|
| |
 |
|
| THE ALL INDIA OCCUPATIONAL THERAPISTS’ ASSOCIATION (AIOTA) CONFERENCE ABSTRACTS, 2022 |
|
| Year : 2022 | Volume
: 54
| Issue : 2 | Page : 57-85 |
|
OTICON'2022 Abstracts
| Date of Web Publication | 4-Aug-2022 |
Correspondence Address:
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/0445-7706.353353
How to cite this article:
. OTICON'2022 Abstracts. Indian J Occup Ther 2022;54:57-85 |
| Faculty Abstracts | |  |
| Day 1: 11th March, 2022 (Friday) | | |
| Pre-Conference: Continuing Occupational Therapy Education | | |
| (Sponsored by Dr Pranav Desai & Dr Harsh Vyas in the Memory of Late Dr. Ona Desai) | | |
| 1. Pre-Conference: Continuing Occupational Therapy Education (COTE) | | |
Title: Occupational Therapist Role in Advanced Management of Movement Disorder: The Indian Scenario
Faculty: Dr. V. Siddharth, Masters of Occupational Therapy, Developmental Disabilities from AIIPMR, Haji Ali, Mumbai
Affiliation: AGM Research and Academics, Advanced Neuro Rehabilitation Specialist at PRS Neurosciences and Mechatronic Research Institute Private Limited (PNMRI), Bengaluru, Karnataka. India
Email: [email protected]
ABSTRACT
In the current Indian scenario, the patients and caregivers are demanding more than 'just movement'. They are looking for function. Independence and reduction in caregiver burden. As occupational therapist, our knowledge of the 'Person-Occupation-Environment' Model and the strength of analysing every day activities to the minutest of details gives an upper hand in understanding the implication of the movement disorder on day to day life. We at PNMRI believe that as therapist we touch our patient's life at a deeper level and hence are the best contributors in this 'journey of hope' for our patients with movement disorders.
In this COTE session, you will learn how can you 'transcendent' from being 'a therapist in a rehab team' to 'the therapist in the best advanced neuromodulation and neurorehabilitation team'. You will see how your current knowledge of occupational therapy can contribute to the decision of a neuroscience team dealing with movement disorders.
You will witness the effectiveness of occupational therapy as part of comprehensive neurorehabilitation along with advanced neuromodulation in cases which were otherwise not responding to rehab or neurological medications. You will see people reclaiming their life and rejoice their occupational roles.
| 2. Pre-Conference: Continuing Occupational Therapy Education (COTE) | | |
Title: Occupational Therapy in Movement Disorders: Clinical Practice Examples from UK
Faculty: Dr. Sushmita Mohapatra, PhD, MSC-MH&SC, MOT-Neuro, FHEA, OTR
Affiliation: Lecturer in Occupational Therapy, Department of Health Sciences
Division of Global Public Health
CHMLS-Health Sciences Brunel University London, Uxbridge, UB8 3PH, United Kingdom
Email: [email protected]
ABSTRACT
Movement disorders are a group of neurological symptoms, or diseases that have traditionally been considered to be the result of impaired motor control predominantly from dysfunction of the basal ganglia. However, there is increasing recognition of associated non-motor symptoms such as cognitive-behavioural, psychiatric, autonomic, and sensory difficulties impacting several aspects of quality of life. Most movement disorders manifest as either slowness or paucity of movement (hypokinesias) or by excessive, abnormal involuntary movements (hyperkinesias). Occupational therapy (OT) involves therapeutic use of functional activities for the purpose of enhancing participation in several occupational roles and promoting health and wellbeing and has been recommended as a relatively low-cost allied health intervention for movement disorders that specifically focuses on optimizing daily functioning and participation.
A systematic approach is recommended for clinicians towards managing patients who present with one or more types of movement disorder. In the UK there are several guidelines such as NICE 2017 & RCOT 2020, that support Occupational therapists to deliver care for people with movement disorders from the time of diagnosis , managing symptoms to palliative care, that are effective and underpinned by evidence. This seminar aims to showcase a range of OT practice in the UK with case examples.
| 3. Pre-Conference: Continuing Occupational Therapy Education (COTE) | | |
Title: Panel Discussion on Occupational Therapy in Movement Disorders: Technology and Context
Moderator: Dr. Neeraj Mishra, Davanagere, Karnataka, India
Panellists: Dr. V. Siddharth (Occupational Therapist). Bengaluru; Dr. Sushmita Mohapatra (Occupational Therapist), UK and Dr. Sujata Roshan (Neurologist), Bengaluru
ABSTRACT
Moderator discussed following concerns with the occupational therapy and neurology panellists, such as: What is the spectrum of patients seen apart from the cases seen by panellists? How does the panellists' team select cases for management? Are there any inclusion criteria? Are panellists allowed to witness the surgeries and the intra-operative changes? What is the average length of occupational therapy required for a patient who has undergone stereotactic surgery? How relevant is occupational therapy for movement disorders patients' from a clinician's perspective? How can a neurologist and occupational therapists can help people with FND? Is there a need for collaborative approach in India as in the Western practices? What is the role of stereotactic radio-surgeries in movement disorders and its current scenario in India and globally? How effective is Botox in the management of various movement disorders? How effective is stem cell therapy in the management of movement disorders? etc.
| 4. Key Note Address | | |
Title: Creating Our Own Future: National and International Collaborations
Faculty: Samantha Shann, MSc, PG Cert, Dip COT (UK), FRCOT
Affiliation: WFOT President, UK
Email: [email protected] ; [email protected]
ABSTRACT
The World Federation of Occupational Therapists (WFOT) is the key international representative of occupational therapy and occupational therapists worldwide. Occupational therapy like every other allied health profession is impacted upon by the changing world and changing health environment. Occupational therapists need to understand what is impacting on the health and social landscape of the future and be ready to meet the challenge.
Recognising the theme of the conference 'Unmask the Masked Potential: Occupational Therapy Perspective' the presentation will reflect on WFOT's work to continually increase the formal visibility of the occupational therapy profession through ongoing interactions with member organisations, governments and United Nations (UN) agencies including the World Health Organisation (WHO). Whilst drawing on regional and international themes to explore how we can work collaboratively to build communities of practice and strong professional networks. Thus, demonstrating how WFOT is supporting and promoting occupational therapy's unique contributions in health and social care and shaping health policy globally.
| 5. Panel Discussion (Sponsored by NewRo Rehab, Bangalore) | | |
Title: Occupational Therapy and Acute Care Management
Moderator: Dr. Sapna Mishra, Mumbai
Panellists: Dr. Sunita Koutarapu, Mumbai; Dr. Shriharsh Jahagirdar, Mumbai; Dr. Mamta Singh, Manipal; Dr. Ganapathy Arumugam, Bengaluru and Dr. Parag Adsule, Goa
5.1: Title: Cardiac Rehabilitation: An Interdisciplinary Approach
Faculty: Dr. Sunita Ramesh Koutarapu
Affiliation: Assistant Professor, O. T. School & Centre, T. N. Medical College and B. Y. L. Nair Charitable Hospital, Mumbai Central, Mumbai, Maharashtra, India
Email: [email protected]
ABSTRACT
Emphasis is on illness prevention, health maintenance and disability adaptation. The concept of interdisciplinary approach to total care is central to cardiac rehabilitation. The acute event of myocardial infarction (MI) affects the total person, so rehabilitation must include more than treatment of the myocardium. It should include, besides physiological, the psychosocial reaction of anxiety, denial, depression and acceptance.
