Hong Kong Journal of Occupational Therapy最新文献

英文中文

Necessary Metacarpophalangeal Joints Range of Motion to Maintain Hand Function 掌指关节的活动范围是维持手部功能所必需的

IF 0.4 4区医学 Q4 REHABILITATION

Hong Kong Journal of Occupational Therapy

Pub Date : 2014-12-01 Epub Date: 2014-12-13 DOI: 10.1016/j.hkjot.2014.10.001

Hiroyuki Hayashi , Hideki Shimizu , Shoji Okumura , Kazuhiro Miwa

Objective/Background

This study was conducted to ascertain the necessary flexion or extension range of motion (ROM) required for the finger metacarpophalangeal (MCP) joints to maintain hand function.

Methods

Twenty-one healthy adults were recruited for participation in this study. Each participant's right-hand function was evaluated using the Jebsen–Taylor hand function test and the O'Connor finger dexterity test. Experiment 1 was conducted to assess the influence of the orthosis on hand function. The function of each participant's right hand was measured without an orthosis, with all the finger MCP joints limited to 90° of flexion and 45° of hyperextension. Experiment 2 was conducted to evaluate the impact of limited flexion and extension of all the MCP joints on hand function. The movements of all the finger MCP joints were limited to 70°, 60°, 50°, and 40° of flexion and 20°, 30°, 40°, and 50° of extension lag using orthoses.

Results

No significant difference was found between a normal hand and a hand with either flexion of 90° or hyperextension of 45° in Experiment 1. In Experiment 2, no significant difference was found between a normal hand and a hand for which the flexion angle was 70°, with an extension lag of 30° or 20°.

Conclusion

The necessary ROMs of the MCP joints to maintain hand function are flexion ROM >70° with an extension ROM <30° of extension lag.

目的/背景本研究旨在确定手指掌指关节(MCP)维持手部功能所需的屈曲或伸展活动范围(ROM)。方法招募21名健康成人参加本研究。每个参与者的右手功能使用Jebsen-Taylor手功能测试和O'Connor手指灵巧性测试进行评估。实验1评估矫形器对手部功能的影响。在没有矫形器的情况下测量每个参与者的右手功能，所有手指MCP关节限制在90°屈曲和45°超伸。实验2评估所有MCP关节有限屈伸对手部功能的影响。使用矫形器时，所有手指MCP关节的屈曲活动限制在70°、60°、50°和40°，伸展活动限制在20°、30°、40°和50°。结果在实验1中，正常手与屈曲90°或过伸45°的手之间无显著差异。在实验2中，正常手和屈曲角度为70°的手没有明显差异，伸展滞后分别为30°和20°。结论MCP关节维持手功能所需的屈曲关节活动度为70°，伸展关节活动度为30°。

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引用次数: 12

Efficacy of Static Progressive Splinting in the Management of Metacarpophalangeal Joint Stiffness: A Pilot Clinical Trial 静态渐进式夹板治疗掌指关节僵硬的疗效:一项临床试验

IF 0.4 4区医学 Q4 REHABILITATION

Hong Kong Journal of Occupational Therapy

Pub Date : 2014-12-01 Epub Date: 2014-09-07 DOI: 10.1016/j.hkjot.2014.07.001

Jun Wang , Gard Erlandsson , Yong-Jun Rui , Cecilia Li-Tsang

Objective

To evaluate the efficacy of a static progressive metacarpophalangeal (MCP) joint flexion splint in managing MCP joint stiffness in patients suffering from traumatized hands.

Methods

A total of 31 patients with stiff MCP joints (n = 116) were recruited for this prospective study. A static progressive MCP flexion splint was designed to manage the MCP joint stiffness of traumatized hands, which is a common problem after surgery. The values of the initial and final passive range of motion (PROM) and active range of motion (AROM) were compared. In addition, the Disabilities of the Arm, Shoulder, and Hand (DASH) scores before and after surgery were also compared. Spearman correlation matrix was used to determine the relationship of the DASH score with PROM and AROM separately.

