OCCUPATIONAL THERAPY

Research for occupational therapy

Papers an occupational therapist can act on, across daily living, mental health, hand therapy, paediatrics and rehabilitation, each read in full rather than from its abstract.

10,853 PAPERS · PAGE 49 OF 218 · NEWEST FIRST

• PTOTRCT2019Dynamic Lycra® orthoses as an adjunct to arm rehabilitation after stroke: a single-blind, two-arm parallel group, randomized controlled feasibility trial.Clinical rehabilitationNo clear benefit was seen when adding dynamic Lycra orthoses to usual arm rehabilitation after stroke. The usual-care group showed more improvement on several arm outcomes, and wear was linked to skin, swelling and discomfort problems.
• OTRCT2019Clinical and cost effectiveness of memory rehabilitation following traumatic brain injury: a pragmatic cluster randomized controlled trial.Clinical rehabilitationGroup memory rehabilitation plus usual care did not produce a clinically important improvement in self-reported everyday memory compared with usual care alone at the main follow-up. Some objective and goal attainment outcomes favoured it, but the primary patient-reported memory result was not positive.
• PTOTPilot2019Age-related changes in postural control for wearing shoes using different process of leg-raising processes in the sitting position: a pilot study.Journal of physical therapy scienceHealthy older men moved their center of pressure farther and used more trunk and hip muscle effort than younger men when crossing a leg to put on shoes. The easiest, fastest way was lifting the leg slightly without hands.
• PTOTRCT2019Results From a Randomized Controlled Trial to Address Balance Deficits After Traumatic Brain Injury.Archives of physical medicine and rehabilitationVirtual reality balance games were not better than traditional home exercise programs for people with chronic traumatic brain injury. Both groups improved similarly over 24 weeks, so neither approach is superior for treating balance deficits.
• OTRCT2019Visual attention, EEG alpha power and T7-Fz connectivity are implicated in prosthetic hand control and can be optimized through gaze training.Journal of neuroengineering and rehabilitationIn able-bodied users of a prosthetic hand simulator, gaze training led to faster task performance than movement instruction, more target-focused gaze, and reduced a brain signal associated with conscious verbal control.
• OTSurvey2019Social and nonsocial reward moderate the relation between autism symptoms and loneliness in adults with ASD, depression, and controls.Autism research : official journal of the International Society for Autism ResearchIn adults with autism, loneliness was the strongest link to depressive symptoms. People with less pleasure in social and everyday activities were lonelier regardless of autism symptoms; people with more pleasure showed a stronger autism-loneliness link.
• PTOTSLPSurvey2019Technology-aided assessments of sensorimotor function: current use, barriers and future directions in the view of different stakeholders.Journal of neuroengineering and rehabilitationClinicians and engineers agree that lack of time and high cost are the main barriers to using technology for assessments. They also cite difficulty interpreting results. Standardization is seen as the key step to make these tools useful in routine clinical practice.
• PTOTSLPRCT2019Elements virtual rehabilitation improves motor, cognitive, and functional outcomes in adult stroke: evidence from a randomized controlled pilot study.Journal of neuroengineering and rehabilitationIn 21 sub-acute stroke inpatients, adding Elements tabletop VR to usual occupational and physiotherapy produced larger gains on the Box and Blocks test, cognition screening, and self-rated daily function than usual therapy alone. Gains remained at one month. Small unblinded pilot.
• PTOTCase-Control2019Stepping characteristics during externally induced lateral reactive and voluntary steps in chronic stroke.Gait & postureStroke survivors initiated voluntary steps slower than controls but reacted to perturbations just as fast. They used smaller, medial steps to recover balance, likely because weak hip muscles make the more stable lateral steps too difficult to execute quickly.
• OTCase-Control2019Atypical event-related potentials revealed during the passive parts of a Go-NoGo task in autism spectrum disorder: a case-control study.Molecular autismAdolescents with autism had delayed early visual responses and stronger novelty-orientation responses during unstructured pauses in a computer task, despite normal performance when responding. Structured task performance did not reveal these differences.
• PTOTOther2019Quality of life after spinal cord injury in Thai individuals: A mixed-methods study.Hong Kong physiotherapy journal : official publication of the Hong Kong Physiotherapy Association Limited = Wu li chih liaoThai people with spinal cord injury had much lower physical health than Thai norms. Their vitality and social functioning were not lower. Interviews tied quality of life to paid work, personal assistants, accessible environments, stigma and self-advocacy.
• OTSLPOther2019Characterizing computer-mediated communication, friendship, and social participation in adults with traumatic brain injury.Brain injuryAdults with TBI contacted friends by face-to-face, phone, email, and social media at similar rates to peers, but used texting less often as their main method. They also had fewer friends and lower social participation.
