Background: Children with central nervous dysfunction should be given a variety of long-term physical and occupational therapy interventions to facilitate their self-development and to enhance functional independence in movement, self-care, play, school activities and leisure. The present study aimed to investigate the benefit of implementing context-focused intervention approach along with occupational therapy intervention in children with CNS dysfunctions.Methods: This randomized case control study conducted in 30 children with CNS dysfunction aging between 12 months to 48 months were randomly divided into control and experimental groups consisting of 15 children in each group. Control group received conventional occupational therapy for 45 min, and experimental group received context-focused intervention approach for 30 min along with conventional occupational therapy for 15 min (thrice a week). The patients were evaluated at baseline, after 12 and 24 weeks of follow up period on Canadian occupational performance measure (COPM) to evaluate parental perception about intervention, GMFM (gross motor function measure) to study the motor ability of the patient and ICF-CY (International classification of functioning, disability and health for children and youth) for activity participation and performance with evaluation of context.Results: Significant progress in the satisfaction score during 2nd and 3rd follow ups were noted (p <0.001) in experimental group. All the activities in GMFM score except lying and rolling showed significant improvement in experimental group (p <0.001). In experimental group a significant improvement in performance qualifier of ICF was seen during follow ups (p<0.001). The capacity qualifier scoring of ICF was improved in experimental group during 2nd follow up (p = 0.006). Progress in environmental scores of ICF during all the follow ups was noted (p <0.001) in experimental group. Significant correlation in GMFM scores and COPM performance score was noted during last follow-up in both the groups.Conclusions: The findings of the study showed positive results with context focused therapy and thus can be inferred that new intervention approach context focused therapy along with the conventional occupational therapy is very effective in improving the performance of functional tasks in children with CNS dysfunction.

BACKGROUND: Occupational Therapist is an integral part of Neonatology team. The purpose of this research is to explore and promote the awareness of the role of Occupational Therapy (OT) within Neonatal Intensive Care Units (NICUs). A survey was created to determine and assess the awareness of neonatal care guidelines by occupational therapists using a stratied random sample, distributed to occupational therapists working in Government Hospitals, Private Hospital Settings and in Private Practice throughout India. Study Design: Survey Research Design. METHODS: A survey was created by the researchers using Google Forms based on a thorough literature review of the topic. The survey consisted of 20 quantitative and qualitative items. After pilot testing, the survey was sent via social media through WhatsApp link to occupational therapy practitioners working in various healthcare setups throughout India. Data was collected from 26th May 2020 to 5th June 2020. Total 54 responses were received. RESULTS: Out of 54 therapist responses 60% were from tertiary care Government hospitals, out of which 3.8% were working full time in NICU, among all 29 % therapist had comprehensive knowledge about practical applications, but 50% therapists were interested in gaining indepth knowledge. All the therapists were aware about commonly used practices such as positioning, Kangaroo Mother Care etc. CONCLUSION: This survey helped to assess Occupational Therapy knowledge about the role of occupational therapist in the Neonatal Intensive Care Unit (NICU) and also provided awareness to the therapists about the various approaches used for intervention in NICU. Many therapists are aware about this developing branch in Occupational therapy, but have restricted scope to practise in the highly specialised area. The results may guide and facilitate further research of this important speciality area of occupational therapy practise.

Background: Patients from medicine, neurology and neurosurgery are referred to occupational therapy for disability calculation and if applicable work fitness. The patients who were referred from other units are not analysed here. Objectives of this study were to find the total number of patients referred for disability evaluation and certification from neuro-medicine and neuro-surgery units. To find the number of patients referred according to the different diagnosis. To find the patient distribution according to the percentage of disability. To find number of patients who were given work fitness (unfit, fit, light duty).Methods: A total 84 patients were given disability certificate in 2018 whereas 79 patients in 2019. In 2018, out of 84 patients, 1 received disability <40%, 64 got disability between 40-70% and 19 got disability >70%. In 2019, out of 79 patients, 2 got disability <40%, 58 got disability between 40-70% and 19 got disability >70%. In 2018, out of 84 patients, 33 patients were referred for work fitness in which 27 got unfit, 1 patient was given fit and 5 got light duty after work simulation. In 2019, out of 79 patients, 21 were referred for work fitness in which 18 were given unfit, 1 patient was given fit and 2 got light duty after work simulation.Results: A total 144 participants included in the study, 75 (52%) were females and rest were males 48%. Out of these 111 (77%) were aware about dog bite causes disease and among these 52 (46.8%) were aware that dog bite causes rabies. Among the participants, 138 (95.8%) were aware about the vaccine availability and 125 (90.5%) knew vaccine is available in Government Hospital. In the study 88% of dog bite victims received treatment.Conclusions: The patients were analysed based on age, gender, type of diseases, percentage of disability, type of work and work fitness (fit, unfit, light duty).