Results

The PROM increased from 23.47 ± 16.26 degrees to 59.01 ± 14.75 degrees after treatment, and the difference between the initial and final PROM is 35.54 ± 16.92 degrees (t = 22.63, p < .001, df = 115). The AROM also significantly increased from 10.29 ± 10.67 degrees to 25.03 ± 18.25 degrees, with a mean difference of 14.74 ± 15.40 degrees (t = 10.31, p < .001, df = 115). The DASH score improved from 40.71 ± 13.22 to 24.26 ± 11.33 (t = 7.00, p < .001, df = 30), which indicates a significant negative correlation with the AROM of MCP joints following treatment.

Conclusion

The static progressive MCP flexion splint promotes both physical and functional outcomes. The increased AROM of the MCP joints improves the functional outcomes in patients with traumatized hands.

目的评价静态渐进式掌指关节屈曲夹板治疗手外伤患者掌指关节僵硬的疗效。方法本前瞻性研究共招募31例MCP关节僵硬患者(116例)。一种静态渐进式MCP屈曲夹板被设计用于管理创伤手的MCP关节僵硬，这是手术后常见的问题。比较初始和最终被动活动范围(PROM)和主动活动范围(AROM)的值。此外，还比较了手术前后手臂、肩膀和手的残疾(DASH)评分。采用Spearman相关矩阵分别确定DASH评分与PROM和AROM的关系。结果治疗后胎膜早破由23.47±16.26度增加到59.01±14.75度，初始胎膜早破与最终胎膜早破之差为35.54±16.92度(t = 22.63, p <.001, df = 115)。AROM也从10.29±10.67度显著增加到25.03±18.25度，平均差值为14.74±15.40度(t = 10.31, p <.001, df = 115)。DASH评分由40.71±13.22分提高至24.26±11.33分(t = 7.00, p <.001, df = 30)，与治疗后MCP关节的AROM呈显著负相关。结论静态渐进式MCP屈曲夹板可促进身体和功能预后。MCP关节AROM的增加改善了手外伤患者的功能预后。

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引用次数: 7

Effects of Rhythmic Auditory Stimulation During Hemiplegic Arm Reaching in Individuals with Stroke: An Exploratory Study 节律性听觉刺激对脑卒中患者偏瘫手臂伸展的影响:一项探索性研究

IF 0.4 4区医学 Q4 REHABILITATION

Hong Kong Journal of Occupational Therapy

Pub Date : 2014-12-01 Epub Date: 2015-01-10 DOI: 10.1016/j.hkjot.2014.11.002

Jung-ran Kim , Min-ye Jung , Eun-young Yoo , Ji-Hyuk Park , Sung-Hoon Kim , Jin Lee

Objective/Background

This study investigated the effects of rhythmic auditory stimulation (RAS) on muscle activity and elbow motion during arm reaching with hemiplegic arm in participants with stroke.

Methods

Sixteen adults with stroke who resided in a community were recruited in this study. The RAS consisted of sound emitted from a digital metronome. While sitting upright in a chair, participants reached their arms towards a target (a switch on a table) both with and without RAS. The three-dimensional motion analysis system and surface electromyography system were used for measurements during the reaching tasks.

Results

We found that RAS elicited better performance in reaching movements than those movements performed without RAS. RAS shortened the movement time (p = .002), reduced the change in acceleration (p = .001), increased the elbow extension range of motion (p = .001), increased muscle activation of the triceps brachii (p = .024), and reduced the co-contraction ratio (p = .015) of the affected arm.

Conclusion

RAS might be a useful technique to facilitate improvements in motor function of the affected arm in patients with stroke.

