Functional Outcomes of a Community Occupation-Based Hand Therapy Class for Older Adults.

Aim: This mixed methods study examined the functional outcomes of an occupation-based educational program for older adults with hand and wrist pain. A pretest-posttest design was used to understand changes in occupational performance, hand function, pain, grip and pinch strength, dexterity. Method:...

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Publicado en:Physical & Occupational Therapy in Geriatrics Vol. 36; no. 4; pp. 380 - 399
Autores principales: Baptista, Marci, Kugel, Julie, Javaherian, Heather, Krpalek, Dragana
Formato: clinical trial research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Dec2018
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2018
      vid: 36
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.1080/02703181.2018.1556230
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        atl: Functional Outcomes of a Community Occupation-Based Hand Therapy Class for Older Adults.
      aug:
        au:
          Baptista, Marci
          Kugel, Julie
          Javaherian, Heather
          Krpalek, Dragana
        affil: School of Allied Health Professions, Loma Linda University, Loma Linda, California, USA
      sug:
        subj:
          Hand Therapy In Old Age
          Community Programs
          Hand Pathology
          Wrist Pathology
          Pain
          Test-Retest Reliability
          Multimethod Studies
          Pretest-Posttest Design
          Occupational Therapy
          Grip Strength
          Functional Status
          Scales
          Agility
          Open-Ended Questionnaires
          Semi-Structured Interview
          Purposive Sample
          Male
          Female
          Clinical Trials
          California
          Activities of Daily Living
          Visual Analog Scaling
          Aged
          Aged, 80 and Over
          Dynamometry
          Clinical Assessment Tools
          Descriptive Statistics
          Data Analysis Software
          Wilcoxon Signed Rank Test
          Mann-Whitney U Test
          Leisure Activities
          Productivity
          Self Care
          Cognition
          Exercise
          Human
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: Aim: This mixed methods study examined the functional outcomes of an occupation-based educational program for older adults with hand and wrist pain. A pretest-posttest design was used to understand changes in occupational performance, hand function, pain, grip and pinch strength, dexterity. Method: Two groups of classes met once a week for one hour, for four consecutive weeks. A total of 18 participants attended both weekly classes. Each class addressed functional activities, symptom management, exercises, questions, and sharing. Class content was determined based on pre-assessments of the Canadian occupational performance measure (COPM), tests of grip and pinch strength, hand dexterity, and open-ended semi-structured interviews. Results: All participants reported improvements in function, and significant improvements in COPM performance and satisfaction. Additionally, reported levels of pain significantly decreased from pre- to posttest. Conclusion: This study demonstrated that a community occupation-based hand therapy program is effective in improving occupational performance for older adults.
      pubtype: Academic Journal
      doctype:
        clinical trial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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