Upper Extremity ◽  
Self Efficacy ◽  
Controlled Trial ◽  
Performance Measure ◽  
Group Differences ◽  
Occupational Performance ◽  
Randomized Controlled ◽  
Canadian Occupational Performance Measure ◽  
Vr Training

Abstract Background Virtual reality (VR) has been broadly applied in post-stroke rehabilitation. However, studies on occupational performance and self-efficacy as primary outcomes of stroke rehabilitation using VR are lacking. Thus, this study aims to investigate the effects of VR training on occupational performance and self-efficacy in patients with stroke. Methods This was an assessor-blinded, randomized controlled trial. Sixty participants with first-ever stroke (< 1-year onset) underwent rehabilitation in a single acute hospital. Participants were randomly assigned to either the VR group (n = 30) or control group (n = 30). Both groups received dose-matched conventional rehabilitation (i.e., 45 min, five times per week over 3 weeks). The VR group received additional 45-min VR training for five weekdays over 3 weeks. The primary outcome measures were the Canadian Occupational Performance Measure and Stroke Self-Efficacy Questionnaire. Secondary outcome measures included Modified Barthel Index, Fugl-Meyer Assessment-Upper Extremity, and Functional Test for the Hemiplegic Upper Extremity. The assessment was conducted at baseline and after the 3-week intervention. Results A total of 52 participants (86.7%) completed the trial. Significant between-group differences in Stroke Self-Efficacy Questionnaire (Median Difference = 8, P = 0.043) and Modified Barthel Index (Median Difference = 10, P = 0.030) were found; however, no significant between-group differences in Canadian Occupational Performance Measure, Fugl-Meyer Assessment-Upper Extremity, and Functional Test for the Hemiplegic Upper Extremity were noted. No serious adverse reactions related to the program were reported. Conclusions Additional VR training could help improve the self-efficacy and activities of daily living of patients with stroke; however, it was not superior to conventional training in the improvement of upper limb functions, occupational performance, and satisfaction. Nevertheless, VR could be integrated into conventional rehabilitation programs to enhance self-efficacy of patients after stroke. Trial registration This study was successfully registered under the title “Effects of virtual reality training on occupational performance and self-efficacy of patients with stroke” on October 13 2019 and could be located in https://www.chictr.org with the study identifier ChiCTR1900026550.

Sign in / Sign up

Export Citation Format

Share Document