Goal of the cardiac rehabilitation is to provide the patient and family with educational opportunities, the ability to take care of themselves at home, and the ability to make positive decisions about their health. The rehabilitation period is divided into 2 phases: acute and convalescent. There are 3 categories of patient needs realized throughout the phases of rehabilitation: restorative, maintenance, and learning. The talk will emphasize the progressive activity levels in the Inpatient phase of cardiac rehabilitation using low energy level activities.
5.2: Title: Occupations in Neuro-Surgical ICU
Faculty: Dr. Shriharsh S. Jahagirdar
Affiliation: Assistant Professor, O. T. School & Centre, T. N. Medical College and B. Y. L. Nair Charitable Hospital, Mumbai Central, Mumbai, Maharashtra, India
Email: [email protected]
ABSTRACT
The implementation and outcomes of early introduction of functional activities in neurosurgical ICU. Through use of comprehensive, interdisciplinary and occupation based interventions, Occupational Therapy in the early post-surgical phase can improve patient participation, caregiver empowerment and better functions at discharge.
5.3: Title: Occupational Therapy in Acute Care: Dilemmas & Perspectives
Faculty: Dr. Mamta Singh
Affiliation: Assistant Professor & Faculty In-Charge, Surgery & Oncology, Department of Occupational Therapy, MCHP, MAHE, Manipal, Karnataka, India
Email: [email protected]
ABSTRACT
The upcoming presentation will have the summary of my experience working in the acute care set up of surgery & oncology occupational therapy at the Manipal College of health professions as well as clinical therapist in Mangalore. The presentation will talk about the overall dilemmas, and even difficulties faced as the young therapist in the current medical model driven hospital, how I tried to implement different occupational therapy techniques with clinical examples to overcome those difficulties as well as market the role and importance of occupational therapy in these acute conditions in the entire team of health professionals.
5.4: Title: Role of Occupational Therapist in Neuro-Medical Acute Care
Faculty: Dr. Ganapathy Arumugam
Masters in Occupational Therapy, Pediatrics, JKKMMRF College of Occupational Therapy
Affiliation: AGM Training and Development, HOD, Occupational Therapy Department, Advanced Neuro Rehabilitation Specialist at PRS Neurosciences and Mechatronic Research Institute Private Limited (PNMRI), Bengaluru, Karnataka India
Email: [email protected]
ABSTRACT
Conventionally the choice of an occupational therapist is to work with clients at an outpatient level or in a rehabilitation setup. Very few have made intensive care their zone of comfort.
Here we shall understand the skills and strategies to be developed by an occupational therapist to effectively manage clients with traumatic and non-traumatic brain and spinal cord injury at different levels in intensive care. Additionally we can touch upon the practical and productive models that we follow in PNMRI that helps the challenges that the therapist might have to deal with. The privilege of being an occupational therapist should be reiterated by oneself, as this is one of those professions' where the therapist has the scope of bridging the gap between the client, his significant family and fellow rehabilitation professionals which carries utmost importance in integrating the affected individual into the mainstream.
5.5: Title: Occupational Therapy in Acute Care in Orthopaedics
Faculty: Dr. Parag Adsule
Affiliation: Occupational Therapy Department, Goa Medical College, Goa, India
Email: [email protected]
ABSTRACT
Occupational Therapy begins with a referral and evaluation of the patient/client; this comprises a basic assessment of client factors, patient priorities, assets and strengths, pre/post -operative ADL difficulties and basic skills for occupational performance. This process will aid in the development of an early intervention which includes infection control, pain management, knowledge of precautions, self-care, transfers and mobility; development and setting of a routine; emphasizing engagement in leisure activities in the orthopaedic ward setting, and providing family and caregiver education by using audio visual aids like demonstrations and presentation related to safe positioning, use of devices precautions and safety measures. The acute setup also requires discharge planning which includes accessibility education to access home environment, prevention of further injury, education on energy conservation and joint protection techniques along with work simplification and encouragement to follow a home program and further OPD-based rehabilitation.
| Day 2: 12th March, 2022 (Saturday) | | |
| 6. Session 1: Guest Talk | | |
Tile: Functional Recovery in Chronic Mental Health and Addictive Disorders: Is It a Luxury?
Faculty: Dr. Arun K.
Affiliation: NIMHAHS, Bengaluru, Karnataka, India
Email: [email protected]
ABSTRACT
According Recovery Science Research collaboration 2017 recovery is describes as an “Individualized, intentioned, dynamic and relational process involving sustained efforts to improve wellness”.
In mental illness and addictive disorders, there are 3 dimensions of recovery which has been described
- Clinical or Symptomatic recovery
- Functional recovery
- Personal or Spiritual recovery
Although the focus of clinicians was initially on Clinical or Symptomatic recovery to start with, as time went by they started understanding that in chronic mental illness it is very difficult to achieve a complete Symptomatic recovery. This fact lead on to the focus being shifted on to Holistic recovery of the person where in improvements is needed in the symptoms of disease or psychopathology along with improvements in different functional dimension of live. Even the nosology of mental illness included the deterioration infuntionality as a rerequisite for diagnosing disorders of mental health. In the recent years, it is becoming evident that a holistic recovery should go beyond the improvements in symptom dimension and functionality. The factors like self-interpersonal connectedness, identity, meaning and purpose of life and empowerment needs to be worked on to achieve a recovery as near to holistic as possible.
| 7. Session 2: Invited Talk | | |
Title: How Clinicians Become Entrepreneurs and Managers? Unmasking the Shifts of Perspectives and Responsibilities
Faculty: Dr. Harsh Vardhan, NZROT, BOT, M Mgmt. (Health Services)
Affiliation: Paediatric Occupational Therapist, Child Development Service| Hutt Valley District Health Board, Private Bag 31-907, Lower Hutt, New Zealand
Email: [email protected]
ABSTRACT
The session aims at unmasking the shifts of perspectives and responsibilities needed to transition from a clinician to a health entrepreneur and manager.
Skills as an occupational therapist are transferable, and they can be applied in several non-traditional roles, including management of services and own business. Skills of listening, questioning, empathizing, responding, reflecting, and summarizing (Pedler et al. 2004) can be helpful for a manager or an entrepreneur. There is no cookbook approach on how clinicians become managers, but understanding the shifts of perspectives and responsibilities (Watkins, 2012) can be useful in the journey. The seismic shifts include specialist to generalist, tactician to strategist, and bricklayer to architect. The discourse and truth (Lacan, 1969) as a specialist or an academic can differ from a business owner or manager.
The presenter will discuss the significance of the seven specific seismic shifts (Watkins, 2012) with several practical tips and examples on making this happen. The session will be facilitated over videoconferencing, with PowerPoint.
Key Words: Seismic Shifts, Perspective, Discourse, Clinician, Manager
| Day 3: 13th March, 2022 (Sunday) | | |
| 8. Session 4: Guest Talk | | |
Title: Functional Neurosurgery for Focal Hand Dystonia (FHD) and Other Movement Disorders
Faculty: Professor Dr. Sharan Srinivasan
Affiliation: Stereotactic & Functional Neurosurgeon, NewRo Rehab, Bengaluru, Karnataka, India
Email: [email protected]
ABSTRACT
Movement Disorders are clinically, pathologically & genetically a heterogeneous group of diseases characterized by impairment of planning, control & execution of movements.
Focal Hand Dystonia (FHD) is a focal dystonia characterized by excessive, involuntary muscle contractions in the fingers, hand, forearm, and sometimes shoulder. Symptoms usually appear when a person is doing a task that requires fine motor coordination of hand and arm muscles.
