Pub Date : 2020-08-17DOI: 10.18666/trj-2020-v54-i3-10181
S. Cuomo, L. Anderson, Anne Marie Sarich
Therapeutic recreation services are in greater demand with the increasing aging population. Therapeutic recreation, including therapeutic arts, is often provided in adult day health care programs to provide stimulating, rehabilitative environments that enrich well-being. This evaluation identified the impact an 8-week therapeutic arts program, designed and implemented using the Flourishing through Leisure Model as its framework, had on leisure well-being for 16 members of the adult day health care program. Utilizing pre-test and post-test assessments of the Well-Being Index, there were statistically significant improvements in overall well-being, leisure well-being, cognitive well-being, and spiritual well-being. Despite the limitations of this evaluation, the results suggest that a therapeutic arts program designed around the Flourishing through Leisure Model may improve domains of well-being in the adult day health care setting. Subscribe to TRJ
{"title":"Exploratory Evaluation of a Therapeutic Art Program in an Adult Day Health Center","authors":"S. Cuomo, L. Anderson, Anne Marie Sarich","doi":"10.18666/trj-2020-v54-i3-10181","DOIUrl":"https://doi.org/10.18666/trj-2020-v54-i3-10181","url":null,"abstract":"Therapeutic recreation services are in greater demand with the increasing aging population. Therapeutic recreation, including therapeutic arts, is often provided in adult day health care programs to provide stimulating, rehabilitative environments that enrich well-being. This evaluation identified the impact an 8-week therapeutic arts program, designed and implemented using the Flourishing through Leisure Model as its framework, had on leisure well-being for 16 members of the adult day health care program. Utilizing pre-test and post-test assessments of the Well-Being Index, there were statistically significant improvements in overall well-being, leisure well-being, cognitive well-being, and spiritual well-being. Despite the limitations of this evaluation, the results suggest that a therapeutic arts program designed around the Flourishing through Leisure Model may improve domains of well-being in the adult day health care setting. Subscribe to TRJ","PeriodicalId":45238,"journal":{"name":"Therapeutic Recreation Journal","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2020-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43259408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-08-17DOI: 10.18666/trj-2020-v54-i3-10200
L. M. Lawson, Caitlin Lisk, J. Carlson, Madeliene Priebe, E. Shaver, F. Wilson
The purpose of this study was to determine the feasibility of using Garmin HRM Swim and Forerunner 935XT/735XT devices to measure physical activity (PA) in children with autism spectrum disorder (ASD) while swimming and explore the effects of swimming on body composition and child function. Fifteen children with ASD participated in eight swim lessons. Pre- and posttest data included heart-rate, body composition, and caregiver surveys. Results indicated that the HRM and Forerunner devices were user-friendly, well tolerated by children, and provided useful data to measure heart rate and PA levels for all participants. Most participants met the level for moderate to vigorous PA suggested for typically developing children. Researchers explored results for healthy changes in body mass index (BMI) and parent’s perceptions on child health and function. This study provides exploratory evidence that swimming may improve BMI and behavior in children with ASD with recommendations for future research. Subscribe to TRJ
{"title":"The Feasibility of Measuring Heart Rate of Children with Autism During Swim Lessons and Potential Health Outcomes","authors":"L. M. Lawson, Caitlin Lisk, J. Carlson, Madeliene Priebe, E. Shaver, F. Wilson","doi":"10.18666/trj-2020-v54-i3-10200","DOIUrl":"https://doi.org/10.18666/trj-2020-v54-i3-10200","url":null,"abstract":"The purpose of this study was to determine the feasibility of using Garmin HRM Swim and Forerunner 935XT/735XT devices to measure physical activity (PA) in children with autism spectrum disorder (ASD) while swimming and explore the effects of swimming on body composition and child function. Fifteen children with ASD participated in eight swim lessons. Pre- and posttest data included heart-rate, body composition, and caregiver surveys. Results indicated that the HRM and Forerunner devices were user-friendly, well tolerated by children, and provided useful data to measure heart rate and PA levels for all participants. Most participants met the level for moderate to vigorous PA suggested for typically developing children. Researchers explored results for healthy changes in body mass index (BMI) and parent’s perceptions on child health and function. This study provides exploratory evidence that swimming may improve BMI and behavior in children with ASD with recommendations for future research. Subscribe to TRJ","PeriodicalId":45238,"journal":{"name":"Therapeutic Recreation Journal","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2020-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43318808","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-06-01DOI: 10.18666/trj-2020-v54-i2-9954
