Kazuaki Iokawa, T. Sone, Takaaki Fujita, Tetsu Tsukada, M. Kaneda, Keiichi Hasegawa
Objective: The present study aimed to investigate the complex interaction of factors affecting discharge destination after the acute phase of stroke. Methods: In 304 patients with stroke who required rehabilitation, we focused on three discharge destinations (i.e., home, convalescent rehabilitation ward, and other facility). Sociodemographic, medical, and acute symptoms data, within the first week of stroke onset and discharge destination, were collected from acute stroke wards. The complex interaction of factors relating to discharge destination from an acute stroke ward was investigated by classification and regression tree analysis. Results: Patients with a total Functional Independence Measure (FIM) score > 35, a Brunnstrom recovery stage of the lower limb > V, and a comprehension FIM score > 5 had a 91.7% chance of home discharge. By contrast, patients with a total FIM score ≤ 35, age ≤ 79.5 years, and > 2.5 family members had an 80% chance of discharge to a convalescent rehabilitation ward. Finally, patients with a total FIM score ≤ 35, age > 79.5 years, and an expression FIM score ≤ 3 had a 78.6% chance of discharge to other facilities. Conclusion: The interaction of independence on FIM, function of the paralyzed lower limb, age, number of family members, and comprehension or expression function affect the choice of discharge destination from acute stroke wards.
{"title":"Clinical Indicators and Thresholds for Determining Discharge Destination from Acute Stroke Ward","authors":"Kazuaki Iokawa, T. Sone, Takaaki Fujita, Tetsu Tsukada, M. Kaneda, Keiichi Hasegawa","doi":"10.11596/ASIAJOT.15.27","DOIUrl":"https://doi.org/10.11596/ASIAJOT.15.27","url":null,"abstract":"Objective: The present study aimed to investigate the complex interaction of factors affecting discharge destination after the acute phase of stroke. Methods: In 304 patients with stroke who required rehabilitation, we focused on three discharge destinations (i.e., home, convalescent rehabilitation ward, and other facility). Sociodemographic, medical, and acute symptoms data, within the first week of stroke onset and discharge destination, were collected from acute stroke wards. The complex interaction of factors relating to discharge destination from an acute stroke ward was investigated by classification and regression tree analysis. Results: Patients with a total Functional Independence Measure (FIM) score > 35, a Brunnstrom recovery stage of the lower limb > V, and a comprehension FIM score > 5 had a 91.7% chance of home discharge. By contrast, patients with a total FIM score ≤ 35, age ≤ 79.5 years, and > 2.5 family members had an 80% chance of discharge to a convalescent rehabilitation ward. Finally, patients with a total FIM score ≤ 35, age > 79.5 years, and an expression FIM score ≤ 3 had a 78.6% chance of discharge to other facilities. Conclusion: The interaction of independence on FIM, function of the paralyzed lower limb, age, number of family members, and comprehension or expression function affect the choice of discharge destination from acute stroke wards.","PeriodicalId":91842,"journal":{"name":"Asian journal of occupational therapy","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.11596/ASIAJOT.15.27","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64520365","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}
{"title":"Effect of Adjusting the Challenge-Skill Balance for Occupational Therapy in a Recovery Rehabilitation Unit: A Pilot Study","authors":"Ippei Yoshida, Kazuki Hirao, R. Kobayashi","doi":"10.11596/ASIAJOT.15.11","DOIUrl":"https://doi.org/10.11596/ASIAJOT.15.11","url":null,"abstract":"","PeriodicalId":91842,"journal":{"name":"Asian journal of occupational therapy","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.11596/ASIAJOT.15.11","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64520578","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}
Chisako Ikeda, Sonomi Nakajima, T. Ohyanagi, Yuji Nakamura, Y. Sengoku
{"title":"The Influence of Physical Function on Drawing Performance and Drawing Motion in Clumsy Children","authors":"Chisako Ikeda, Sonomi Nakajima, T. Ohyanagi, Yuji Nakamura, Y. Sengoku","doi":"10.11596/ASIAJOT.15.37","DOIUrl":"https://doi.org/10.11596/ASIAJOT.15.37","url":null,"abstract":"","PeriodicalId":91842,"journal":{"name":"Asian journal of occupational therapy","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64520498","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}
Osamu Nakata, R. Tanemura, Toru Nagao, Kazue Noda, Jiro Sagawa
: Everyday technology (ET) has become central to modern life, but its use poses challenges to those with cog nitive impairments. We sought to describe the level of perceived difficulties in using ET by people with Acquired Brain Injury (ABI) and to assess the correlation between perceived level of difficulty and cognitive impairment. The Every day Technology Use Questionnaire revised Japanese version (ETUQ-Japan) was used to assess perceived difficulties in ET use for twenty-two participants with ABI. A trend of negative correlation was observed between the ratio of ET used with assistance of someone else and all neuropsychological test results. In particular, strong negative correlation was observed between the executive function (Behavioral Assessment of the Dysexecutive Syndrome, BADS) and the use of ET with assistance. It is likely that impairments to executive function are associated with difficulties in using ET use and patients with ABI living at home will require aid to address these problems.