目的/背景本研究探讨了节律性听觉刺激(RAS)对脑卒中偏瘫患者手臂伸展过程中肌肉活动和肘部运动的影响。方法在本研究中招募了16名居住在社区的成年中风患者。RAS由数字节拍器发出的声音组成。当参与者笔直地坐在椅子上时，无论是否有RAS，他们都将手臂伸向目标(桌子上的开关)。在到达过程中使用三维运动分析系统和体表肌电图系统进行测量。结果在伸展动作中，有RAS的动作比无RAS的动作表现更好。RAS缩短了运动时间(p = 0.002)，减小了加速度变化(p = 0.001)，增加了肘部伸展的运动范围(p = 0.001)，增加了肱三头肌的肌肉激活(p = 0.024)，降低了患臂的共收缩比(p = 0.015)。结论ras可能是一种促进脑卒中患者患臂运动功能改善的有效技术。

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引用次数: 11

Early Intervention in Children (0–6 Years) with a Rare Developmental Disability: The Occupational Therapy Role 早期干预儿童(0-6岁)罕见发育障碍:职业治疗的作用

IF 0.4 4区医学 Q4 REHABILITATION

Hong Kong Journal of Occupational Therapy

Pub Date : 2014-12-01 Epub Date: 2015-03-03 DOI: 10.1016/j.hkjot.2014.12.001

Lucy Dall'Alba , Marion Gray , Gary Williams , Sharon Lowe

Objective/Background

This study aims to explore the occupational therapists' role in early intervention for children diagnosed with a rare developmental disability.

Methods

A survey was distributed by mail or online, to eligible occupational therapists currently used by the Disability and Community Care Services throughout Queensland, Australia. Eligible occupational therapists were those working with children aged 0–6 years. Two in-depth phone interviews were also undertaken.

Results

Eleven participants who had previously worked with at least one child with a rare developmental disability returned the survey. One participant nominated for a follow-up interview and a second interview with a speech and language pathologist was conducted to gain a multidisciplinary perspective. The most common areas requiring intervention were play support (85.3%), activities of daily living, communication, gross motor, and fine motor skills (79.4%).

Conclusion

Family-centred practice, play therapy, and individually tailored programmes are identified as key practice areas for this population. The important role occupational therapists play in early intervention teams is highlighted; however, further research is needed to develop the evidence base for best practice with particular rare developmental conditions.

目的/背景本研究旨在探讨职业治疗师在诊断为罕见发育障碍儿童的早期干预中的作用。方法通过邮件或在线方式向澳大利亚昆士兰州残疾和社区护理服务中心的合格职业治疗师分发调查问卷。合资格的职业治疗师是那些治疗0-6岁儿童的职业治疗师。还进行了两次深入的电话采访。结果:即使是曾经至少接触过一名罕见发育障碍儿童的参与者也返回了调查。一名被提名参加后续访谈的参与者和一名语言和语言病理学家的第二次访谈被进行，以获得多学科的视角。最常见的干预领域是游戏支持(85.3%)、日常生活活动、沟通、大肌肉运动和精细运动技能(79.4%)。结论:以家庭为中心的实践、游戏治疗和个性化方案被确定为这一人群的关键实践领域。强调了职业治疗师在早期干预团队中的重要作用;然而，需要进一步的研究来为特殊罕见发育条件的最佳实践提供证据基础。

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引用次数: 7

The 30th Anniversary of the Hong Kong Journal of Occupational Therapy (HKJOT) 《香港职业治疗杂志》创刊三十周年

IF 0.4 4区医学 Q4 REHABILITATION

Hong Kong Journal of Occupational Therapy

Pub Date : 2014-12-01 Epub Date: 2015-03-06 DOI: 10.1016/j.hkjot.2015.02.001

引用次数: 1

Occupational Therapists in the 21st Century: Time for a New Standard? 21世纪的职业治疗师:是时候制定新标准了吗?

IF 0.4 4区医学 Q4 REHABILITATION

Hong Kong Journal of Occupational Therapy

Pub Date : 2014-06-01 Epub Date: 2014-08-20 DOI: 10.1016/j.hkjot.2014.08.001

Kenneth Fong (Editor-in-Chief)

引用次数: 0

Simple and Task-oriented Mirror Therapy for Upper Extremity Function in Stroke Patients: A Pilot Study 脑卒中患者上肢功能的简单和任务导向镜像治疗:一项试点研究

IF 0.4 4区医学 Q4 REHABILITATION

Hong Kong Journal of Occupational Therapy

Pub Date : 2014-06-01 Epub Date: 2014-03-31 DOI: 10.1016/j.hkjot.2014.01.002

Young-Rim Paik , Su-Kyoung Kim , Jae-Shin Lee , Byoung-Jin Jeon

Objective/Background

To compare the effects of simple and task-oriented mirror therapies on upper extremity function in stroke patients with hemiplegia.