Ethan Blumhorst, Shintaro Kono, Jasmine Cave
Because many military veterans face mental health issues, it is important to research and practice alternative treatments including therapeutic recreation. The purpose of this study was to examine the effects of a single 45-minute adaptive scuba diving session on veterans’ psychological well-being, specifically state-level mindfulness (Brown & Ryan, 2003) and contentment (Taylor, 2015). A one-group pretest-posttest evaluation was conducted with 28 veteran divers. Of them, 16 had mental health issues (e.g., posttraumatic stress disorder), while 11 had physical impairments (e.g., spinal cord injuries). Statistical results indicated that the post-dive mindfulness and contentment levels were significantly higher than their pre-dive counterparts (p = .007 and < .001, respectively). Moreover, the changes in mindfulness through scuba diving were positively correlated with the changes in contentment. The significant increases in mindfulness were present only among veterans with mental or physical health issues. These findings are discussed in relation to the literature on scuba diving, therapeutic recreation, mindfulness, and contentment. Subscribe to TRJ
{"title":"An Exploratory Study of Adaptive Scuba Diving’s Effects on Psychological Well-Being among Military Veterans","authors":"Ethan Blumhorst, Shintaro Kono, Jasmine Cave","doi":"10.18666/trj-2020-v54-i2-9954","DOIUrl":"https://doi.org/10.18666/trj-2020-v54-i2-9954","url":null,"abstract":"Because many military veterans face mental health issues, it is important to research and practice alternative treatments including therapeutic recreation. The purpose of this study was to examine the effects of a single 45-minute adaptive scuba diving session on veterans’ psychological well-being, specifically state-level mindfulness (Brown & Ryan, 2003) and contentment (Taylor, 2015). A one-group pretest-posttest evaluation was conducted with 28 veteran divers. Of them, 16 had mental health issues (e.g., posttraumatic stress disorder), while 11 had physical impairments (e.g., spinal cord injuries). Statistical results indicated that the post-dive mindfulness and contentment levels were significantly higher than their pre-dive counterparts (p = .007 and < .001, respectively). Moreover, the changes in mindfulness through scuba diving were positively correlated with the changes in contentment. The significant increases in mindfulness were present only among veterans with mental or physical health issues. These findings are discussed in relation to the literature on scuba diving, therapeutic recreation, mindfulness, and contentment. Subscribe to TRJ","PeriodicalId":45238,"journal":{"name":"Therapeutic Recreation Journal","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42570022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-06-01DOI: 10.18666/trj-2020-v54-i2-9965
P. Craig, Dustin M. Alger, J. Bennett, Tamar P. Martin
Grounded in the leisure-coping framework (Kleiber et al., 2002; 2008), this phenomenological study utilized a focus group method to explore the meaning of fly-fishing for veterans and military personnel with PTSD. This study also explored ways in which fly-fishing may serve as a coping resource in transcending negative life events, such as PTSD, as it helps move veterans and military personnel toward personal transformation and posttraumatic growth (PTG). A total of nine participants from the Project Healing Waters Fly-Fishing program participated in two focus groups to understand how fly-fishing impacts PTSD symptom management and to identify aspects of the program that may be responsible for symptom reduction and growth among this population. Four themes emerged from the data, suggesting fly-fishing: (a) serves as a breather from the negative impact of PTSD, (b) sustains coping effort and commitment, (c) restores control by alleviating PTSD symptoms, and (d) can serve as a context for personal transformation and posttraumatic growth. Implications for practice are provided. Subscribe to TRJ