Focal Hand dystonia includes a group of disorders called occupational hand dystonias that affect writing, musicians, golfers, or typists or any other repetitive tasks. These are also called Task Specific Focal Hand dystonia (TSFHD). The symptoms often occur only during a specific activity requiring use of the hand, such as playing an instrument, golfing, or typing. Writer's cramp is a dystonia that is present when a person is writing. TSFHD may occur as an isolated focal dystonia or be a part of a generalised dystonia.
RF Ablation or Lesioning Surgery
Radio Frequency Ablation or RF lesioning (Thalamotomy/Pallidotomy), reduces the symptoms of movement disorders though the permanent inactivation of a precisely targeted region/ circuit of the brain. Principal targets of this therapy are the motor thalamus (Vo & Vim) and the Globus Pallidus Interna (GPi), two areas of the brain involved in movement.
RF procedures continue to play a role even in patients for whom DBS is the ideal surgery but is contraindicated or who would have difficulty maintaining the DBS device. This is also very cost-effective and in well selected cases, the results are excellent.
| OTICON'2022 Abstracts: Scientific Session 1: Mental Health & Wellbeing: Emerging Trends in Occupational Therapy Practices | | |
| 1. Category: Oral Presentation. Competitive | | |
Title: Occupational Stress Factors among Healthcare Professionals in Goa: A Pilot Study
Authors: Laxmi Rajendra Sutar1, Dr. Pooja Vajaratkar2
Affiliation: 1Laxmi Rajendra Sutar, Occupational therapist, North Goa District Hospital, Mapusa-Goa, India.
2Dr. Pooja Vajaratkar, Lecturer in Occupational Therapy, Department of Orthopaedic Surgery, Goa Medical College, Bambolim-Goa, India.
Corresponding Author's Contact Address: North Goa District Hospital, Mapusa - 403507, Goa, India
Mobile: +91-9529731582
Email: [email protected]
ABSTRACT
Background: Occupational stress is a change in one's physical or mental state in response to workplace that pose an appraised challenge or threat to that employee and it is common to each and every organization at various levels of hierarchy. The healthcare professionals are no exception to this. Thus this study was done to determine the work related stress among healthcare professionals in Goa, India.
Objective: To determine the occupational stress factors of healthcare professionals in Goa, using the questionnaire of Occupational stress index scale.
Study Design: A cross sectional quantitative study design was chosen for the study.
Methods: The nonprobability convenient sampling method was adopted to recruit the health care professionals practicing in Goa.
Results: Healthcare professionals (n=40) practicing in Goa, aged above 20 years, both males and females were included in the study. According to the findings, 38% of participants were highly stressed, and 32% were moderately stressed. The factors significantly contributing to occupational stress were found to be role overload (mean=20.55), role conflict (mean=14.84), unreasonable group and political pressure (mean =13.67), strenuous working conditions (mean=13.2), under participation (mean =11.5) and role ambiguity (mean=11.4).
Conclusion: The study concludes that the healthcare professionals in Goa, have significant work related stress and is mainly due to the role overload, role conflict, unreasonable group and political pressure, strenuous working conditions, under participation and role ambiguity.
Key Words: Stress, Occupational Stress, Workplace
| 2. Category: Oral Presentation. Competitive | | |
Title: Attitudes of Indian Undergraduate Occupational Therapy Students towards Mental Health and Psychiatry: A Cross-Sectional Survey
Authors: Dave Nidhi N1, S. G. Praveen2
Affiliation: 1,2KMCH College of Occupational Therapy, Coimbatore, Tamil Nadu, India
Mobile: +91-93632 47211 Email: [email protected]
Award: Won Vijay Suple Award for Best Scientific Paper in Mental Health
ABSTRACT
Background: In India, the number of occupational therapy practitioners currently working in mental health settings is lower than most other specialities. The attitudes of students influence their interest in any field and their desire for working in it. The attitudes of undergraduate occupational therapy students towards mental health and psychiatry are examined, and the influence of attitudes on future career choices is explored.
Objectives: To examine the attitudes of Indian undergraduate occupational therapy students towards mental health and psychiatry, and to explore the differences in attitudes across different years of study, gender, resulting from personal experiences, and educational coursework, and to examine if the attitudes influence future career choices.
Study Design: Cross-sectional survey
Method: Permission was obtained from heads of institutions of 14 occupational therapy colleges and the survey link was sent. In order to obtain a representative sample, the link was also shared on social groups. The purpose of the study, voluntary participation and confidentiality were explained on the landing page. The subsequent sections consisted of the demographic questionnaire, the Attitudes towards Psychiatry (ATP-30) Questionnaire and the Career Preferences Questionnaire. A total of Four Hundred and Two responses were obtained within the stipulated period. Statistical analysis was performed, and the odds ratio using logistic regression and Pearson correlation were determined.
Results: Gender and contact with persons with mental illness were significant predictors of positive attitudes towards psychiatry. Females are 5.387 times more likely to have positive attitudes towards psychiatry. (OR=5.387, 95% CI 2.101 to 13.814, P=0.000). Furthermore, those in contact with persons with mental illness are 2.883 times more likely to have positive attitudes towards psychiatry. (OR=2.883, 95% CI 1.076 to 7.724, P=0.035). Moderately high positive correlations existed between attitudes towards psychiatry and career preference in psychiatry.
Conclusions: Overall, positive attitudes were found. Significant correlations were seen across the domains of the ATP-30 and career preference in psychiatry. Female students are five times more likely to have positive attitudes than male students. Those in contact with persons with mental illness were almost thrice more likely to have positive attitudes than those without any contact.
Key Words: Attitudes towards Psychiatry, Career Preferences, Indian Undergraduate Occupational Therapy Students
| 3. Category: Oral Presentation. Competitive | | |
Title: Using Self-Soothing Kit with Mindful Art Activities to Reduce Negative Emotions among Alcohol Use Disorder Patients: A One-Arm Interventional Study
Authors: Ragul M1, Sakthi Srija. S2
Affiliations: KMCH College of Occupational Therapy, Coimbatore, Tamil Nadu.
Corresponding Author's Contact: Sakthi Srija S (Assistant Professor), KMCH college of Occupational Therapy, Coimbatore (641048), Tamil Nadu.
Mobile: +91-9786645167
Email: [email protected]
ABSTRACT
Background: Alcohol consumption is the most prevalent cause for many physical and psychiatric illnesses. The individuals who are alcoholics may develop the negative emotions like depression, anxiety, anger, stress, loss of hope, and sadness. Self-soothing kit is considered as one of the key skills to manage negative emotions along with Mindful art activities that help to distract one's mind from stressful thoughts. Thus, this study aims to find out the effectiveness of Self-soothing kit with Mindful art activities in Alcohol use disorder.
Objective: To find the effectiveness of Self-soothing kit with mindful art activities to reduce negative emotions among Alcohol use disorder patients.
Study Design: Single group interventional study was chosen for the research.
Methods: Fifteen clients diagnosed with Alcohol use disorder completed the study. The patients were screened using Depression Anxiety Stress Scale (DASS) and Emotion Regulation Questionnaire (ERQ). Self-soothing kit and Mindful art activities was given for 14 sessions i.e. 2 sessions per day for 1 week. Each session lasted for 90 minutes. Pre-test and Post-test assessment was done by using DASS (Depression Anxiety Stress Scale), ERQ (Emotion Regulation Questionnaire) and PANAS (Positive and Negative Affect Schedule) to measure the negative emotion and emotional regulation for individuals with Alcohol use disorder.