• OTOther2019Depressive Symptoms and Care Demands Among Primary Caregivers of Young Children with Evidence of Congenital Zika Virus Infection in Brazil.Journal of developmental and behavioral pediatrics : JDBPCaregivers of children with evidence of congenital Zika who screened positive for developmental delay had higher depression scores and more care demands. Among caregivers without child care support, difficulty covering basic expenses was linked to depression. Home health care hours were not linked to depression.
• PTOTSLPRCT2019Effects of muscle energy technique on pain, range of motion and function in patients with post-surgical elbow stiffness: A randomized controlled trial.Hong Kong physiotherapy journal : official publication of the Hong Kong Physiotherapy Association Limited = Wu li chih liaoStarting muscle energy technique immediately after cast removal improved elbow stiffness more than waiting a week. Patients in the early-start group had less pain, better movement, and improved arm function after three weeks of physiotherapy.
• PTOTPilot2019Peak torque, rate of torque development and average torque of isometric ankle and elbow contractions show excellent test-retest reliability.Hong Kong physiotherapy journal : official publication of the Hong Kong Physiotherapy Association Limited = Wu li chih liaoIsometric tests of ankle and elbow strength show excellent reliability for peak torque, rate of torque development, and average torque. Average torque, previously untested, was as reliable as the standard peak torque measure.
• OTSLPSurvey2019Flourishing in children with autism spectrum disorders.Autism research : official journal of the International Society for Autism ResearchChildren with autism had lower parent-rated social competence and behavioral control than peers, but school motivation was similar. This helps therapists target social and regulation goals, but it does not show treatment works.
• PTOTSLPNarrative Review2019The Spectrum of Developmental Disability with Zika Exposure: What Is Known, What Is Unknown, and Implications for Clinicians.Journal of developmental and behavioral pediatrics : JDBPChildren with congenital Zika syndrome often have severe brain, vision, feeding, motor, language, and seizure problems, and hearing impairment is variable. Not all exposed infants are affected. Screening and multidisciplinary follow-up are recommended, but rehabilitation effects are unknown.
• PTOTSLPOther2019The influence of posture duration on hand tremor during tasks with attention-distraction in persons with Parkinson's disease.Journal of neuroengineering and rehabilitationHand tremor intensity in Parkinson's disease increases significantly over a 30-second task, while it stays constant in healthy controls. Clinicians should record tremor for at least 30 seconds to capture this time-dependent amplification.
• PTOTSLPCohort2019Latent trajectories of adaptive behaviour in infants at high and low familial risk for autism spectrum disorder.Molecular autismInfants at high risk for autism split into three adaptive behaviour trajectories. A small group with initially high scores declined significantly and had higher autism symptom severity. Most maintained stable average skills, while another group started low and recovered to average levels by age two.
• PTOTCohort2019The items and level contributing to improve in less than 50 motor functional independence measure upon admission in the stroke recovery rehabilitation ward.Journal of physical therapy scienceIn stroke rehab patients starting below 50 independence points, gains were linked to bathing, lower-body dressing, bladder management and stairs. These are associations from routine records, not a tested treatment effect.
• PTOTSLPCohort2019Age-related Behavioural Change in Cornelia de Lange and Cri du Chat Syndromes: A Seven Year Follow-up Study.Journal of autism and developmental disordersAdaptive skills plateaued while receptive language improved over seven years in Cornelia de Lange and Cri du Chat syndromes. Social impairments worsened specifically in Cornelia de Lange. Individual change was highly variable, so group trends do not predict outcomes for a single patient.
• PTOTRCT2019Long-Dose Intensive Therapy Is Necessary for Strong, Clinically Significant, Upper Limb Functional Gains and Retained Gains in Severe/Moderate Chronic Stroke.Neurorehabilitation and neural repairSevere/moderate chronic stroke survivors who received 300 hours of intensive upper-limb therapy improved coordination and function. Gains remained at 3 months, and functional task performance improved further.
• PTOTOther2019Chronicity of Stroke Does Not Affect Outcomes of Somatosensory Stimulation Paired With Task-Oriented Motor Training: A Secondary Analysis of a Randomized Controlled Trial.Archives of rehabilitation research and clinical translationTime since stroke did not predict how much arm movement improved after paired sensory stimulation and task training in adults 3 to 12 months after stroke. Both groups improved, and early versus later enrollment did not change the response.
• OTOther2019Kinematic synergies of hand grasps: a comprehensive study on a large publicly available dataset.Journal of neuroengineering and rehabilitationHealthy adults performing 20 hand grasps showed repeatable coordination patterns, especially finger flexion, wrist and palmar arch, and thumb opposition. These are a reference for hand rehabilitation and prosthetics, not proof a treatment works.