这项现象学研究以休闲应对框架为基础（Kleiber et al.，2002；2008），利用焦点小组方法探讨了飞钓对患有创伤后应激障碍的退伍军人和军人的意义。这项研究还探讨了飞钓可以作为一种应对资源来超越负面生活事件，如创伤后应激障碍，因为它有助于退伍军人和军人走向个人转变和创伤后成长（PTG）。康复水域飞钓项目共有九名参与者参加了两个重点小组，以了解飞钓如何影响创伤后应激障碍症状管理，并确定该项目中可能导致该人群症状减少和增长的方面。数据中出现了四个主题，表明飞钓：（a）可以缓解创伤后应激障碍的负面影响，（b）保持应对努力和承诺，（c）通过缓解创伤后抑郁症状恢复控制，（d）可以作为个人转变和创伤后成长的背景。提供了对实践的启示。订阅TRJ
{"title":"The Transformative Nature of Fly-Fishing for Veterans and Military Personnel with Posttraumatic Stress Disorder","authors":"P. Craig, Dustin M. Alger, J. Bennett, Tamar P. Martin","doi":"10.18666/trj-2020-v54-i2-9965","DOIUrl":"https://doi.org/10.18666/trj-2020-v54-i2-9965","url":null,"abstract":"Grounded in the leisure-coping framework (Kleiber et al., 2002; 2008), this phenomenological study utilized a focus group method to explore the meaning of fly-fishing for veterans and military personnel with PTSD. This study also explored ways in which fly-fishing may serve as a coping resource in transcending negative life events, such as PTSD, as it helps move veterans and military personnel toward personal transformation and posttraumatic growth (PTG). A total of nine participants from the Project Healing Waters Fly-Fishing program participated in two focus groups to understand how fly-fishing impacts PTSD symptom management and to identify aspects of the program that may be responsible for symptom reduction and growth among this population. Four themes emerged from the data, suggesting fly-fishing: (a) serves as a breather from the negative impact of PTSD, (b) sustains coping effort and commitment, (c) restores control by alleviating PTSD symptoms, and (d) can serve as a context for personal transformation and posttraumatic growth. Implications for practice are provided. Subscribe to TRJ","PeriodicalId":45238,"journal":{"name":"Therapeutic Recreation Journal","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48102266","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-06-01DOI: 10.18666/trj-2020-v54-i2-9962
Natalie Montoya, Brent L. Hawkins, Jasmine A. Townsend, S. Lewis
Schizophrenia spectrum disorder (SSD) represents a group of complex and chronic psychotic disorders affecting approximately 10.7% of the global population. Even though there is no cure for SSD, most symptoms can improve with active treatment. Effective interventions include pharmaceuticals and psychosocial treatments such as recreational therapy (RT). RT can provide effective and efficient care to individuals with SSD by grounding interventions in evidence-based practices indicated in the Mental Health Recovery Model (MHRM), as well as utilizing recommendations by the Schizophrenia Patient Outcome Research Team (PORT). A cross-sectional survey was used to identify awareness and utilization of MHRM principles and PORT recommendations in RT services for individuals with SSD. Data from 126 surveys completed by recreational therapists who currently or have previously provided treatment for individuals with SSD indicated discrepancies in awareness and utilization of MHRM principles and PORT recommendations. Implications for RT practice are discussed. Subscribe to TRJ
{"title":"Use of Evidence-Based Practices in Recreational Therapy for Schizophrenia Spectrum Disorder Recovery: A Descriptive Study of Current Practices","authors":"Natalie Montoya, Brent L. Hawkins, Jasmine A. Townsend, S. Lewis","doi":"10.18666/trj-2020-v54-i2-9962","DOIUrl":"https://doi.org/10.18666/trj-2020-v54-i2-9962","url":null,"abstract":"Schizophrenia spectrum disorder (SSD) represents a group of complex and chronic psychotic disorders affecting approximately 10.7% of the global population. Even though there is no cure for SSD, most symptoms can improve with active treatment. Effective interventions include pharmaceuticals and psychosocial treatments such as recreational therapy (RT). RT can provide effective and efficient care to individuals with SSD by grounding interventions in evidence-based practices indicated in the Mental Health Recovery Model (MHRM), as well as utilizing recommendations by the Schizophrenia Patient Outcome Research Team (PORT). A cross-sectional survey was used to identify awareness and utilization of MHRM principles and PORT recommendations in RT services for individuals with SSD. Data from 126 surveys completed by recreational therapists who currently or have previously provided treatment for individuals with SSD indicated discrepancies in awareness and utilization of MHRM principles and PORT recommendations. Implications for RT practice are discussed. Subscribe to TRJ","PeriodicalId":45238,"journal":{"name":"Therapeutic Recreation Journal","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48333833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-06-01DOI: 10.18666/trj-2020-v54-i2-9948
L. Cripps, C. Hood
