Improving Occupational Performance in Pediatric Hematopoietic Cell Transplant Recipients.
Importance: There is a critical gap in the literature regarding the efficacy of occupational therapy interventions for pediatric hematopoietic cell transplantation (HCT) patients. Objective: To demonstrate that occupational therapy 4–5×/wk during inpatient hospitalization positively affects strength...
| Publicado en: | American Journal of Occupational Therapy Vol. 74; no. 5; pp. 1 - 12 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
American Occupational Therapy Association
Sep/Oct2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=145170518&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 145170518 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 02729490 44I jtl: American Journal of Occupational Therapy issn: 02729490 maglogo: N pubinfo: dt: Sep/Oct2020 vid: 74 iid: 5 pid: 6680 pub: American Occupational Therapy Association place: North Bethesda, Maryland artinfo: ui: 145170518 145170518 145170518 10.5014/ajot.2020.040543 145170518 ppf: 1 ppct: 11 formats: fmt: @attributes: type: P tig: atl: Improving Occupational Performance in Pediatric Hematopoietic Cell Transplant Recipients. aug: au: Colman, Julia Casto, Shelley Coleman Wisner, Eliscia Stanek, Joseph R. Auletta, Jeffery J. affil: Julia Colman, OTD, OTR/L, is Occupational Therapist, Clinical Therapy Services, Nationwide Children's Hospital, Columbus, OH sug: subj: Pediatric Occupational Therapy Activities of Daily Living In Infancy and Childhood Hematopoietic Stem Cell Transplantation In Infancy and Childhood Transplant Recipients In Infancy and Childhood Human Child Inpatients Hospital Units Retrospective Design Record Review Muscle Strength Motor Activity Grip Strength Dynamometry Multidisciplinary Care Team Questionnaires Descriptive Statistics Mann-Whitney U Test Fisher's Exact Test Data Analysis Software Male Female Child: 6-12 years Male Female ab: Importance: There is a critical gap in the literature regarding the efficacy of occupational therapy interventions for pediatric hematopoietic cell transplantation (HCT) patients. Objective: To demonstrate that occupational therapy 4–5×/wk during inpatient hospitalization positively affects strength, coordination, and independence in activities of daily living (ADLs) of pediatric patients during HCT. Design: Retrospective study. Setting: Inpatient bone marrow transplant unit at a children's hospital. Participants: Thirty-two pediatric patients admitted for HCT. Outcomes and Measures: Patients were seen by an occupational therapist as part of an interdisciplinary program. Interventions included play and leisure engagement, upper extremity therapeutic exercises, fine motor activities, and ADL training. Strength, coordination, and daily living skills data were documented prospectively and analyzed retrospectively to compare differences between patients seen by occupational therapy at high versus low frequency. Results: For grip strength (dynamometer), fine motor dexterity (the 9-Hole Peg Test), and independence in ADLs (an ADL functional measure and the Pediatric Evaluation of Disability Inventory–Computer Adaptive Test Daily Activities), the high-frequency group had a significantly smaller decrease in performance from time of admission at pretransplant (baseline) to peak decline after transplant. Grip strength and ADL scores for the high-frequency group returned to baseline at time of discharge more readily than for the low-frequency group. Conclusions and Relevance: Participation in occupational therapy 4–5×/wk had positive effects on strength, coordination, and independence in ADLs for patients undergoing HCT. What This Article Adds: This article provides evidence that occupational therapists are an important part of the interdisciplinary team treating pediatric bone marrow transplant patients. It also demonstrates that occupational therapy interventions delivered at a high frequency can have a positive impact on upper extremity strength and independence in ADLs. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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