Occupation-based intervention in hand injury rehabilitation: Experiences of occupational therapists in Malaysia

Daud, Ahmad Zamir Che; Yau, Matthew K.; Barnett, Fiona; Judd, Jenni

doi:10.3109/11038128.2015.1062047

Cited by 12 publications

(13 citation statements)

References 28 publications

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“…Without rigorous research design, the link between an occupational perspective and patient outcomes in hand therapy is unsubstantiated. Only three studies used qualitative methods to explore therapists’ perceptions of their practice relating to an occupational perspective (Che Daud et al., 2016a; Colaianni et al., 2015; Ramsey, 2008). Further research observing and exploring occupational therapists’ actions, understandings and meanings in relation to an occupational perspective in hand therapy practice is required.…”

Section: Discussionmentioning

confidence: 99%

“…This outcome measure may promote occupation-based practice in hand therapy (Colaianni et al., 2015). However, a challenge to implementing this in hand therapy may be the perceived barrier of time (Che Daud et al., 2016a; Colaianni and Provident, 2010). The time required to administer the COPM is a potential reason that it was recommended in the research more often than it was utilised.…”

Section: Discussionmentioning

confidence: 99%

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An occupational perspective in hand therapy: A scoping review

Burley

Tommaso

Cox

et al. 2018

British Journal of Occupational Therapy

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Introduction: There have been calls for the occupational therapy profession to realign with its values around occupation. However, the profession faces challenges in practice areas that have historically been underpinned by a biomechanical approach, such as hand therapy. The aim of this scoping review was to describe what is known about an occupational perspective in the hand therapy literature. Method: This scoping review utilised a recognised five-step approach. A search was conducted in four databases for papers published between 2005 and 2016. Numerical and thematic analyses were employed, using the Canadian Practice Process Framework as a theoretical framework. Results: Fifty papers were included in the scoping review. Six themes were identified: the centrality of occupation; inconsistencies in terminology; where in the occupational therapy process?; informal discussion as a key occupational strategy; occupational therapists' expectations of patients; and a bottom-up approach focusing on biomechanical strategies to implementing the plan. Conclusion: Whilst there has been some integration of an occupational perspective into hand therapy literature, there are still challenges. Inconsistent terminology, the lack of an occupational perspective throughout the occupational therapy process and a bottom-up approach to interventions all demonstrate the continuing tensions between the biomechanical approach and an occupational perspective.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

An occupational perspective in hand therapy: A scoping review

Burley

Tommaso

Cox

et al. 2018

British Journal of Occupational Therapy

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“…These findings indicate that both categories are important to address at the beginning of the rehabilitation which is supported by Nielsen and Dekkers. 47 Since OTs in hospitals or clinics often focus on self-care, 20,48 attention must be paid to the fact that problems within work, cooking, shopping and transportation are just as important.…”

Section: Discussionmentioning

confidence: 99%

Occupational performance problems identified by 507 patients: An insight that can guide occupation-based hand therapy

Poulsen

Hansen

2018

Hand Therapy

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Introduction: Several barriers challenge the use of occupation-based interventions in hand therapy. An outpatient clinical setting can be prepared in such a way as to address the most common occupational performance problems which might promote an occupation-based intervention. To this end, more knowledge is needed about which problems patients with hand-related disorders consider most important. Methods: Interviews using the Canadian Occupational Performance Measure (COPM)were conducted with 507 patients. Data were entered into Microsoft Excel in the COPM categories: Self-care, productivity and leisure and analysed using descriptive statistics. Data concerning main problem areas were categorized according to the Taxonomic Code of Occupational Performance (TCOP). The analysis included the number of prioritized occupational performance problems (NPOPP) in each COPM category/subcategory; the NPOPP in each category is relative to gender and age and the most frequent problems. Results: The total NPOPP was 2384. Problems within productivity and self-care constituted the largest proportion, respectively, 46% and 40%. Gender or age affected the NPOPP in each category to a limited extend. Problems were expressed at all levels in the TCOP, except the lowest level. The most frequently expressed problem was use of utensils when eating. Conclusion: The problems mostly concern productivity and self-care, regardless of gender or age. Patients consider problems at the levels of occupation, activities, tasks and actions to be important and meaningful to address in their intervention. This study provides useful knowledge that can be applied when preparing a setting to address the most common problems, which could lead to the promotion of occupation-based interventions.

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“…Upper extremity has a vital role in performing occupations and it has been reported that people with hand injuries may not be able to engage in activities successfully and they experience a variety of difficulties in their daily occupations. 1 , 2 It is therefore significant that hand therapists and surgeons know the problems and the needs of patients in activity basis to tailor an effective intervention plan. 1 , 3 …”

Section: Introductionmentioning

confidence: 99%

“…COPM is useful in decision making process, and measures activity limitation and participation as well as allowing people to state their individual concerns. 1 In hand therapy, it is helpful to be aware of ADLs practiced by people from different cultures 2 and COPM can reflect cultural differences among people with hand injuries. 1 …”

Section: Introductionmentioning

confidence: 99%

Do hand outcome measures reflect cultural influences?

Öksüz¹,

Akel²,

Aran³

et al. 2017

Acta Orthopaedica et Traumatologica Turcica

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ObjectiveThe aim of this study was to compare the activities listed in DASH, MHQ, QuickDASH with the activities listed in Canadian Occupational Performance Measure (COPM) in a Turkish patient population with hand injury.MethodsCOPM questionnaire was administered to 163 participants (61 male and 102 female; mean age 40.72 ± 13.70 years). The activities that were stated in COPM were categorized and checked whether they were present in DASH-T, MHQ, QuickDASH.ResultsThe highest rated stated activities were “carrying a heavy object” (39.2%), “cleaning the house” (25.7%) and “writing” (15.9%). DASH reflects 30% whereas MHQ and QuickDASH reflect 16.32% and 10.2% of the problematic activities, respectively.ConclusionNone of three questionnaires have satisfactory results for reflecting the problematic activities among hand injured Turkish people. Open ended interviews should be irrevocable part of assessment process in order to describe a person-center treatment program.

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Occupation-based intervention in hand injury rehabilitation: Experiences of occupational therapists in Malaysia

Cited by 12 publications

References 28 publications

An occupational perspective in hand therapy: A scoping review

An occupational perspective in hand therapy: A scoping review

Occupational performance problems identified by 507 patients: An insight that can guide occupation-based hand therapy

Do hand outcome measures reflect cultural influences?

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