A considerable body of literature exists to substantiate the contention that individuals can live well with mental illness. The purpose of this paper is to provide a broad introduction to recovery for individuals living with mental illness and/or struggling with mental health. Recovery is defined in this paper as a process of self-development that involves change in a number of areas related to well-being. In particular, this paper examines six key characteristics of recovery: acceptance, hope, identity, pleasurable life events, agency/autonomy, and social connections/ engagement. Finally, these characteristics are linked to leisure and to therapeutic recreation practice through the lens of the Leisure and Well-Being Model, providing implications for practice for therapeutic recreation professionals. Subscribe to TRJ
{"title":"Recovery and Mental Health: Exploring the Basic Characteristics of Living Well with Mental Illness","authors":"L. Cripps, C. Hood","doi":"10.18666/trj-2020-v54-i2-9948","DOIUrl":"https://doi.org/10.18666/trj-2020-v54-i2-9948","url":null,"abstract":"A considerable body of literature exists to substantiate the contention that individuals can live well with mental illness. The purpose of this paper is to provide a broad introduction to recovery for individuals living with mental illness and/or struggling with mental health. Recovery is defined in this paper as a process of self-development that involves change in a number of areas related to well-being. In particular, this paper examines six key characteristics of recovery: acceptance, hope, identity, pleasurable life events, agency/autonomy, and social connections/ engagement. Finally, these characteristics are linked to leisure and to therapeutic recreation practice through the lens of the Leisure and Well-Being Model, providing implications for practice for therapeutic recreation professionals. Subscribe to TRJ","PeriodicalId":45238,"journal":{"name":"Therapeutic Recreation Journal","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48738409","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-06-01DOI: 10.18666/trj-2020-v54-i2-10034
Lyn G. Litchke, Toni Watt, C. Norton, Casey Finley
This study investigated the mental health implications of a service-learning partnership between therapeutic recreation (TR) college students and children/youth in a recreation inclusion program. Twenty-five TR students participated in 6-week inclusion program with a child/ youth partner with or without a disability. Resiliency results exhibited a directional increase (d<=.10) with three subscales significant in change for student’s ability to deal with: whatever comes my way (p < .029), seeing the humorous side of things (p < .035), and coping with stress (p < .029). Further analysis found significance that males (p = .045) and racial/ethnic minority participants (p = .021.) had reduced their stress scores. Enjoyment scores significantly increased (p < .001). Analysis of reflection notes revealed two main themes: (1) emotional contagion, and (2) reducing stress and anxiety. These themes relate to key aspects of resilience, which demonstrates the value of service-learning for TR college students and the therapeutic potential for mental health support. Practice and research implications of service learning for TR are presented. Subscribe to TRJ
{"title":"Impact of Inclusive Service-Learning Partnership on Mental Health Among Therapeutic Recreation College Students","authors":"Lyn G. Litchke, Toni Watt, C. Norton, Casey Finley","doi":"10.18666/trj-2020-v54-i2-10034","DOIUrl":"https://doi.org/10.18666/trj-2020-v54-i2-10034","url":null,"abstract":"This study investigated the mental health implications of a service-learning partnership between therapeutic recreation (TR) college students and children/youth in a recreation inclusion program. Twenty-five TR students participated in 6-week inclusion program with a child/ youth partner with or without a disability. Resiliency results exhibited a directional increase (d<=.10) with three subscales significant in change for student’s ability to deal with: whatever comes my way (p < .029), seeing the humorous side of things (p < .035), and coping with stress (p < .029). Further analysis found significance that males (p = .045) and racial/ethnic minority participants (p = .021.) had reduced their stress scores. Enjoyment scores significantly increased (p < .001). Analysis of reflection notes revealed two main themes: (1) emotional contagion, and (2) reducing stress and anxiety. These themes relate to key aspects of resilience, which demonstrates the value of service-learning for TR college students and the therapeutic potential for mental health support. Practice and research implications of service learning for TR are presented. Subscribe to TRJ","PeriodicalId":45238,"journal":{"name":"Therapeutic Recreation Journal","volume":" ","pages":""},"PeriodicalIF":0.6,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49085991","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-03-16DOI: 10.18666/TRJ-2020-V54-I1-9824
