It is necessary for a person to comply with the expectations of society and the rules of law to which these expectations are secured. Offenders turn back to the community after the penalty was executed by isolating from society and some occupations. An occupational imbalance is seen in the individuals, during this penalty period and afterward, because of limited occupational participation. As an occupational being, this affects their physical, mental and psychological well-being. Imprisonment is an important practice in criminal law to punish criminals. This may be necessary for the protection of society from criminals, but successful integration into a community after exiting the prison is the most important factor in preventing recidivism. Occupational therapy focuses on health and well-being by using meaningful and purposeful occupations. Occupation involves any activity that people perform or participate in, such as giving care to themselves or others, working, learning, playing games, and interacting with others. From this perspective, the role of occupational therapists in forensic settings is to determine the abilities of these individuals to congregate their deprived freedoms and use them to train them for an independent and autonomous life; to provide a professional orientation, career counseling, and self-esteem; to gain some habits for physical, spiritual and moral life and to reinforce.
Objective:To evaluate botulinum toxin serotype A (BoNT-A) effects on sleep problems in children with cerebral palsy (CP) and on mothers’ sleep quality and depression at multiple time points.Methods:This is a single center, cross sectional, and observational study was conducted to assess children with CP who were admitted. We recruited children with CP who were admitted to Ministry of Health Physical Medicine and Rehabilitation Training and Research Hospital, Ankara, Turkey between September 2012 and April 2014 for the BoNT-A injection for lower limb spasticity. Sleep quality of children with CP were determined at baseline and at the first, third and sixth month after the BoNT-A injection. Sleep quality Pittsburgh Sleep Quality Index (PSQI) and depression (by Beck Depression Inventory-II Turkish version) in mothers were also assessed.Results:Twenty-four children with CP (7.05±2.69 years) underwent final assessment. Their bedtime resistance (11.71±3.26 versus (vs) 10±2.75, p<0.01), sleep anxiety (8.00±2.57 vs. 7.13±2.27, p=0.046) and daytime sleepiness (11.67±2.14 vs. 10.25±1.96, p<0.01) were significantly improved in the first month after the BoNT-A injection. In accordance with this, PSQI and BDI scores of the mothers decreased in the first month after the BoNT-A injection. Thereafter, BDI scores continued to decrease, whereas PSQI slightly increased in the third month.Conclusions:The BoNT-A injection for spasticity in children with CP may have the potential to improve sleep quality in children with CP and their primary caregiver, the mother, as well as to reduce depression in the mother.
Introduction The purpose of this research was to examine the effect of occupation-based postural stability training on occupational performance and postural stability in visually impaired individuals. Method The research was designed as pre-test/post-test, with two groups (study group and control group). A total of 34 individuals with visual impairment were randomly assigned to the two groups. Participants were evaluated using a sociodemographic information form, the Biodex Balance System for postural stability, the Canadian Occupational Performance Measurement for assessing performance and satisfaction of occupations and the semi-structured interview form. The control group received only postural stability training with the Biodex Balance System and the study group received individualised occupation-based postural stability training with the Biodex Balance System BBS during a 12-week intervention (24 sessions). Results A statistically significant difference was found between the postural stability values of the study group and the control group when looking at pre and post-training measurements ( p < 0.05). It was observed that there was an improvement in the postural stability of the participants in both groups. There was a statistically significant increase in the occupational performance and satisfaction of participants in the study group ( p < 0.01). Conclusion Adding person-centred, meaningful and purposeful occupations into rehabilitation programmes that use technological devices increases functionality in activities of daily living.
We aimed to evaluate the effects of an occupational training program via telerehabilitation on well-being (WB), occupational balance (OB), intrinsic motivation (IM), and quality of life (QoL) in Syrian refugee children resettled in Turkey during the COVID-19 pandemic. This was a single-center, prospective, randomized, non-blinded trial in which children aged 13–15 years and attending a secondary school were recruited. OB, WB, IM, and QoL were evaluated via the OB Questionnaire (OBQ11), the Well-Star Scale (WSS), the IM Scale (IMS), and the Pediatric Quality of Life Inventory (PedsQL). The intervention group attended online occupational therapy classes. Online classes were carried out as five sessions per week, each session lasting 1 h, for 3 weeks. Questionnaires were performed at the outset of the study and following the training program. Overall, 52 refugee children were randomized into the intervention and control groups, each including 26 children. The mean OBQ11, WSS, IMS, and PedsQL scores significantly improved more in the intervention group than in the control group. This was the first study investigating the effects of a customized online training course on OB, WB, IM, and QoL in Syrian refugee children, also affected unfavorably by the COVID-19 lockdown. Our results showed significant improvements in all the study scales that we used to quantify the alterations in the aforementioned traits.
Okunabilirlik bir metnin okuma zorluk derecesini ifade eder. Okunabilirlik, çeşitli matematik formülleri ile nicel ve objektif olarak hesaplanabilir. Bilgi kalitesi kavramı ise, standart ve doğrulabilir bir bilgiyi ifade eder. Bu çalışmanın amacı, Türkçe web sitelerinde ergoterapi ile ilgili çevrimiçi bilgilerin kalitesini ve okunabilirliğini değerlendirmektir. Gereç ve Yöntem: Google arama motorunda 'ergoterapi' terimi aranarak tanımlayıcı bir çalışma gerçekleştirildi. Çalışmaya 35 web sayfası dâhil edildi ve web sayfalarının kalitesi İnternette Sağlık Kodu (HONcode) prensiplerine göre değerlendirildi. Okunabilirlik ise Ateşman okunabilirlik indeksi ve Çetinkaya okunabilirlik indeksi ile değerlendirildi. Sonuçlar: Web sayfalarının hiçbiri HONcode sertifikasına sahip değildi. Ortalama HONcode skoru 5,40±1,95 idi. Web sayfalarının Ateşman okunabilirlik indeks ortalamaları 38,85±14,84 ve Çetinkaya okunabilirlik indeks ortalamaları 25,67±7,29 idi. Tartışma: Bulgular web sayfalarının kalitesinin düşük olduğunu ve okunabilirlik indekslerinin yüksek eğitim seviyesi gerektirdiğini göstermektedir. Bulgulara dayanarak, araştırmamız ergoterapi ile ilgili web sitelerinin tasarımını iyileştirmeye hizmet edebilir ve web sitelerinin kalitesini iyileştirme için otomatik bir değerlendirme yaklaşımı geliştirmede bir temel oluşturabilir.
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