Background: This scoping review aims to identify evidence-based practices for educating rehabilitation professionals who provide assistive technology interventions, specifically night-time postural care, to children with cerebral palsy. Methods: A review of both peer-reviewed and grey literature published between 2000 and 2021 was undertaken in June 2021. The articles were analyzed using a process outlined by Arksey and O’Malley in 2005: scanning abstracts, completing initial and critical reviews, collating and summarizing data into themes. Results: The search resulted in 15 articles, predominantly from the United Kingdom and the United States: 10 primary research, two reviews, two conceptual/theoretical, and one gray-literature source. Four themes emerged (1) Successful service delivery required competence, (2) Benefits of incorporating practice, collaboration, and feedback, (3) Effective online education through multifactorial approaches, (4) Considering different learning requirements among team members. Conclusions: There’s beginning evidence that rehabilitation professionals’ competence with night-time postural care might be achieved via active, interactive, multi-factorial online training.
Purpose:
To identify rehabilitation course and functional outcomes in patients with an implanted total artificial heart (TAH).
Methods:
From 2012 to 2015, 10 patients with a TAH implantation at a quaternary care hospital were identified for inclusion. Patients were referred to occupational and physical therapy by the cardiothoracic surgery team. Retrospective data collection included the Boston University Activity Measure for Post-Acute Care (AM-PAC) “6-Clicks” inpatient short form based on the functional status documented weekly. Additional patient factors were reviewed specific to cognition, dysphagia, lymphedema, and skin integrity to obtain a comprehensive understanding of therapy scope.
Results:
The median acute hospitalization length of stay was 68 days. By the time of discharge, AM-PAC 6-Clicks functional mobility scores improved by 48% and AM-PAC 6-Clicks daily activity scores improved by 40%.
Conclusions:
Following TAH implantation, patients appear to safely participate in a comprehensive restorative rehabilitation program in the intensive and progressive care units. Patients with a TAH implant showed improvement in their mobility and activity performance by the time of discharge.
Date Presented 03/28/20
Education of allied health professionals regarding OT services is essential for advocacy of the profession. This qualitative research project provides a feasible methodology as well as measurable outcome that is effective in improving both knowledge and confidence in making appropriate referrals to occupational or physical therapy.
Primary Author and Speaker: Hannah Oldenburg
Date Presented 3/31/2017
A retrospective multicase study of functional outcomes was done with patients with an implanted total artificial heart. Results show improved function with occupational therapy provided postoperatively. Knowledge and evidence can be used to develop and implement interventions for this population.
Primary Author and Speaker: Hannah Oldenburg
Additional Authors and Speakers: Jennifer Bergstrom, Gina Christensen
Contributing Authors: Caitlin Polley, Randi Privette, Maureen Musselmann, Mary Pyffereon, Charles Brannon
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