Methods

A single-subject, reversal (applied behaviour analysis) research design was used, and the study included four patients and two treatments. Treatment 1 involved simple mirror therapy that was performed using simple upper limb movements. Treatment 2 involved task-oriented mirror therapy that required each patient to perform functional movements associated with the tasks of daily living. Changes in upper extremity function were assessed during 23 sessions using box and block test, cube carry, and card turning tests. The Fugl-Meyer Assessment of upper extremity function was also performed.

Results

The upper extremity function of all patients increased after mirror therapy. However, the improved upper extremity function of the patients undergoing simple mirror therapy was not maintained after the conclusion of the therapy. By contrast, the improved upper extremity function of the patients receiving task-oriented mirror therapy continued to improve, even after therapy cessation.

Conclusion

Task-oriented mirror therapy in stroke patients provided more effective improvement in the upper extremity function of the hemiplegic stroke victims.

目的/背景比较简单镜像疗法和任务导向镜像疗法对脑卒中偏瘫患者上肢功能的影响。方法采用单受试者逆转(应用行为分析)研究设计，纳入4例患者和2种治疗方法。治疗1包括简单的镜像疗法，通过简单的上肢运动进行。治疗2包括任务导向的镜像疗法，要求每个病人进行与日常生活任务相关的功能性运动。在23个疗程中，通过盒块测试、立方体携带和卡片翻转测试评估上肢功能的变化。同时进行Fugl-Meyer上肢功能评估。结果所有患者经镜像治疗后上肢功能均有所改善。然而，接受简单镜像治疗的患者上肢功能的改善在治疗结束后并没有得到维持。相比之下，接受任务导向镜像治疗的患者上肢功能的改善持续改善，即使在治疗停止后也是如此。结论任务导向的镜像治疗对偏瘫脑卒中患者上肢功能的改善更为有效。

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引用次数: 23

Psychometric Properties of the Chinese Version of the Kid-KINDLR Questionnaire for Measuring the Health-related Quality of Life of School-aged Children 中文版Kid-KINDLR问卷测量学龄儿童健康相关生活质量的心理测量特性

IF 0.4 4区医学 Q4 REHABILITATION

Hong Kong Journal of Occupational Therapy

Pub Date : 2014-06-01 Epub Date: 2014-08-10 DOI: 10.1016/j.hkjot.2014.05.001

Phoebe L.C. Chan, Serena S.W. Ng, Dora Y.L. Chan

Objective/Background

The reliability and validity of the Chinese version of the Kid-KINDL^R questionnaire were examined with school-aged children in Hong Kong.

Methods

A total of 112 healthy children were selected by convenience sampling from two primary schools and 30 children with global developmental delay were selected from an outpatient occupational therapy department of a convalescent hospital. The Kid-KINDL^R questionnaire was translated using independent forward and backward translation. The content validity of the translated instrument was evaluated by four experts. Internal consistency, factor analysis, and construct validity were examined in the healthy children group, whereas known-group comparison was performed in the group with global developmental delay.

Results

The significance value of the Shapiro–Wilk test was greater than 0.05, indicating that the sample displayed a normal distribution. The total score had good internal consistency (Cronbach's alpha = .77); however, the consistency of the subscales varied (Cronbach's alpha ranged from .47 to .70). The children and parent questionnaires did not load onto the six factors originally hypothesized. Instead, seven factors were generated. Evidence supporting the questionnaire's validity included a lack of age and sex bias and positive known-group differentiation (Wilks' lambda = 0.906, p = .035).

Conclusion

The Chinese version of the Kid-KINDL^R questionnaire exhibited good psychometric properties, but the internal consistency of the translated instrument needs further improvement. It is recommended that practitioners focus on the Kid-KINDL^R total score when interpreting the Kid-KINDL^R data. Overall, the study findings indicate that the Chinese version of the Kid-KINDL^R is an important tool for use in clinical practice.