• OTSLPQualitative2019Hearing impairment and daily-life fatigue: a qualitative study.International journal of audiologyNot all adults with hearing impairment reported fatigue, but some linked it to extra listening effort, frustration and stress, and tinnitus-related sleep loss. They used breaks, withdrawal, avoidance and planning; hearing aid users said aids lessened fatigue.
• OTRCT2019An augmented reality approach for ADL support in Alzheimer's disease: a crossover trial.Journal of neuroengineering and rehabilitationThe augmented reality headset did not improve tea-making success: all patients succeeded without it and three failed with it, a difference not significant. Average time was 77.14s without it and 111.29s with it, and 60% called it bulky.
• PTOTSLPRCT2019Walking to your right music: a randomized controlled trial on the novel use of treadmill plus music in Parkinson's disease.Journal of neuroengineering and rehabilitationAdding rhythmic music to treadmill training improved gait quality, balance, and walking function more than treadmill training alone in people with Parkinson's. Both groups improved, but the music group showed greater gains in the primary gait assessment.
• OTQualitative2019"Moving on" through the locked ward system for women with intellectual disabilities.Journal of applied research in intellectual disabilities : JARIDWomen and staff described moving on as proving behaviour change, not pursuing personal goals. Trust, gradual control and shared goals were described by some as helping, while accepting aggression and compliance were expected.
• PTOTCohort2019Differential Poststroke Motor Recovery in an Arm Versus Hand Muscle in the Absence of Motor Evoked Potentials.Neurorehabilitation and neural repairAfter stroke, absent motor-evoked potentials did not always prevent elbow flexor contraction or strength recovery, but finger muscle contraction, strength, and standardized arm-hand movement scores remained impaired.
• PTOTCohort2019Physical fitness is predictive for 5-year survival in older adults with intellectual disabilities.Journal of applied research in intellectual disabilities : JARIDBetter fitness predicted lower 5-year mortality risk in older adults with intellectual disabilities. Manual dexterity, visual reaction time, balance, walking speed, grip strength and cardiorespiratory fitness were associated with survival.
• PTOTCohort2019People With Aneurysmal Subarachnoid Hemorrhage Have Low Physical Fitness and Can Be Predisposed to Inactive and Sedentary Lifestyles.Physical therapyPatients with aneurysmal subarachnoid hemorrhage had low fitness one year after onset. Those who were more physically active had higher oxygen uptake and leg strength. Patients treated with surgical clipping had significantly lower fitness than those treated with coiling.
• OTProtocol2019A Pilot Study of the ¡Vivir Mi Vida! Lifestyle Intervention for Rural-Dwelling, Late-Midlife Latinos: Study Design and Protocol.OTJR : occupation, participation and healthNo outcomes are reported. This paper is a protocol for a pilot intervention.
• OTCase-Control2019Emotional Arousal During Social Stress in Young Adults With Autism: Insights From Heart Rate, Heart Rate Variability and Self-Report.Journal of autism and developmental disordersDuring a stressful webcam talk, heart rate rose similarly in students with autism and typically developing students, but students with autism showed less change in heart rhythm variability. Their self-reported emotions did not differ.
• OTCohort2019Sleep determines quality of life in autistic adults: A longitudinal study.Autism research : official journal of the International Society for Autism ResearchSleep problems that interfere with daily functioning were the strongest predictor of later subjective quality of life in autistic adults. For daily activity levels, feeling unable to contribute to society and psychological comorbidities were the key predictors.
• PTOTSystematic Review2019Hand therapy interventions, outcomes, and diagnoses evaluated over the last 10 years: A mapping review linking research to practice.Journal of hand therapy : official journal of the American Society of Hand TherapistsAcross 191 hand therapy articles, evidence concentrated on carpal tunnel, osteoarthritis, tendon surgeries, exercise, orthotics, education, and body function/physiology outcomes. Few studies covered amputation, hand transplants, traumas, activity-based interventions, or function/performance and quality-of-care outcomes.
• OTOther2019Efficacy of a radial-based thumb metacarpophalangeal-stabilizing orthosis for protecting the thumb metacarpophalangeal joint ulnar collateral ligament.Journal of hand therapy : official journal of the American Society of Hand TherapistsIn ten cadaveric hands, a low-profile thumb orthosis that leaves the thumb tip and base free reduced thumb joint opening under sideways loads up to 100 N. It does not prove earlier safe return to sport.
• PTOTOther2019Trading Symmetry for Energy Cost During Walking in Healthy Adults and Persons Poststroke.Neurorehabilitation and neural repairPeople walk asymmetrically if it saves energy. Stroke survivors changed gait symmetry when a controller made new patterns less costly, but they did not spontaneously prefer symmetric walking. This suggests rehabilitation must make desired movements energetically beneficial to be adopted.