Brent L. Hawkins, Gregory Ramshaw, Taylor Hooker, Katie Walker
Reminiscence therapy (RemT) promotes maintenance of memories associated with a meaningful aspect of an in-dividual’s life and is often used with individuals with de-mentia. For many people, attendance and participation in sports is a significant part of their life’s narrative. This study evaluated a sport-based RemT program using col-legiate football memories with residents with dementia in an assisted living facility in the immediate geographi-cal area of a university football program (Clemson Uni-versity, Clemson, South Carolina). Interviews, structured observations, and measures of cognition and quality of life were conducted to evaluate the program’s impact. Statistically significant improvements in quality of life were measured; however, no changes in cognition were evident. Qualitative results indicated the program creat-ed opportunities for learning and sharing of social mem-ories related to sport, establishment of group culture and traditions, and positive behavioral change. Recreational therapists can use this study as a basis to implement their own sport-based RemT program. Subscribe to TRJ
{"title":"Creating Football Memory Teams: Development and Evaluation of a Football-Themed Reminiscence Therapy Program","authors":"Brent L. Hawkins, Gregory Ramshaw, Taylor Hooker, Katie Walker","doi":"10.18666/TRJ-2020-V54-I1-9824","DOIUrl":"https://doi.org/10.18666/TRJ-2020-V54-I1-9824","url":null,"abstract":"Reminiscence therapy (RemT) promotes maintenance of memories associated with a meaningful aspect of an in-dividual’s life and is often used with individuals with de-mentia. For many people, attendance and participation in sports is a significant part of their life’s narrative. This study evaluated a sport-based RemT program using col-legiate football memories with residents with dementia in an assisted living facility in the immediate geographi-cal area of a university football program (Clemson Uni-versity, Clemson, South Carolina). Interviews, structured observations, and measures of cognition and quality of life were conducted to evaluate the program’s impact. Statistically significant improvements in quality of life were measured; however, no changes in cognition were evident. Qualitative results indicated the program creat-ed opportunities for learning and sharing of social mem-ories related to sport, establishment of group culture and traditions, and positive behavioral change. Recreational therapists can use this study as a basis to implement their own sport-based RemT program. Subscribe to TRJ","PeriodicalId":45238,"journal":{"name":"Therapeutic Recreation Journal","volume":"54 1","pages":"32-47"},"PeriodicalIF":0.6,"publicationDate":"2020-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47698988","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-03-16DOI: 10.18666/TRJ-2020-V54-I1-9617
Melissa L. Zahl, M. Bateman, J. DeFreitas, M. Mwavita, Greg Horneber
Physical rehabilitation is common after an individual ex-periences a spinal cord injury. A coordinated multidis-ciplinary team provides services to assist the individual to be as independent as possible when discharged from rehabilitation. There is extensive literature reporting that age, admission FIM™ scores, and the severity of injury are predictive of independence at discharge. The purpose of this study was to investigate change in FIM™ scores based on combination of time spent in different therapies while controlling for severity of injury. We abstracted data from 142 individuals diagnosed with an SCI, between the ages 18 and 91. Results indicate the higher the full stay sever-ity, as computed by the computerized severity index, the smaller gains in global and motor FIM™ scores. We also found that treatment time by occupational, physical, and recreational therapies were independent of patient sever-ity level. Much like the existing literature, individuals with higher severity scores generally have smaller gains in functional independence. It may be important that recreational therapists, along with other treatment team members provide more opportunities for therapy and training to further improve upon an individual’s func-tional independence scores. Subscribe to JPRA