Results: The data were subjected to statistical analysis. On comparing the pre and post-test scores mean values of DASS-D (16.07 and 3.13, 95%CI: 0.181 and 0.00), DASS-A (13.33 and 3.80, 95%CI: 0.181 and 0.00), DASS-S (19.13 and 5.60, 95%CI: O.181 and 0.00), ERQ-ES (21.60 and 15.40, 95%CI: 0.181 and 0.00), PANAS-N (32.67 and 15.00, 95%CI: 0.181 and 0.00) showing a drastic decline indicating the effectiveness of the intervention. Thus, results of the findings shows a statistical significance (P<0.05), thereby accepting the alternate hypothesis.
Conclusion: The study concludes that by using Self-soothing kit with Mindful art activities negative emotions tend to decline in individuals with Alcohol use disorder.
Key Words: Alcohol use disorder, Mindful art activities, Negative emotions, Self-soothing kit.
| 4. Category: Oral Presentation. Competitive | | |
Title: A Concept Analysis of Spirituality Intervention in Occupational Therapy
Authors: Vajaratkar PV1, Dwivedi AK2
Affiliation: 1Lecturer in Occupational Therapy, department of Orthopaedic Surgery, Goa Medical College, Bambolim-Goa
2Jaipur Occupational Therapy College, Maharaj Vinayak Global University, Jaipur, Rajasthan, India
Corresponding Author's Contact: Postal Address: Lecturer in Occupational Therapy, department of Orthopaedic Surgery, Goa Medical College, Bambolim-Goa (Official Address)
Mobile: +91-7378412408
Email: [email protected]
ABSTRACT
Background: Spirituality is a key domain of occupational therapy practice and, for some individuals and communities; all occupations are viewed as spiritual. However, occupational therapists find conceptualizing spirituality and its meaning for both themselves and their patients challenging. The purpose of this concept analysis was to clarify the concept of spirituality and providing occupational therapists with guidance on how to integrate spirituality in practice
Objectives: This concept analysis was to clarify the concept of spirituality and how it has been articulated in studies.
Study Design: A concept analysis approach, inspired by Walker and Avant was used for a systematic review and selection of studies to be included.
Method: After selecting spirituality as concept and having determined the aim of the analysis, the systematic selection of studies adopting the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) of 7 articles was performed. Articles from 2005 to 2020 were considered as there was scarcity in this area of work, a long-time frame was considered. The literature was found using research databases including CINAHL, PubMed, OT Search, and SCOPUS.
Result: Through the conceptual analysis of spirituality in occupational therapy, current concept and themes of spirituality, Occupational therapy assessments and intervention in spirituality integration were identified. The empirical references highlight the application of addressing spiritual needs in occupational therapy practice. The key findings within each study were analyzed to identify the antecedents, defining attributes and consequences of addressing spiritual needs in occupational therapy practice
Conclusion: The results led to a description of spirituality that could facilitate future research communication and common definition in occupational therapy practice.
Key Words: Health, Occupational Therapy, Occupational Therapy Assessment, Occupational Therapy Intervention, Spirituality
| 5. Category: Oral Presentation. Competitive | | |
Title: Impact of Guided Imagery on Sleep among Patient with Alcohol Dependence Syndrome: A Quasi-Experimental Study
Authors: Dr. M. Arun Kumar1, Dr. Tribhuvan Srikanth2
Affiliations: 1Principal, Saveetha College of Occupational Therapy
2Assistant Professor in Saveetha College of Occupational Therapy
Corresponding Authors Contact Address: Dr. M. Arun Kumar
Principal, Saveetha College of Occupational Therapy, 6th Floor, Health Sciences Block Saveetha Medical College and Hospital, Saveetha University, Thandalam (Near Queens Land), Chennai - 602105, Tamil Nadu, India
Mobile: +91-9841544004
Email: [email protected]
ABSTRACT
Background: Alcohol misuse and sleep disturbances often occur simultaneously, but their relationship is not well understood. Individuals with alcohol abuse and dependence were more likely to report ever experiencing a period of two or more weeks of insomnia compared to non-dependent individuals. Guided Imagery is a type of focused relaxation or meditation. Focused relaxation involves concentrating on a specific object, sound, or experience in order to calm your mind.
Objectives: To identify the effect of Guided Imagery on alcoholic patients with sleep disturbance.
Study Design: Quasi-experimental study.
Methods: The study was done among alcoholic patients with reduced sleep. Totally 20 subjects were selected based on criteria of reduced sleep as mentioned, 10 in control group and 10 in experimental group . The control group had undergone conventional occupational therapy (COT) activities. The experimental group had undergone conventional occupational therapy (COT) activities along with Guided Imagery. The pre and post-test was assessed using “PROMIS - Sleep Disturbance” Scale.
Results: Patients analysed in experimental group were N=10 and control group were N=10. The statistically significant difference (Z = -2, P=0.046) in control group between pre-test and post test scores of scale. The statistically significant difference (Z = -2.842, P=0.004) in Experimental Group between pre-test and post test scores of scale. There is statistically significant difference (Z = -2.3812, P=0.0173) in post-test scores between experimental and control group of the scale. This suggest that the intervention provided for the experimental group was effective when compared to the COT provided for the control group.
Conclusions: From the study, it was concluded that Guided Imagery technique had a significant effect on improving sleep quality.
Key Words: Alcohol Dependency Syndrome, Guided Imagery, Sleep Disturbance
| 6. Category: Oral Presentation. Competitive | | |
Title: Therapeutic Recreational Activities to Reduce Stress on Postnatal Mothers of Neonates in the Neonatal Intensive Care Unit: A Quasi-Experimental Study
Author: Raghuram Pattusamy
Affiliation: Head of Department, Sri Ramachandra University, Chennai, Tamilnadu, India.
Mobile: +91-9677073853
Email: [email protected]
ABSTRACT
Background: The hospitalization of a new born in the neonatal intensive care unit (NICU) is one of the most frightening and overwhelming experiences for parents. The birth of a child can cause intense stress to the mother and is linked to the social, psychological, and physical adaptations required by new parenthood. Many events are perceived as stressful by mothers following childbirth, such as the interaction with health care personnel, organization of their return home, or the establishment of breastfeeding.
Objectives: To reduce Stress on Postnatal mothers of (high-risk / preterm) Neonates admitted in the NICU and to find out the effectiveness of Therapeutic Recreational Activities.
Study Design: Quasi-experimental, one-group, pre-test and post-test study design.
Methods: Six postnatal mothers were selected by non-probability convenient sampling in SRMC. Rowland Universal Dementia Assessment Scale (RUDAS) and Perceived Stress Scale (PSS) are used as a screening tool. Pre-test scores of PSS are obtained. Therapeutic Recreational Activities were incorporated as an intervention modality in a group setting for consecutive days. Perceived Stress Scale (PSS) was re-administered to arrive at the Post-test scores. The data was analyzed statistically.
Results: Patients analyzed in experimental group were N=6, after intervention it shows there is a significant reduction in the post-test perceived stress scores when compared to the pre-test scores wherein the respective scores are pre-test=83.3%; post-test=83.3%. The overall mean of pre-test and post-test scores are 23.17 & 11.33 respectively. Std. Deviation: 0.408, 95% of confidence interval of the difference in lower & upper respectively are 11.405 & 12.262, P=0.000. No adverse reactions to therapy were observed.
