Effectiveness of individualized occupational therapy interventions without the use of prosthetics for military servicemen with unilateral upper extremity amputations
Notice bibliographique
Résumé
Purpose. This paper presents the results of an experimental study investigating the effectiveness of individualized occupational therapy interventions for people with upper limb amputations without the use of prosthetic devices. This study is relevant because the number of people in Ukraine who have had a limb amputated as a result of the ongoing war is increasing, as is the need for effective rehabilitation methods to improve quality of life. Material & Methods. The study employed a pre-test–post-test experimental design, allowing for the evaluation of changes in participants’ functional status and occupational performance following a structured occupational therapy intervention without prosthetic devices. Occupational therapy sessions were aimed at client education and teaching the clients new skills to use modified and compensatory strategies for task performance, adaptive equipment, as well as making adaptation of the environment for increased functional independence. Participants included 10 male military servicemen between the ages of 20 and 45 years old with upper extremity amputations who participated in occupational therapy interventions for two months. The assessment was carried out using the Canadian Occupational Performance Measure (COPM), Disabilities of Arm, Shoulder and Hand (DASH) questionnaire and Visual Analogue Scale (VAS). Statistical data were analyzed using descriptive statistics and paired samples t-test. Results. As a result of the occupational therapy interventions, the study participants demonstrated a statistically significant decrease in disability levels according to the DASH, as evidenced by an average score decrease from 80.5 prior to intervention to 44.2 post-intervention (p<.001). Similarly, the COPM assessment revealed clinically significant improvements (≥2-point change) in the performance of personal hygiene tasks, dressing, and cooking, as well as in satisfaction with performing personal hygiene, cooking, and driving tasks. The decrease in pain levels reported by the participants was also statistically significant with an average of 5,5 pre-test and 3,4 post-test on VAS (p<.001). Conclusions. The comparative analysis of disability levels, pain levels, as well as performance of meaningful occupations before and after interventions indicates a significant improvement in functional independence and life satisfaction of military servicemen with amputations following an individualized occupational therapy program. Results presented in the paper demonstrate a positive correlation between COPM and DASH. The study indicates that occupational therapy services aimed at teaching compensatory strategies of task performance, environmental education and patient education are beneficial for clients with upper extremity amputations even without the use of prosthetic devices. Additionally, the results of the study support the effectiveness of occupational therapy for military servicemen.
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Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».