Adaption to Stroke: A Nonlinear Thinking Approach in Occupational Therapy

2017

IRJ

Self Cite

Objectives:The Neuro-occupation model has been referenced as the single occupational therapy conceptual framework that considers the interaction of three underpinning variables of Intention, Meaning, and Perception that explains how occupational performance is shaped. To date, studies have focused on the qualitative relationships between the variables. Quantitative studies that focus on the relationships among variables are lacking, begging the question as to whether the model is well-conceptualized. Extending prior work on the Neuro-occupation model, the aim of this quantitative study is to test the model by investigating correlations among the key variables of the model. Methods:This is a correlational study by a convenience sample of 25 cognitively-oriented patients with strokes recruited from three rehabilitation facilities in Shiraz, Iran. The participants were evaluated using three standardized instruments to measure the variables: 1. Adapted Achievement Motivation Questionnaire, 2. Connor-Davidson Resilience Scale, and 3. Canadian Occupational Performance Measure. To control the effects of months post-stroke and cognitive functioning, the partial correlation test was used to explore relationships among the variables. Results:The correlational analysis indicated significant positive relationships among the variables of intention, meaning, and perception. The partial correlations showed acceptable correlation coefficients (r≥0.45, P<0.05). Discussion:The Neuro-occupation model is a well-conceptualized framework, which can assist occupational therapists in understanding the design of occupational performance.

Section: Discussionsupporting

confidence: 89%

Section: Introductionmentioning

confidence: 99%

The Neuro-Occupation Model for Occupational Therapy: A Correlation Study

2017

IRJ

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“…Meaning refers to the ability to assimilate meaning following one’s performance. Perception is known as one’s attitude, feeling and beliefs that form one’s self-perceived concept ( Derakhshanrad et al, 2017a ).…”

Section: Introductionmentioning

confidence: 99%

A Cognitive Neurodynamic Approach to Prediction of Students’ Adaptation to College: An Ex-Post Facto Study

2018

BCN

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Introduction:Campus life tends to make social and academic demands on college students. To cope with these demands, students are required to use their neurocognitive skills of problem-solving and planning intentional actions that target towards adaptation to college. This paper presents an illuminating perspective that would inform understanding of a new approach to cognitive neuroscience. The linkage between cognition and adaptation was sought in the context of a cognitive neurodynamic approach proposed by the Intention, Meaning, and Perception (IMP) model of neuro-occupation.Methods:An ex post facto study was conducted on a convenience sample of 187 college students in Shiraz, Iran. A brief questionnaire was developed to screen participants for diversity of cognitive neurodynamic processing capacity and three standardized questionnaires were used to gather data about college adaptation manifestations. The partial correlation, 1-way, and 2-way ANOVA tests were used to analyze the data.Results:The partial correlation test showed large, positive correlation (r≥0.7, P<0.001) between elements of the cognitive neurodynamic process, denoting that the interrelated connections among intention, meaning, and perception were governed by feedback loops. One-way ANOVA test revealed that students with diverse cognitive neurodynamic processing capacity had a variety of college adaptation manifestations. Two-way ANOVA showed a statistically significant main effect for neurodynamic processing capacity (F2, 178=8.1, P<0.001).Conclusion:College adaptation could have been established by the cognitive neurodynamic process proposed by the IMP model. Therefore, it is advisable for faculty, mental health practitioners, and counselors who work with students at universities to understand this process and address students’ maladaptation to campus life.

“…Two key properties of the model, known as "perturbance" and "attractor", were substantiated by the limited qualitative research with an objective to begin the process that led the subjects with cerebro-vascular strokes to initiate a positive change in their motor control [8]. Accordingly, perturbance has been acknowledged to have contributed to positive changes by providing influential opportunities or experiences to the clients, thereby receiving appreciation as an important property for their change [8].…”

Section: Introductionmentioning

confidence: 99%

“…Accordingly, perturbance has been acknowledged to have contributed to positive changes by providing influential opportunities or experiences to the clients, thereby receiving appreciation as an important property for their change [8]. Attractor was reported to be a preferred mental state that enticed or attracted clients to make an intentional action, engage in meaningful occupational performance, and develop realistic beliefs that altered their perception [8].…”

Section: Introductionmentioning

confidence: 99%

Effect of Mirror Therapy on Upper Limb Function: A Single Subject Study

Ghoochani

et al. 2017

IRJ

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Objectives: Mirror therapy is a unique treatment with a touch of modality that is purported to improve the motor function of the affected limb in individuals with hemiplegia. Previous studies have focused on the neuro-physiological factors underlying the mechanism of the clinical effect of this technique. The present study aims to understand the mechanism using the rehabilitation method and neuro-occupation model as well as analyze the effects of mirror therapy on the upper limb function of subjects with spastic hemiplegic cerebral palsy. Methods:Single subject design known as withdrawal design was used by a convenience sample of four subjects. The study involved three observational phases known as baseline, treatment, and withdrawal phases that took place during a 10 week period. The study contained a home-based mirror therapy protocol whereby the participants were instructed to do some exercises on a daily basis. The improvement of the hand function of the hemiplegic side was examined by Box and Block test along with two more activities including Threading Beads and Stacking Rings. Results:The ability to perform the Box and Block test, Threading Beads, and Stacking Rings tended to remain steady in the baseline phase, whereas there was a noticeable improvement during the treatment phase and a decline in the withdrawal phase.Discussion: From the perspective of visual feedback neuro-occupation model, it could be hypothesized that alterations to the sensory system caused by the mirror reflection of non affected hand may have led to the destabilization of the sensory cortices that changed the participants' intention, meaning, and perception, thereby improving the subject's motor control.