Conclusions: Therapeutic Recreational Activities is beneficial as an intervention for postnatal mothers of neonates in NICU in reducing stress.
Key Words: Postnatal Mothers, Perceived Stress, Neonatal Intensive Care Unit, Therapeutic Recreational Activity
| 7. Category: Oral Presentation. Competitive | | |
Title: Understanding the Occupational Balance in Young Working Mothers in Goa, India: A Cross-Sectional Study
Authors: Vaz S1; Vajaratkar P2
Affiliations: 1Occupational Therapist, North District Hospital, Mapusa Goa, India
2Lecturer, Department of Occupational Therapy, Goa Medical College, Goa, India
Corresponding Authors Address: DEIC, North District Hospital, Mapusa Goa - 403507, India
Mobile: +91-7774906474
Email: [email protected]
ABSTRACT
Background: Each person engages in various occupations in their life. Self-care, play and work exist in a balance that is not static but changes at different stages of the life course. This balance is called “occupational balance”. The working mother balances both, her career and job, and the responsibility of raising a child. Therefore, this study is aimed at understanding the occupational balance in working mothers.
Objectives: The objective of this study is to understand the occupational balance in young working mothers, and the factors that may affect their occupational balance.
Study Design: A cross-sectional, descriptive pilot study design was used for this study.
Method: 20 working mothers, between the age groups of 25-45years, working various types of jobs were recruited using non-probability convenient sampling method. Two pre-designed assessment tools, The Modified Occupational Questionnaire which was used to retrieve information about the occupations participated in on the previous day, and the Occupational Balance Questionnaire (OB-Quest), which was used to determine the Occupational Balance based on responses to 10 questions on how they perceive their engagement in everyday activities, were administered on the participants.
Results: Post assessment it was found that several aspects of Occupational Balance were affected in working mothers. Areas which were affected include lack of variety of activity, more of obligatory than voluntary occupations, affected sleep and rest, less time for engagement in hobbies, and high levels of stress. Despite the given findings, most mothers stated that they are satisfied with how they spend their time every day.
Conclusion: this study concludes that although there are several aspects of Occupational Balance which are affected in working mothers, most mothers are satisfied with how they spend their time every day.
Key Words: Occupational Balance, Occupations, Working Mothers
| 8. Category: Oral Presentation. Competitive | | |
Title: Exploring the Effectiveness of Model of Human Occupation in the Reduction of Stress among Diabetics: A Quasi-Experimental Study
Author: Vinith Dani Jose J. P1
Affiliations: 1Mental Health Occupational Therapist, Assistant Professor, College of Occupational Therapy, National Institute of Speech and hearing , Trivandrum, Kerala, India ;
Corresponding Author Contact: Postal Address: 2/25, Koothanvilai, Bethelpuram Post, Nagercoil, Kanyakumari Dist., Tamil Nadu, India-629803
Mobile: +91-8903657191
Email: [email protected]
ABSTRACT
Background: Diabetes mellitus has reached epidemic proportions worldwide as we enter the new millennium. The World Health Organization (WHO) has commented, there is “an apparent epidemic of diabetes which is strongly related to lifestyle and economic change”. The prevalence of diabetes for all age-groups worldwide was estimated to be 2.8% in 2000 and 4.4% in 2030. Over the course of living with diabetes, more than 70% of patients will suffer a heart attack or stroke, 5% experience blindness in one or both eyes, 10% experience amputation of a toe or worse, and 5% must cope with end-stage renal disease. The other major complications of diabetes are increasing the risk of depression, anxiety, and stress and poor quality of life. Occupational therapy practitioners are experts in analyzing the performance skills and patterns necessary for people to engage in their everyday activities (occupations). The combination of Model of human occupation (MOHO) and supportive diabetes self-management education is an effective non pharmacologic treatment for major depression/ stress in patients with diabetes.
Objectives: Determine the effectiveness of Model of Human Occupation in the reduction of stress among diabetics.
Study Design: Quasi experimental design was used for the research.
Methods: A total of 60 diabetic type 2 patients (both male and females, aged 40 to 60 years) were identified in Dr Jeyasekharan Multispecialty Hospital, Department of Occupational therapy, Outpatient services, using purposive convenience sampling research design and allocated 30 patients into experimental group (intervention), 30 patients into control group (no intervention). The Pre/Post evaluation of depression, anxiety and stress levels of both groups were done through DASS21, the experimental group were received MOHO and supportive diabetes education for three months of intervention period. Patients in the control group did not receive any occupational therapy intervention and the post evaluation was done.
Results: Patients analyzed in experimental group were n=30 and control group were n=30. Pre evaluation shows there is no significance differences were found in unpaired “t” test mean score ±5SD for experimental vs. control group as: 33 ± 1.807 vs. 34 ± 1.807 (P=0.086),95% CI: 31.193 to 34.807) however the post evaluation of the experimental group showed significantly differences after MOHO. The differences in the two groups were significant in unpaired “t” test mean score ± 3SD for experimental group vs. control as: 16 ± 1.403 vs. 38 ± 1.403 (P<0.05), 95% CI: 14.597 to 17.403). The result shows that there were significant differences among both groups and reductions of stress among the experimental groups revealed. No adverse reactions to therapy were observed.
Conclusion: This study emphasized in the experiences of those with diabetes, suggested that occupational therapy has a distinct role in diabetes self-management, through seeing this self-management as an occupation to reduce stress, anxiety & depression among diabetes. The use of the Model of Human Occupation enables successful occupational engagement and reduces stress among diabetics.
Key Words: Diabetics, Model of Human Occupation, Stress
| 9. Category: Oral Presentation. Competitive | | |
Title: Pranayama on Stress among Parents of Children with Autism: A Pilot Study
Author: M. Ramakrishnan
Affiliation: Occupational Therapist, JIPMER Hospital, Puducherry-4
Corresponding Author's Contact: Postal Address: 55, Nehru nagar-1, Manjakuppam, Cuddalore-607001, Tamil Nadu, India
Mobile: +91-9488675838
Email: [email protected]
ABSTRACT
Background: Autism is a Pervasive Developmental Disorder (PDD) characterized by severe, complex, and permanent behavioral and cognitive disabilities. Clinically defined by the child's behavior and performance, this condition affects all areas of performance (Rapin, 1991). Research has shown that parents of children with autism experience more difficulty and frustration with caregiving and behavior management than parents of children with other disabilities. Pranayama as a stress relieving technique which is going to help the Parents of children with Autism
Objectives: Evaluate the effectiveness of pranayama on stress among Parents of children with Autism at occupational therapy center in Pondicherry.
Study Design: A single group pre and post-test design was chosen for the research.
Methods: In this study target population comprises of 40 Parents of children with Autism were selected in Sumathi occupational therapy center at Pondicherry. Initial assessment was taken on the first day by using the standardized tool of Perceived Stress Scale (PSS) after attaining consent form all the subjects. Then pranayama was taught to the parents by an occupational therapist who was trained in yoga practice in the center. Post-test was taken on 32nd day by using the PSS.
Results: In the pre-test, majority of the subjects 12(30.0%) had low stress, 28(70.0%) had moderate stress. In the post test, 27(70.0%) were in low stress, 13(30.0%) were in the moderate stress, whereas no persons in severe stress. The mean pre-test was 20.15 and mean post-test 13.4 was respectively with a standard deviation of the pre-test was 4.42 and post-test standard deviation was 3.71.The t-value is 9.60339. The P-value is< .00001. The result is significant at P< 0.0.