{"title":"The Role of Recreational Therapy and Allied Therapies in Rehabilitation after Spinal Cord Injury","authors":"Melissa L. Zahl, M. Bateman, J. DeFreitas, M. Mwavita, Greg Horneber","doi":"10.18666/TRJ-2020-V54-I1-9617","DOIUrl":"https://doi.org/10.18666/TRJ-2020-V54-I1-9617","url":null,"abstract":"Physical rehabilitation is common after an individual ex-periences a spinal cord injury. A coordinated multidis-ciplinary team provides services to assist the individual to be as independent as possible when discharged from rehabilitation. There is extensive literature reporting that age, admission FIM™ scores, and the severity of injury are predictive of independence at discharge. The purpose of this study was to investigate change in FIM™ scores based on combination of time spent in different therapies while controlling for severity of injury. We abstracted data from 142 individuals diagnosed with an SCI, between the ages 18 and 91. Results indicate the higher the full stay sever-ity, as computed by the computerized severity index, the smaller gains in global and motor FIM™ scores. We also found that treatment time by occupational, physical, and recreational therapies were independent of patient sever-ity level. Much like the existing literature, individuals with higher severity scores generally have smaller gains in functional independence. It may be important that recreational therapists, along with other treatment team members provide more opportunities for therapy and training to further improve upon an individual’s func-tional independence scores. Subscribe to JPRA","PeriodicalId":45238,"journal":{"name":"Therapeutic Recreation Journal","volume":"54 1","pages":"1-16"},"PeriodicalIF":0.6,"publicationDate":"2020-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45624071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2020-03-16DOI: 10.18666/TRJ-2020-V54-I1-9745
S. Nagata, B. McCormick, D. Austin
Depression is a common primary and secondary condition among recreational therapy clients, and is a threat to engagement and outcomes of recreational therapy. Recreational therapists are able to respond to depression through physical activity. A substantial amount of recent research has uniformly identified that there exist significant positive effects of physical activity on both clinical depression as well as depression among non-clinical populations. The research evidence in depression treatment and depression prevention supports physical activity as an intervention. This article reports types of exercise known to alleviate depression, the neuroanatomical structures affected by physical activity, and the effects of these structure changes on depressive symptoms. In addition, issues related to motivation regarding physical activity engagement as well as ways to respond to such issues using self-efficacy theory and self-determination theory are discussed. With an awareness of this current information, recreational therapists could integrate physical activity more intentionally into the APIED process to help their clients manage depression. View Shinichi Nagata's video about this article Subscribe to TRJ
{"title":"Physical Activity as Treatment for Depression in Recreation Therapy: Transitioning from Research to Practice","authors":"S. Nagata, B. McCormick, D. Austin","doi":"10.18666/TRJ-2020-V54-I1-9745","DOIUrl":"https://doi.org/10.18666/TRJ-2020-V54-I1-9745","url":null,"abstract":"Depression is a common primary and secondary condition among recreational therapy clients, and is a threat to engagement and outcomes of recreational therapy. Recreational therapists are able to respond to depression through physical activity. A substantial amount of recent research has uniformly identified that there exist significant positive effects of physical activity on both clinical depression as well as depression among non-clinical populations. The research evidence in depression treatment and depression prevention supports physical activity as an intervention. This article reports types of exercise known to alleviate depression, the neuroanatomical structures affected by physical activity, and the effects of these structure changes on depressive symptoms. In addition, issues related to motivation regarding physical activity engagement as well as ways to respond to such issues using self-efficacy theory and self-determination theory are discussed. With an awareness of this current information, recreational therapists could integrate physical activity more intentionally into the APIED process to help their clients manage depression. View Shinichi Nagata's video about this article Subscribe to TRJ","PeriodicalId":45238,"journal":{"name":"Therapeutic Recreation Journal","volume":"54 1","pages":"77-91"},"PeriodicalIF":0.6,"publicationDate":"2020-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47391784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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