Improving Community Skills After Lower Extremity Joint Replacement

Gillen, Glen; S, Berger; Lotia, Sahr; Morreale, Jena; Siber, Melissa; Trudo, Wendy J.

doi:10.1080/j148v25n04_03

Cited by 6 publications

(5 citation statements)

References 23 publications

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“…The COPM has been shown to have strong test-retest reliability (intraclass correlation [ICC] 5 .63 for performance, ICC 5 .84 for satisfaction; Law et al, 1994), as well as content and concurrent validity (see Carswell et al, 2004). The COPM was modified from its original form in a manner consistent with previous research (see Gillen et al, 2007).…”

Section: Instruments and Outcome Measuresmentioning

confidence: 97%

Effect of Imagery Perspective on Occupational Performance After Stroke: A Randomized Controlled Trial

Nilsen

Gillen

DiRusso

et al. 2012

The American Journal of Occupational Therapy

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Section: Instruments and Outcome Measuresmentioning

confidence: 97%

Effect of Imagery Perspective on Occupational Performance After Stroke: A Randomized Controlled Trial

Nilsen

Gillen

DiRusso

et al. 2012

The American Journal of Occupational Therapy

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“…5. Community reintegration focusing on new task training in natural environments to produce a higher self-reported performance of, satisfaction with, and confidence in completing community-related tasks (Gillen et al, 2007). Chandler received five home visits over 5 wk to address his initial areas of difficulty.…”

Section: Intervention Planmentioning

confidence: 99%

“…Chandler underwent his total knee arthroplasty at a hospital that participates in the Comprehensive Care for Joint Replacement model through the Centers for Medicare & Medicaid Services (2016) . As a result of recommendations from this model for multidisciplinary care and the empirical evidence supporting increased health-related quality of life resulting from early rehabilitation that includes occupational therapy, Chandler was discharged to his home on the 3rd day after surgery ( Gillen et al, 2007 ; Khan, Ng, Gonzalez, Hale, & Turner-Stokes, 2008 ); he will begin home-based occupational therapy services today.…”

Section: Clinical Casementioning

confidence: 99%

“… Provision and instruction in use of adaptive equipment for shower (transfer tub bench) and toilet (elevated commode over toilet) and recommendations for home safety, including removal of throw rugs ( Crowe & Henderson, 2003 ). Community reintegration focusing on new task training in natural environments to produce a higher self-reported performance of, satisfaction with, and confidence in completing community-related tasks ( Gillen et al, 2007 ). …”

Section: Intervention Planmentioning

confidence: 99%

“…day after surgery (Gillen et al, 2007;Khan, Ng, Gonzalez, Hale, & Turner-Stokes, 2008); he will begin home-based occupational therapy services today.…”

mentioning

confidence: 99%

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Occupational Therapy Interventions for Adults With Musculoskeletal Conditions

Amini

Lieberman

Hunter

2018

The American Journal of Occupational Therapy

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Evidence Connection articles provide a clinical application of systematic reviews developed in conjunction with the American Occupational Therapy Association's (AOTA's) Evidence-Based Practice Project. In this Evidence Connection article, we describe a case report of a person who underwent a total knee replacement due to severe osteoarthritis of his left knee. The occupational therapy assessment and intervention process both before and after surgery in the home setting is described. Findings from the systematic review (Dorsey & Bradshaw, 2017) on this topic were published in the January/February 2017 issue of the American Journal of Occupational Therapy and in AOTA's Occupational Therapy Practice Guidelines for Adults With Musculoskeletal Conditions. Each article in this series summarizes the evidence from the published reviews on a given topic and presents an application of the evidence to a related clinical case. Evidence Connection articles illustrate how the research evidence from the reviews can be used to inform and guide clinical reasoning.

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Assistive devices, hip precautions, environmental modifications and training to prevent dislocation and improve function after hip arthroplasty

Smith

Jepson

Beswick

et al. 2016

Cochrane Database of Systematic Reviews

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Very low quality evidence is available from single trials, thus we are uncertain if hip precautions with or without the addition of equipment and functional restrictions are effective in preventing dislocation and improving outcomes after THA. There is also insufficient evidence to support or refute the adoption of a postoperative community rehabilitation programme consisting of functional reintegration and education compared to conventional rehabilitation strategies based on functional outcomes.Further high-quality trials are warranted to assess the outcomes of different occupational therapy interventions both in the short and longer-term for those who undergo THA. An assessment of the impact of such interventions on pain and restriction on personal ADL, EADL and instrumental ADL is needed, and also of functional integration-type interventions rather than just hip precautions, equipment and restrictions.

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Improving Community Skills After Lower Extremity Joint Replacement

Cited by 6 publications

References 23 publications

Effect of Imagery Perspective on Occupational Performance After Stroke: A Randomized Controlled Trial

Effect of Imagery Perspective on Occupational Performance After Stroke: A Randomized Controlled Trial

Occupational Therapy Interventions for Adults With Musculoskeletal Conditions

Assistive devices, hip precautions, environmental modifications and training to prevent dislocation and improve function after hip arthroplasty

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