• OTOther2019A 'choice', an 'addiction', a way 'out of the lost': exploring self-injury in autistic people without intellectual disability.Molecular autismAmong 103 autistic adults without intellectual disability, depression, anxiety, difficulty identifying emotions and sensory sensitivity were linked to whether people currently or formerly self-injured. Many described self-injury as coping or emotional regulation. The study did not test whether treating these factors helps.
• OTOther2019Adaptation of the Possibilities for Activity Scale for women encountering cancer (PActS-W).Australian occupational therapy journalThe PActS-W asks women after cancer surgery what activities they feel they should be doing and what they believe they could do. In 186 women, a shortened version showed consistent scores and related to quality of life. It may guide OT discussions about activity expectations.
• OTOther2019Feasibility Study Using Propensity Score Matching Methods for the Pseudo-Common Person Equating Requirement.OTJR : occupation, participation and healthMatching two groups on demographics did not make their daily living and physical function items behave like one ability. Average scores were similar, but how people answered was not, so this method cannot replace giving both tests to the same people.
• PTOTOther2019Prevalence and goal attainment with spinal orthoses for children with cerebral palsy.Journal of pediatric rehabilitation medicineOnly 251 of 2800 children with CP used spinal orthoses, mostly for function. Functional goals were often attained, but 37% of children with severe scoliosis who had that goal attained deformity prevention.
• OTSLPCohort2019Atypical Response to Caregiver Touch in Infants at High Risk for Autism Spectrum Disorder.Journal of autism and developmental disordersInfants later diagnosed with autism were less likely to look at the source of a caregiver's touch and more likely to look away. This lack of attention at 12 months predicted higher autism symptom severity at follow-up.
• OTOther2019Interpreting Action Research Arm Test Assessment Scores to Plan Treatment.OTJR : occupation, participation and healthIn 122 people with stroke-related upper-limb weakness, the ARAT behaved as one overall ability score. A keyform can show which grasp tasks are just hard enough to target for short-term therapy goals, but patient outcomes were not tested.
• OTCohort2019Flexible assertive community treatment for individuals with a mild intellectual disability or borderline intellectual functioning: results of a longitudinal study in the Netherlands.Journal of intellectual disability research : JIDRAcross clients in Dutch flexible assertive community teams, admissions, social and psychological problem scores, police contacts, risk ratings, housing problems and disturbance decreased. Work, money, substance use, global functioning and satisfaction did not improve.
• OTSLPNarrative Review2019Digital Media and Autism Spectrum Disorders: Review of Evidence, Theoretical Concerns, and Opportunities for Intervention.Journal of developmental and behavioral pediatrics : JDBPScreen time duration often looks similar between children with ASD and typically developing school-aged children, but content, bedtime use, and calming routines may matter more. Counsel families on shared use, limits, and teaching kids to resist sticky apps.
• OTSurvey2018Sensory Overresponsivity, Loneliness, and Anxiety in Taiwanese Adults with Autism Spectrum Disorder.Occupational therapy internationalHigher sensory avoiding was linked to greater anxiety and loneliness in adults with ASD. Loneliness was linked to both and may help account for the link.
• OTRCT2018Occupational Therapy in Complex Patients: A Pilot Randomized Controlled Trial.Occupational therapy internationalClient-centered OT added to standard care improved self-reported performance and satisfaction in complex rehabilitation patients. The study was unblinded, so therapists knew who got the extra treatment. This pilot shows the approach is feasible but does not prove it works better than standard care alone.
• PTOTSurvey2019Differences in Perceived Risk at Which Clinician and Patient Stakeholders Initiate Activities to Prevent Late Effects Among Breast Cancer Survivors.Archives of rehabilitation research and clinical translationBreast cancer survivors said they would start education and prevention at lower perceived risk than clinicians. Therapists had the lowest risk levels among clinicians, while surgeons and other physicians set higher levels.
• PTOTOther2019Coordination of reach-to-grasp in physical and haptic-free virtual environments.Journal of neuroengineering and rehabilitationThirteen healthy adults reached and grasped objects in a virtual environment without haptic feedback. They moved slower and opened their hands wider than in the physical world. However, the coordination between reaching and grasping remained intact.
• PTOTSystematic Review2019Understanding Low Back Pain in Traumatic Lower Limb Amputees: A Systematic Review.Archives of rehabilitation research and clinical translationLow back pain is common in traumatic amputees, affecting 52.8% to 64%. Biomechanical studies show altered trunk motion and higher spinal loads, but the link to pain is unclear due to small sample sizes and inconsistent reporting.