The impacts of the COVID-19 pandemic have led to global reports of hazards to mental health. However, reports regarding lifestyle changes due to the COVID-19 pandemic are lacking. Using a convergent mixed methods design, we conducted individual interviews with twelve occupational therapy students and interpreted the results by content analysis. We completed a survey of Thai Sensory Patterns Assessment (TSPA) concerning perspectives from occupational therapy students (n = 99). They identified two major themes: (i) adaptive responses were consistent with areas of occupation during the COVID-19 pandemic; (ii) multidimensional challenges were related to sensory patterns of purposeful and meaningful activities. The participants reported both positive and negative impacts of the COVID-19 pandemic on their lives. It had both positive and negative effects on the lifestyle of students affected by the COVID-19 pandemic. The positive effect was that most students learned better ways to protect and care for themselves. During the COVID-19 pandemic, occupational therapy students were most concerned about their online learning activities, economic problems, isolation from society, and lifestyle. The negative effects of this include stress, anxiety, loneliness, frustration, boredom, and exhaustion for occupational therapy students. As an impact of the COVID-19 pandemic, occupational therapy students adapted to new lifestyles and experienced mental health issues related to their studies, families, friends, economics, social climate, and future job opportunities. Educators may use the findings of this study to prevent negative impacts on mental health and promote academic achievement in the future, as well as general well-being, efficacy, and empowerment of students in the new normal post-COVID-19 pandemic era.
14 May 2022 in World Federation of Occupational Therapists Bulletin
Occupational therapists (OTs) play a significant role in assistive technology (AT) services. The personal perspective of OTs could affect the provision of AT services. Understanding the relationship between the perspectives of OTs and the provision of AT services to older adult clients is crucial to this study. The study was conducted in the form of rapid narrative analysis. Seven articles of four categories were found and analyzed. The categories are perspective on practice, facilitators, barriers, and needs. OTs provide AT services to older adult clients as part of a person-centred care approach; however, limited follow-up care, timing, and awareness were cited as barriers to AT services delivery. Caregiver involvement is a potential factor for AT services delivery. Although, education and training on the use of the AT are required. It’s important to note that, there is no relevant data from low and middle-income countries.
In this aging society, support services for older adults through the social welfare system have been introduced in many countries; in Japan, the long-term care insurance (LTCI) system was introduced in 2000. This review examined research of the past 20 years to investigate the history of assistive devices and home modification services and discussed future directions for health professionals through a narrative review. We selected 86 Japanese papers and six English papers: a total of 92 papers were analyzed by three researchers. This review revealed that assistive devices and home modification services contributed to helping users and decreased caregiver burden. Many studies have shown the importance of appropriate and sufficient cooperation among professionals. However, some issues related to LTCI were identified such as the regulation of subsidies and little flexibility considering local area conditions. The effectiveness and issues of assistive devices and home modification services were shown, and adjustments were suggested for the system and professional education according to the changes in a social situation. In addition, systematic research seems to be a small number; hence, studies with reliable research methods and analyses are needed to show the effectiveness of services and examine intervention by professionals.
26 October 2021 in Journal of Exercise Rehabilitation
Many older adults experience a decline in shoulder function due to aging. This decline leads to limitations in daily activities and a lower quality of life. The incorporation of physical therapy interventions through elastic band exercises has demonstrated improved overall physical faculties among older adults. However, there is limited literature regarding the effect of these interventions on shoulder function in older adults. This scoping review summarized the current literature regarding elastic band exercises targeting shoulder function in older adults. A systematic literature search was performed using the Scopus and PubMed databases. An additional manual search was conducted using the PEDro (Physiotherapy Evidence Database). Articles were included if they were published in a peer-reviewed journal in 2017–2021. After assessing eligibility, five randomized controlled trials articles were included in the analysis. We discovered that two types of elastic interventions were applied to older adults: namely, the TheraBand and tube bands. We observed heterogeneity in participant characteristics among the studies (healthy older adults, older adults with chronic obstructive pulmonary disease, and older adults with sarcopenic obesity). The duration of the exercise intervention ranged from 3 to 36 sessions. Only one study measured shoulder function as the primary outcome. Our findings suggest that elastic band exercises have been applied to older adults in various conditions and tended to be effective; however, evidence on this topic is insufficient.
26 April 2022 in Journal of Exercise Rehabilitation
An elongation band (EB) is used to improve the physical strength of older adults. However, the evidence of its effect on the upper limb is a deficiency. This study investigated the effectiveness of EB exercises on upper limb function in the elderly. Participants were divided into two groups: EB (n=16) and control (n=14). The EB group performed exercises in a sitting position using an EB while the control group performed active stretching exercises without bands. The exercise regimen consisted of four shoulder joint movements. Each group performed the exercise for 20 min per day, 5 days per week over a period of 2 months. Measurements included upper limb muscle strength, shoulder joint range of motion, and grip strength. Measurements were performed at baseline, and 1 and 2 months after the intervention. Analysis of covariance was used to compare differences between the groups. The EB group demonstrated significant increases in muscle strength (upper trapezius, deltoid, middle trapezius muscle), shoulder joint range of motion (right shoulder flexion, internal rotation, external rotation, left shoulder joint extension), and grip strength. In conclusion, EB exercises increased upper limb muscle strength, shoulder joint range of motion, and grip strength in older adults.
10 October 2022 in Disability and Rehabilitation: Assistive Technology
Occupational therapists are crucial in providing assistive technology (AT) services for older adults. However, evidence has shown limited provision of such services in Thailand. This study aimed to...