Effectiveness of individualized occupational therapy interventions without the use of prosthetics for military servicemen with unilateral upper extremity amputations
Bibliographic record
Abstract
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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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".