目的/背景本研究以香港学龄儿童为研究对象，对中文版Kid-KINDLR问卷的信度和效度进行检验。方法采用方便抽样法抽取两所小学健康儿童112名和某康复医院门诊职业治疗科整体发育迟缓儿童30名。Kid-KINDLR问卷采用独立正向和反向翻译。翻译工具的内容效度由4位专家进行评估。在健康儿童组进行内部一致性、因子分析和结构效度检验，而在整体发育迟缓组进行已知组比较。结果夏皮罗-威尔克检验的显著性值大于0.05，表明样本呈正态分布。总分具有良好的内部一致性(Cronbach’s alpha = .77);然而，亚量表的一致性各不相同(Cronbach's alpha在0.47到0.70之间)。孩子和家长的调查问卷并没有体现最初假设的六个因素。相反，产生了七个因素。支持问卷效度的证据包括缺乏年龄和性别偏见以及积极的已知组分化(Wilks’lambda = 0.906, p = 0.035)。结论中文版Kid-KINDLR问卷具有较好的心理测量特性，但翻译后的问卷内部一致性有待进一步提高。建议从业者在解释Kid-KINDLR数据时关注Kid-KINDLR总分。总的来说，研究结果表明中文版的Kid-KINDLR在临床实践中是一个重要的工具。

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引用次数: 8

Leadership Style Preference of Undergraduate Occupational Therapy Students in Australia 澳大利亚职业治疗专业本科生的领导风格偏好

IF 0.4 4区医学 Q4 REHABILITATION

Hong Kong Journal of Occupational Therapy

Pub Date : 2014-06-01 Epub Date: 2014-08-14 DOI: 10.1016/j.hkjot.2014.04.002

Ted Brown , Brett Williams , Laura Jolliffe

Background

Occupational therapy graduates are expected to assume leadership roles in a variety of contexts and capacities.

Objective

To investigate the leadership styles of undergraduate occupational therapy students.

Methods

First, second, third, and fourth year undergraduate occupational therapy students from one Australian university were asked to complete the What’s My Leadership Style (WMLS) questionnaire.

Results

The total sample response rate was 86.3% (n = 182/211). Overall there was a statistically significant difference in students’ preference for the leadership styles (p < .001). The two most preferred leadership styles were the Considerate and Spirited styles while the two least preferred were the Direct and Systematic leadership styles. There were no statistically significant differences in preference for any of the four leadership styles based on students’ sex, age, or year level of study.

Conclusion

The Considerate leadership style is characterised by creating comfortable working environments, following established procedures, and creating an easy work pace, while the Spirited leadership style is about inspiring people, generating excitement, turning work into play, and rallying people. It is recommended that leadership be integrated into occupational therapy curricula so as to adequately equip students for future professional practice.

职业治疗专业的毕业生有望在各种环境和能力中担任领导角色。目的探讨职业治疗专业本科生的领导风格。方法对来自澳大利亚一所大学的一、二、三、四年级职业治疗专业本科生进行问卷调查，问卷内容为“我的领导风格是什么”。结果总应答率为86.3% (n = 182/211)。总体而言，学生对领导风格的偏好有统计学显著差异(p <措施)。最受欢迎的两种领导风格是体贴型和精神型，而最不受欢迎的两种领导风格是直接型和系统型。根据学生的性别、年龄或学习年限，对四种领导风格的偏好没有统计学上的显著差异。体贴型领导风格的特点是创造舒适的工作环境，遵循既定的程序，创造轻松的工作节奏，而精神型领导风格的特点是激励人们，产生兴奋，把工作变成娱乐，团结人们。建议将领导能力纳入职业治疗课程，以使学生为未来的专业实践做好充分的准备。

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引用次数: 16

Is More Choice Better? Some Thoughts on Autonomy and Self-determination for People with Psychiatric Disabilities 选择越多越好吗?关于精神障碍患者自主和自决的思考

IF 0.4 4区医学 Q4 REHABILITATION

Hong Kong Journal of Occupational Therapy

Pub Date : 2014-06-01 Epub Date: 2014-06-21 DOI: 10.1016/j.hkjot.2014.04.001

Chow S. Lam

引用次数: 1

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