Functional Independence and Quality of Life for Persons with Locomotor
                        Disabilities in Institutional Based Rehabilitation and Community Based
                        Rehabilitation - A Comparative Study

Balasubramanian, Mari Muthu; Dhanesh, KG; Amarnath, A

doi:10.5463/dcid.v23i3.147

Cited by 5 publications

(8 citation statements)

References 8 publications

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“…CBR's physical therapy services compare favourably with institutional or hospital-based physical therapy in promoting independence and quality of life. In part, this may occur from having better and easier access to physical therapy services without the burden of high cost and longer travel (Balasubramanian et al, 2012).…”

Section: Improved Quality Of Life and Accessmentioning

confidence: 99%

“…Quality of life, specifically physical health and functional independence, is improved under CBR guided programmes and interventions (Magallona and Datangel, 2011;Balasubramanian et al, 2012;Mol et al, 2014;Iemmi et al, 2015;Mauro et al, 2015).The impact of CBR programmes in communities and villages demonstrates significant effect on the well-being of both individuals and entire villages by modifying attitudes, fighting prejudice and exclusion, and improving knowledge and skills (Magallona and Datangel, 2011;Mauro et al, 2015). Positive changes in the lives of the children with disabilities and their families, related to physical health, social participation and empowerment through independence, result from CBR (Mol et al, 2014).…”

Section: Improved Quality Of Life and Accessmentioning

confidence: 99%

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Community-Based Rehabilitation Services in Low and Middle-Income Countries in the Asia-Pacific Region: Successes and Challenges in the Implementation of the CBR Matrix

Cayetano

Elkins

2016

DCID

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Section: Improved Quality Of Life and Accessmentioning

confidence: 99%

Section: Improved Quality Of Life and Accessmentioning

confidence: 99%

Community-Based Rehabilitation Services in Low and Middle-Income Countries in the Asia-Pacific Region: Successes and Challenges in the Implementation of the CBR Matrix

Cayetano

Elkins

2016

DCID

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“…[ 6 ] Even these services are comprehensively available only in private hospitals or rehabilitation centers located in major cities and urban areas. [ 7 ] Given the situation, the demand and unmet need for reducing disabilities in India are increasing exponentially. [ 8 ]…”

Section: Introductionmentioning

confidence: 99%

Occupational Therapy for Reducing Disabilities in Persons with Disabilities in India

Kamalakannan

Chockalingam

Sethuraman

et al. 2021

The Indian Journal of Occupational Therapy

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Background The current evidence for occupational therapy practice, teaching, and research is replicated and implemented significantly from high-income countries in India. Therefore, a systematic review and an evaluation of existing evidence for occupational therapy (OT) to reduce disabilities including impairments, activity limitations, and participation restriction in persons with disabilities (PWD) in India are warranted. Objectives The objective of this review was to evaluate the effectiveness of OT interventions for reducing disabilities in PWD in India. Study Design Systematic review. Methods We searched the Cochrane CENTRAL, MEDLINE, Embase, CINAHL, PsycINFO, AMED, and Web of Science. A hand search was also carried out in selected Indian journals, OT-specific databases, and repositories, such as Indian Journal of Occupational Therapy , Indian Journal of Physiotherapy and Occupational Therapy , OT Seekers, World Federation of Occupational Therapy Bulletin, Asia Pacific Occupational Therapists Regional Group, and clinical trials registers. The search was restricted to published studies conducted in India during 2000–2021. We included randomized controlled trials (RCTs) of an occupational therapy intervention delivered by OTs for PWD, where the effects of the intervention were evaluated using any relevant disability outcome measure. Studies without access to full text were excluded. Two review authors independently completed screening, and one author reviewed the full text of the screened studies. Another pair of authors extracted data from included studies for prespecified disability outcomes, and two authors assessed the risk of bias in the included studies. Results We identified seven RCTs of occupational therapy interventions for PWD in India with 305 participants in total. All seven studies were very different in terms of their objective, participants, comparison, and outcomes. Allocation concealment and blinding and risk of bias were high in five trials. All the trials reported impairment outcomes with a statistically significant difference between the experimental arm and the control arm in terms of their primary outcomes except one. Given the sample size and the risk of bias in each of the included trials, the effect size has to be understood and interpreted with utmost caution. Conclusion Overall, this review establishes the paucity of evidence for occupational therapy for PWD in India. Building the capacity for rigorous and relevant scientific research in occupational therapy would enable bridging the gaps in evidence for occupational therapy in India.

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“…There have been conflicting evidence comparing the institution versus CBR in India. 19 CBR for each community is unique, since local factors like culture, coping mechanisms of the community, level of awareness, motivation, and acceptability of a suggested method of treatment could affect the outcome. 20 Over the years, CBR models are usually those that have been developed or replicated from a foreign model and implemented by local bodies like NGOs and hospitals.…”

Section: Introductionmentioning

confidence: 99%

Physiotherapy in Indian communities: a brief review

Rajan

2017

Health Promot Perspect

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Background: Importance of community rehabilitation in India has been emphasized in previous research. There is ample research that has been published for different communities in the country. However, the precise role of physiotherapy in community rehabilitation is unclear.The objective of the current brief report is to look into the role of physiotherapy in community rehabilitation. Methods: Relevant literature search was done using databases namely Medline, Scopus, PubMed, PEDro and CINAHL using search terms- India, community rehabilitation, home rehabilitation, home exercises and physiotherapy. Studies that followed the PICO format, published in English,after 2005 and that had specifically mentioned the role of physiotherapy in community projects were included. Results: While there are handful of studies that have mentioned the contribution of physiotherapy in the community, most of the interventions are targeted toward management of chronic health conditions. More work needs to be done to outline the importance and precise role of physiotherapy in the rehabilitation of communities in India, especially in preventive care.A model has been created to emphasize the holistic approach of physiotherapy in the Indian setting. Conclusion: Physiotherapy has a pivotal position in community rehabilitation in India.However, published research for the same is lacking. While physiotherapy interventions have been designed to target chronic health conditions in the community, emphasis on preventive care is lacking.

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Functional Independence and Quality of Life for Persons with Locomotor Disabilities in Institutional Based Rehabilitation and Community Based Rehabilitation - A Comparative Study

Cited by 5 publications

References 8 publications

Community-Based Rehabilitation Services in Low and Middle-Income Countries in the Asia-Pacific Region: Successes and Challenges in the Implementation of the CBR Matrix

Community-Based Rehabilitation Services in Low and Middle-Income Countries in the Asia-Pacific Region: Successes and Challenges in the Implementation of the CBR Matrix

Occupational Therapy for Reducing Disabilities in Persons with Disabilities in India

Physiotherapy in Indian communities: a brief review

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