No abstract

Objective. This study examined the physical, emotional, social, and economic functions of service dogs, the training methods for service dog/owner teams, and problems encountered with service dogs in relationship to occupational therapy literature and domain of concern. Method. A 31-question survey was developed based on the literature and Uniform Terminology (AOTA, 1994) and was completed by 202 service dog owners from 40 states and Canada. Results. Owners reported that service dogs assisted them in 28 functional tasks, helped them to feel safe, increased their social interaction, and reduced physical assistance by others. Problems with service dogs included difficulty with dog maintenance and public awareness of their role as a worker or assistant to the owner. Over 80% of respondents desired additional training in alternative ways to perform daily living tasks. Conclusion. The use of service dogs is consistent with the occupational therapy domain of concern and practice. Occupational therapists might collaborate with service dog trainers and potential owners in referral, assessment, training, and follow-up services.

Individuals with idiopathic Parkinson's disease (IPD) usually develop a speech disorder characterized by reduced loudness, hoarse and breathy voice, monotony of pitch, short rushes of speech, and imprecise consonants. The inability to effectively communicate impairs their ability to function in society and quality of life. A successful program developed to improve speech in these individuals is the Lee Silverman Voice Treatment (LSVT). A critical component of this treatment is intense daily therapy for 4 weeks, a regimen that is difficult for many elderly patients to complete. Treatment delivered through videophones placed in the homes of individuals with IPD offers an alternative and could improve accessibility of treatment if the results were the same. This study compared the outcomes of LSVT delivered via videophones to the outcomes of traditional treatment delivered face-to-face.

Results support the premise that participation is associated with a high quality of life, yet persons with brain injury have significant needs for long-term occupational therapy.