Conclusion: The study concluded that pranayama is effective in reducing stress among the Parents of children with Autism. This study proved that better caregiving and behavior management of their children at home by reducing their stress level.
Key Words: Autistic Children, Pranayama, Parents, Stress
| Scientific Session 2: Perspectives and Understanding of Occupations, Therapy and Education | | |
| 10. Category: Oral Presentation. Competitive | | |
Title: Relationship between Engagement in Meaningful Activities and Satisfaction with Life: A Study on Undergraduate Occupational Therapy Students
Authors: Sheba Mary Sam, Sujata Missal
Affiliation: KMCH College of Occupational Therapy
Corresponding Authors Contact Address: Sheba Mary Sam
Valloor Ebenezer, Chemmanthoor, Punalur PO, Kollam, Kerala
PO Box – 691305, India
Mobile: +91-8524082811
Email: [email protected]
ABSTRACT
Background: Meaningful activities influence the meaning in life. Meaning in life has also been identified as a critical outcome of a person's engagement in activity. Conceptual models of therapeutic occupation also integrate the concept of activity meaning as being essential to the process and outcome of effective occupational therapy treatment.
Objective: To find the relationship between engagement in meaningful activities and satisfaction with life among undergraduate occupational therapy students.
Study Design: Cross sectional study
Methods: The study included 160 undergraduate occupational therapy students from first year to internship. The engagement in meaningful activities was assessed using EMAS scale to which students responded on a 4 point Likert scale and life satisfaction was assessed using SWLS scale to which the students responded on a 7 point Likert scale. The data obtained was statistically analysed.
Results: The scores of EMAS scale showed that 76.9% of the BOT students had a moderate engagement in meaningful activities while only 9.4% had a low engagement in meaningful activities. The scores on SWLS showed that 33.8% of the BOT students were slightly satisfied in life whereas only 10% proved to be extremely satisfied. The relationship between the scores of EMAS and SWLS indicates a strong positive correlation(r=0.718, P=0.000).
Conclusion: The study concludes that there is a strong relationship between engagement in meaningful activities and life satisfaction in occupational therapy undergraduate students. Therefore it offers support to the theory of occupational science, occupational therapy that implies meaningful activity as an important factor contributing to personal well-being.
Key Words: Meaningful Activities, Life Satisfaction, Engagement, Well-Being, Purpose in Life, Health, Quality of Life
| 11. Category: Oral Presentation. Competitive | | |
Title: Understanding the Occupational Therapists' Perspective on Use of Animal Assisted Therapy as an Adjunct to Occupational Therapy: A Cross Sectional Quantitative Study
Authors: 1.Gonçalves H1, Adsule P2
Affiliations: 1Occupational Therapist, North District Hospital, Mapusa Goa, India.; 2Assistant professor, Department of Occupational Therapy, Goa Medical College, Bambolim Goa, India.
Corresponding Authors Contact Address: Dr. Hailey Gonsalves.
House No. 759/25B, Shantinagar, Porvorim, Bardez, North Goa - 403521, India
Mobile: +91-8605114087
Email: [email protected]
ABSTRACT
Background: As we know, developing technology, rehabilitation services and health definitions have brought the use of different treatment modalities as well as traditional treatments. AAT could be one of the therapeutic methods to eliminate the problems that an individual experiences in the physical, emotional, psychological, social, sensory and environmental developmental areas by taking advantage through human and animal interactions. “Animal assisted therapy” is a therapeutic modality which involves a patient, a trained animal and a therapist with the goal of achieving a specific therapeutic outcome. Therefore, in order to deepen the reflection of this practice and verify the application if AAT, a qualitative study was much of concern which summarized the perspective of this modality which could be used as an adjunct to OT practice by OT practitioner in the healthcare system in India.
Objective: Aim of the study is to understand the Occupational therapists' perspective on use of Animal Assisted Therapy as an adjunct to Occupational Therapy.
Study Design: A cross sectional quantitative study design was used for this study.
Methods: 102 occupational therapists (OTs) responded to the survey regarding their knowledge and perspectives toward animal assisted therapy as an adjunct to OT practice. Semi structured questionnaire was developed. Descriptive statistics was used to interpret the results. Thematic analysis was done.
Results: It was found that therapists' most commonly selected patient goals for AAT were in the realm of mental health, whereas the least mentioned goals were more physically based goals. Further, suggestions for solutions to challenges were made to educate and train OTs regarding the uses and benefits of AAT through more awareness and evidence based research along with the problems concerning the dearth of trained pets for therapy sessions.
Conclusion: The occupational therapists practicing in India had a good general awareness and were knowledgeable about Animal Assisted Therapy. Furthermore, perspectives of people regarding cultural sensitivity towards pets/animals/Poor practicability/feasibility/lack of evidence based research and guidelines in India was found to hinder the practice of AAT in India.
Key Words: Animal Assisted Therapy, Occupational Therapy
| 12. Category: Oral Presentation. Competitive | | |
Title: Understanding the Interpersonal Traits for Being Good Occupational Therapists: A Cross Sectional Study
Authors: Dr. Parag Adsule1, Dr. Divesha Shikerkar2
Affiliations: 1. Assistant Professor, Department of Occupational Therapy, Goa Medical College, Bambolim- Goa
2. Occupational Therapist, Healthway Hospitals, Old Goa, Goa
Corresponding Authors Contact: Dr. Divesha Shikerkar, House No. 92, Dilasa Building, Kapileshwari, Ponda, Goa, India
Mobile: +91-9764903707/ 9511715631
Email: [email protected]
ABSTRACT
Background: The Profession of Occupational Therapy (OT) highlights the role of the client- therapist relationship, the therapeutic use of self, by using the interpersonal skill base for better outcomes of the therapy. There is dearth of evidence in the Indian context about understanding the interpersonal traits of an OTist during their early practice years.
Objectives: This study aimed to understand the interpersonal traits for being occupational therapist (OTist) and to determine the strengths, abilities and challenges of OTist in using these traits in their practice as therapeutic use of self.
Study Design: Cross sectional descriptive study design was used.
Methods: A study was conducted on OTist in Goa, having an experience of ≤ 3 years, using convenient sampling method by a self-administered scale to understand their interpersonal traits; and identify their own interpersonal strengths, abilities and challenges.
Results: Fifteen (n=15) Occupational therapists (mean age 23.1±0.83) participated in the study. The study analyzed the interpersonal traits of OTist under the interpersonal skill base of 8 skills defined as per the intentional relationship model-
1. Therapeutic communication
2. Interviewing skills and strategic questioning
3. Establishing relationships with clients, families, social systems and groups
4. Working with supervisors, employers and professionals
5. Managing difficult behavior
6. Professional behavior, ethics and values
7. Empathic breaks and conflicts
8. Therapist self-care and professional development
Each of the trait was described as being a challenge, strength or ability of the therapist in practice. The study described the importance of these traits in early years of practice for the OTist and how their desired interpersonal profile was.
Conclusion: The study helped understand the abilities, strengths and challenges of budding occupational therapists in terms of their interpersonal skill, thus focusing on the need of developing the traits during their degree program.
