Objectives: Generally, adolescents who are interested in performing activities experience positive emotions and report high levels of well-being. However, adolescents with Cerebral Palsy (CP) encounter various issues affecting their interests. The present research was planned to investigate the predictor factors that affect the interest in performing activities in Iranian adolescents with CP. Methods: In total, 312 adolescents with CP (10-19-year-olds, Mean±SD age: 14.08±2.34 y) participated in this cross-sectional study. Their gross motor function was assessed by the Gross Motor Function Classification System (GMFCS), and their manual ability was evaluated by the Manual Ability Classification System (MACS) in random order by an occupational therapist. All study participants also completed the Adolescent Interest Inventory-Cerebral Palsy (AII-CP). The predictive model was analyzed using a multiple linear regression model by the enter method. Results: The multiple linear regression analysis data presented that the highest independence in motor performance, personal values, social environment support, and age appeared to be the strongest predictors of interest in performing activities in the explored adolescents with CP (R2: 0.475). Discussion: Interest as a significant factor for participation and motivation in conducting daily living activities is associated with the highest independence in motor performance, personal values, social environment support, and the age of adolescents with CP.
Background: Communication, behavioural disturbances and low motivation influence the functional potential and the effectiveness of interventions in adolescents with cerebral palsy (CP). While the model of human occupation (MOHO) is a conceptual model in occupational therapy, no research on the volition of adolescents with CP in daily activities has been undertaken.Aim: To explore the elements contributing to the volition of adolescents with CP based on their own experienceMethods: A qualitative approach using directed content analysis with volition of MOHO as a framework was applied. Semi-structured in-depth interviews were carried out with five adolescents with CP and five parents of the same adolescents.Results: In this study primary codes were categorized into eight categories: family and community-related values, individual values, individual perceptions of ability level, sense of control over conditions, enjoying performing activities, enjoying interpersonal relationships, physical context features and social context features.Conclusions: Personal causation in interaction with environmental features is strongly influenced by adolescents' motivation.Significance: Occupational therapists could improve the motivation of adolescents with CP in interaction with the individual's volition with focussing on self-efficacy for promoting personal causation. Adapting to the physical environment and changing the attitudes of others to these adolescents is necessary.
Article Info Background: Upper extremity injuries can induce disability and lead to lost workdays. Given the importance of occupational injuries as one of the main causes of upper extremity injuries, this study was conducted to evaluate these kinds of injuries with regard to the age of the injured workers, degree of disability and lost workdays in the city of Yazd. Materials and Methods: In this cross-sectional study, 55 workers with occupational upper extremity injuries were recruited during 2015 to 2016 in Yazd. Data recorded in the labor office of Yazd were collected. The characteristics of the injuries were also collected using the Quick DASH questionnaire. Descriptive statistics were used to report the results. Statistical analyses were carried out using SPSS (version 16) software. Results: Mean Quick DASH (disabilities of the Arm, Shoulder and Hand) score was 60 ± 21.3. Lost workdays of more than 6 months were observed in 52.7% of the cases. Conclusion: This study showed a large number of lost workdays and high levels of disability in individuals with occupational upper extremity injuries.
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