{"title":"Difficulties in Everyday Technology Use of the People with Acquired Brain Injury Living at Home","authors":"Osamu Nakata, R. Tanemura, Toru Nagao, Kazue Noda, Jiro Sagawa","doi":"10.11596/asiajot.15.63","DOIUrl":"https://doi.org/10.11596/asiajot.15.63","url":null,"abstract":": Everyday technology (ET) has become central to modern life, but its use poses challenges to those with cog nitive impairments. We sought to describe the level of perceived difficulties in using ET by people with Acquired Brain Injury (ABI) and to assess the correlation between perceived level of difficulty and cognitive impairment. The Every day Technology Use Questionnaire revised Japanese version (ETUQ-Japan) was used to assess perceived difficulties in ET use for twenty-two participants with ABI. A trend of negative correlation was observed between the ratio of ET used with assistance of someone else and all neuropsychological test results. In particular, strong negative correlation was observed between the executive function (Behavioral Assessment of the Dysexecutive Syndrome, BADS) and the use of ET with assistance. It is likely that impairments to executive function are associated with difficulties in using ET use and patients with ABI living at home will require aid to address these problems.","PeriodicalId":91842,"journal":{"name":"Asian journal of occupational therapy","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.11596/asiajot.15.63","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64520782","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}
: Background: Children with neuropsychiatric disorders may have a limited participation in everyday activities. It is common that they tend to avoid engaging in activities due to a decreased ability to interpret sensory information. To increase these children’s’ activity performance ball vests are provided and prescribed as an intervention. The aim of this study was to explore the use of a ball vest in everyday activities from the perspective of adolescents with neuropsychiatric disorders, their parents and teachers. Method: A qualitative method, where six adolescents with neuropsychiatric disorders, their parents and teachers were interviewed concerning experiences of the adolescents’ use of a ball vest for eight weeks. A qualitative content analysis approach was used. Results: The analysis identified four themes. The adolescents with neuropsychiatric disorders, their parents and teach ers portrayed different aspects of the use of the vest which all were mainly positive. The adolescents experienced that their high activity level was influenced by using the ball vest in activities. A slightly delayed calming effect was also described which influenced the adolescents plan when to use of the ball vest during the day. Conclusion: This study identifies a positive though limited hypothesis regarding how a ball vest can be experienced in relation to everyday activities at home and in the school setting for adolescents with high activity levels and neuropsychiatric disorders.
{"title":"Wearing a Ball Vest in Everyday Activities: Experiences from Adolescents with Neuropsychiatric Disorders, their Parents and Teachers","authors":"I. Breivik, S. Josephsson, H. Lidström","doi":"10.11596/ASIAJOT.15.53","DOIUrl":"https://doi.org/10.11596/ASIAJOT.15.53","url":null,"abstract":": Background: Children with neuropsychiatric disorders may have a limited participation in everyday activities. It is common that they tend to avoid engaging in activities due to a decreased ability to interpret sensory information. To increase these children’s’ activity performance ball vests are provided and prescribed as an intervention. The aim of this study was to explore the use of a ball vest in everyday activities from the perspective of adolescents with neuropsychiatric disorders, their parents and teachers. Method: A qualitative method, where six adolescents with neuropsychiatric disorders, their parents and teachers were interviewed concerning experiences of the adolescents’ use of a ball vest for eight weeks. A qualitative content analysis approach was used. Results: The analysis identified four themes. The adolescents with neuropsychiatric disorders, their parents and teach ers portrayed different aspects of the use of the vest which all were mainly positive. The adolescents experienced that their high activity level was influenced by using the ball vest in activities. A slightly delayed calming effect was also described which influenced the adolescents plan when to use of the ball vest during the day. Conclusion: This study identifies a positive though limited hypothesis regarding how a ball vest can be experienced in relation to everyday activities at home and in the school setting for adolescents with high activity levels and neuropsychiatric disorders.","PeriodicalId":91842,"journal":{"name":"Asian journal of occupational therapy","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.11596/ASIAJOT.15.53","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64521190","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 : 2016-01-01Epub Date: 2016-03-31DOI: 10.11596/asiajot.11.19
Ganesh M Babulal, Erin R Foster, Timothy J Wolf
In Occupational Therapy (OT) practice, practitioners assume that the skills and strategies taught to clients during rehabilitation will transfer to performance and participation in everyday life. Despite transfer serving as a practice foundation, outcome studies conclude that this assumption of transfer is not occurring and it often results in decreased efficacy of rehabilitation. This paper investigated key aspects of transfer and found concepts in the psychology literature that can support transfer of skills and strategies in OT. Six key principles proposed from educational psychology can serve as a guide for practitioners to better train for transfer. In this paper, we discuss the six principles and apply concepts from psychology. Each principle is supported with examples of how they may be incorporated OT practice. If occupational therapists understand these principles and implement them in treatment, the efficacy of treatment may improve for many populations.
{"title":"Facilitating Transfer of Skills and Strategies in Occupational Therapy Practice: Practical Application of Transfer Principles.","authors":"Ganesh M Babulal, Erin R Foster, Timothy J Wolf","doi":"10.11596/asiajot.11.19","DOIUrl":"https://doi.org/10.11596/asiajot.11.19","url":null,"abstract":"<p><p>In Occupational Therapy (OT) practice, practitioners assume that the skills and strategies taught to clients during rehabilitation will transfer to performance and participation in everyday life. Despite transfer serving as a practice foundation, outcome studies conclude that this assumption of transfer is not occurring and it often results in decreased efficacy of rehabilitation. This paper investigated key aspects of transfer and found concepts in the psychology literature that can support transfer of skills and strategies in OT. Six key principles proposed from educational psychology can serve as a guide for practitioners to better train for transfer. In this paper, we discuss the six principles and apply concepts from psychology. Each principle is supported with examples of how they may be incorporated OT practice. If occupational therapists understand these principles and implement them in treatment, the efficacy of treatment may improve for many populations.</p>","PeriodicalId":91842,"journal":{"name":"Asian journal of occupational therapy","volume":"11 1","pages":"19-25"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.11596/asiajot.11.19","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35153324","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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