Key Words: Interpersonal Traits, Therapeutic Use of Self
| 13. Category: Oral Presentation. Competitive | | |
Title: Cognizance of Family Centered Care: Perception of Occupational Therapy: A Qualitative Study
Authors: Swena Sandeep Jadhav1, Dr. Pooja Vajaratkar2
Affiliation: 1. Occupational Therapist, South Goa District Hospital, Margao, Goa, India
2. Lecturer in Occupational Therapy, Department of Orthopaedic Surgery, Goa Medical College, Bambolim-Goa, India
Corresponding Author's Contact Postal Address: FS 01, Aquem Plaza, Near Devaki Steels, Aquem Baixo Navelim Salcete, Goa
Mobile: +91-9689739479 / +91-7498061215
Email: [email protected]
ABSTRACT
Background: The profession of Occupational Therapy has grown in the understanding of and practice in family centered care but is yet to identify what it means to provide family centered care. The study identifies information that can be utilized in restructuring occupational therapy programs to improve family participation.
Objectives: The study aimed to explore the perception of family centered practice among occupational therapists, its use as a domain of practice and to identify barriers and finding ways of overcoming them in order to incorporate family centered practice in OT intervention process.
Study Design: A qualitative descriptive study design was chosen for this study.
Methods: Fifteen Participants (n=15), with an expertise in the field of Occupational Therapy, practicing for 5 years or more were recruited using nonprobability convenient and snowballing sampling method. In-depth semi-structured interviews were conducted with OTs working across various practice settings in India.
Results: The findings are described in five major themes: (1) Interpretations of Family Centered Care, (2) Pivotal Role of Family Centered Care Approach, (3) Family Centered Care into Practice, (4) Hindrances to Family Centered Care Approach and (5) Actions to be taken to implement active family involvement in practice.
Conclusion: The study concludes that although the occupational therapists hold a favourable attitude towards family centered care, they face a lot of hindrances while practicing the approach. The study depicts the existing lack of clarity over valid tools and structured protocols specific to the approach.
Key Words: Collaboration, Family Centered Care, Occupational Therapy, India, Perception
| 14. Category: Oral Presentation. Competitive | | |
Title: The Effect of Polycystic Ovarian Syndrome on the Occupational Performance in Young Women: A Qualitative Descriptive Study
Authors: Kimberley Cota1, Parag Adsule2
Affiliations: 1. Occupational Therapist, Goa Medical College, Bambolim-Goa, India
2. Assistant Professor in Occupational Therapy, Dept. of Orthopaedic Surgery, Goa Medical College, Bambolim-Goa, India.
Postal Address; H. No 54 Betalbatim Binvaddo Salcete, Goa, India
Mobile: +91-7745830054
Email: [email protected]
ABSTRACT
Background: There is significant prevalence of women suffering from PCOS who require an intervention. There is a dearth of evidence on the knowledge of Occupational Performance and its importance.
Objective: The study aimed to understand the effect of PCOS on the Occupational Performance in Young Women in the areas of rest, self-maintenance, productivity, leisure, future goal planning, on their social life and their psychological well-being.
Study Design: A qualitative descriptive study design was chosen for this study.
Methods: A qualitative study using phenomenological approach was conducted. 20 young women between the age group 18-26 years were interviewed to understand the effect PCOS on their Occupational Performance. The recruitment of patients for the study was done by non-probability convenient sampling method.
Results: The coding framework: 1) Participants awareness of PCOS: Lack of knowledge and direction as a barrier in understanding the illness, early intervention and treatment. 2) PCOS as a hindrance to Occupational Performance. 3) PCOS as a serious impediment to productivity and participation majorly contributed by irregular menses. 4) PCOS as a challenge on psychological well-being. 5) Strategies to maintain and conquer PCOS: A chronic lifestyle disorder.
Conclusion: PCOS is more than just a physical health ailment. It affects many aspects of the lives of women who suffer from it. Awareness also shapes the way in which women diagnosed with PCOS view their illness. Moreover, participants in this study faced a lot of Occupational Performance problems post diagnosis which was evident in the interviews taken.
Key Words: Occupational Performance, Polycystic Ovarian Syndrome, Productivity
| 15. Oral Presentation. Non-Competitive | | |
Title: Exploring Research Priorities for Occupational Therapy in India: A Descriptive Analysis of the AIOTA Conference Abstracts during 2017-2021
Authors: Sureshkumar Kamalakannan1, Lakshmanan Sethuraman2, Manigandan Chockalingam3, Selvaraj Samuel Kamalesh Kumar4, Shobana Devi Moorthy5, Murali Krishnan Srinivasan6, Jothi Kumar Ramakrishnan7, Thirumugam Muthuvel8, Karthik Mani9
Affiliations: 1North Umbria University, Newcastle upon Tyne, U.K,
2NIMHANS, Bengaluru, Karnataka, India,
3National University of Ireland Galway Ireland,
4CMC Vellore, Tamil Nadu, India,
5Smart Sensory Kids, Chennai, Tamil Nadu, India,
6MAHER, Chennai, Tamil Nadu, India,
7HSE, Limerick, Ireland,
8Rehabilitation Research Consultancy, Karaikal, Tamil Nadu, India,
9UTMB, Galveston, Texas, USA
Corresponding Authors Contact Address: Suresh Kumar Kamalakannan, B-020 Coach Lane Campus, Department of Health and Life Sciences, North Umbria, University, Newcastle Upon Tyne – NE & TR, United Kingdom.
Mobile: +91-96763 33412
Email: [email protected]
ABTRACT
Background: The majority of the Occupational Therapy (OT) research in India is disseminated through the All India Occupational Therapists Association's Annual National Conference (ANC). Analyzing the abstracts, selected for the presentation at the ANC could help identify the research priorities for OT in India.
Objectives: The objective of the study is to assess the trends in Occupational therapy research in India.
Study Design: Descriptive analysis and non-systematic review.
Methods: Descriptive, Non-systematic Review and analysis of the conference abstracts of the AIOTA ANC published in Indian Journal of OT (IJOT) between 2017 and 2021.
Results: 218 abstracts were identified from the ANC abstract publications between 2017 and 2021. State level trends indicated that close to 85% of the research submission were from Maharashtra (49%), New Delhi (15%), Karnataka (10%), and Tamil Nadu (9%). We did not find any submission from the North-eastern states until 2020. About 40% of these research abstracts were related to Paediatrics, followed by neurology (17%), Musculoskeletal (15%), mental health (10%), ergonomics and assistive technology (8%). There was only 1-2% of research abstracts submission related to COVID-19 and Geriatrics. Close to 60% of the abstracts were clinical research with occupational therapy interventions. About 85% of the research abstracts were related to impairment (39%), activity limitation (26%), and participation (22%).
Conclusion: This review highlights the need for diversifying the research in occupational therapy in India. This is particularly important in relation to expanding from selected states to a pan India research and development, especially including the north-eastern states. Also, the focus of OT research must move beyond impairments and approach disability from the social model perspective. It is also very important to diversify the research in occupational therapy to areas contributing substantial disability-adjusted life years such as COVID-19, geriatrics and non-communicable diseases. Priority setting for research in occupational therapy in India is an important implication of this review.
Funding: This work was supported by the DBT/Wellcome Trust India Alliance Fellowship [grant IA/CPHE/16/1/502650], awarded to Dr. Sureshkumar Kamalakannan.
Key Words: Disability, Health Services, Occupational Therapy; Rehabilitation, Research
| 16. Oral Presentation. Non-Competitive | | |
Title: A Survey of Sustainable Development Practices in Occupational Therapy Curriculum in Indian Occupational Therapy Colleges and Universities
Authors: Mrs. Gita Jyoti Ojha1, Mrs. Ruchi Nagar Buckshee2
Affiliations: 1Occupational Therapist, Department of Occupational Therapy, Institute of Human Behaviour and Allied Sciences (IHBAS), Dilshad Garden, Delhi-110095,
2Associate professor and head, Department of Occupational Therapy, Jamia Hamdard, Delhi
Corresponding Author's Contact: Postal Address: Mrs. Gita Jyoti Ojha, C18/Y1, Near Central Park, C - Block, Dilshad Garden, Delhi - 95, India
Mobile: +91-9560246144
Email: [email protected]
Email: [email protected]
ABSTRACT
Background: Occupational Therapy can contribute significantly towards sustainable development due to its inherent skills and knowledge base. With growing emphasis on sustainable healthcare practices by the WHO it is necessary to gauge as well as understand how sustainability is viewed and is practiced in different healthcare disciplines including occupational therapy Despite many researches in OT on sustainable development very few actually mentions sustainability. Hence, the current study aims to identify inclusion of sustainable development in the OT curriculum at various OT colleges and universities in India.
Objectives: The study was conducted to assess how sustainability is represented in OT curriculum in India.
Study Design: Cross-sectional survey
Methods: A study specific questionnaire was used to guide interview of OT Faculty and educators (15 nos.) with different experience level from different OT colleges and universities across India. Data was collected using a descriptive approach. It was reviewed, analyzed and compiled by the two authors to ensure that all the relevant sustainable development goals (SDGs) have been included.
Results: The data hence collected was analyzed and discussed. The teaching experience of the respondents ranged from 4-20 years. Most of the respondents (66%) were women. Majority of the educators (> 80%) felt that Indian Occupational Therapists are somewhat informed about sustainable development goals and sustainability in Occupational Therapy practice. Although a majority of them agreed that it needs to be made more visible within the profession. Almost all of the educators agreed that there should be training programs on sustainable OT practices as lack of awareness was reported to be the most common key barrier. Response bias and social desirability bias may be the potential limiters in this study.
Conclusion: This study helps to increase our understanding about sustainable practices incorporated in occupational therapy curriculum in India. Further, the gaps identified can help to tailor Occupational Therapy curriculum to include sustainability more explicitly.
Key Words: Curriculum, Environment, Education, Sustainable Healthcare, Sustainability
| Scientific Session 3: Occupational Performances, Intervention and Outcomes in Musculoskeletal Occupational therapy and Ergonomics | | |
| 17. Category: Oral Presentation. Competitive | | |
Title: To Understand the Guitarist's Perspectives on Playing Related Musculoskeletal Disorder: A Qualitative Study
Authors: Cindy Mascarenhas1, Parag Adsule2
Affiliations: 1Bachelor of occupational Therapy, Goa
2Assistant Professor, Department of Occupational Therapy, Goa Medical College, Bambolim-Goa
Corresponding Authors Contact Address: House No. 189, Bairo, Polvaddo, St. Estevam, Ilhas, Tiswadi, Goa - 403106, India
Mobile: +91-9403674306
Email: [email protected]
ABSTRACT
Background: Playing-related musculoskeletal disorder (PRMSD) is common in musicians with the guitar players (83%) having the highest prevalence. Studies have revealed that the Guitarists often accept their pain as normal and continue to play, even with debilitating pain. These Musicians also believe there is a lack of specialist knowledge regarding their unique needs and performance culture. While occupational therapists typically evaluate pain, they may not be aware that Guitarists are known for playing through the pain
Objective: This study aimed to determine the discomfort experienced by guitarists while playing the guitar and the risk of developing PRMSD
Study Design: Qualitative cross-sectional descriptive study design
Methods: Ten professional guitarists (males) having an experience of playing the classical and electronic guitar for >5 years were interviewed using an unstructured qualitative questionnaire. This was followed by a descriptive analysis of the responses to the questionnaire.
Results: Ten professional guitarists (n=10) of the mean age 29 ±8 years with an average of 14 years of experience were interviewed.
From the analysis it was revealed that 90% of the Guitarists (n=9), experienced discomfort in the form of pain in the shoulder, elbow and forearm, 70% (n=7) in the wrist and hand with the highest prevalence in the right upper extremity while 40% (n=4) in the back (upper and lower).
It was also deduced that 90% (n=9) of the Guitarists attributed this cause to the infrequent rests during playing, 80% (n=8) to the duration of the rehearsals and performance, 50% (n=5) to lack of a warm-up routine and 30% (n=3) to the posture, playing technique and weight of the guitar.
90% (n=9) of the Guitarists have admitted to playing through the pain during performance Hence putting them at a risk of developing PRMSD.
Conclusion: From this interview, the Guitarists have stated their perspectives of playing without the pain and a suggestion of an intervention to alleviate the pain
Hence, there is a need for increased advocacy among occupational therapists specifically to help normalize playing without pain, highlighting the need for a comprehensive program for the prevention of PRMSD in Guitarists.
Key Words: Playing-Related Musculoskeletal Disorder, Guitarist
| 18. Category: Oral Presentation. Competitive | | |
Title: Influence of Tactile Sensitivity and Hand Dexterity Affectations on Hand Functions in Rheumatoid Arthritis: A Cross-Sectional Study
Authors: Dr. Shraddha Nadgaonkar1, Dr. Sunita Koutarapu 2, Dr. Seema Kini 3
Affiliations: 1MOTh in Musculoskeletal Sciences, O T School & Centre, TNMC and BYL Nair Charitable Hospital, Mumbai
2Assistant Professor, Department of Occupational Therapy, TNMC and BYL Nair Charitable Hospital, Mumbai
3Associate Professor- Department of Medicine & Rheumatology, TNMC and BYL Nair Charitable Hospital, Mumbai
Corresponding Author's Contact Postal Address: 115/A, Ganraj Apartment, J. R. Boricha Marg, Saatrasta, Mumbai-400011, Maharashtra, India
Mobile: +91-7021083791
Email: [email protected]
ABSTRACT
Background: Rheumatoid Arthritis (RA) is a chronic inflammatory disease, with autoimmune origin, and a still-unknown etiology, which causes progressive damage in the musculoskeletal system. The motor function undergoes changes in patients with rheumatoid arthritis. The pain and movement constraints force these patients to choose different movement strategies than their healthy counterparts. Very few studies have been done to assess tactile sensitivity and hand dexterity in RA. Hence the need was felt to conduct the study on Influence of Tactile Sensitivity and Hand dexterity affectations on Hand functions in Rheumatoid Arthritis.
Objectives: The main objective of the study was to assess Tactile Sensitivity and Hand dexterity affectations and their influence on Hand Functions in Rheumatoid Arthritis.
Study Design: It is a non-interventional, cross-sectional survey study.
Method: The survey study on 80 patients was performed. Consent was taken from the patients. Tactile sensitivity (Two point discrimination) was assessed using a Disk-Criminator. Test. Moberg Pick Up Test consists of collecting 12 objects. Both dominant and non-dominant hands with eyes open and closed were used. Michigan Hand Questionnaire was filled by patients.
Results: Statistically significant difference was seen in correlation of Tactile Sensitivity (2-PD) with Hand Functions (P value- 0.001), with Moberg Pick Up Test (P value- 0.001) and correlation of Moberg Pick Up Test with Michigan Hand Questionnaire (P value- 0.0001). All the correlations were significant at P ≤0.05.
Conclusion: We have found that the rheumatoid arthritis patients have decreased tactile sensitivity, decreased hand dexterity. This decrease in tactile sensitivity and hand dexterity influenced the performance of hand functions. Treatment for improving tactile sensitivity and hand dexterity should be part of hand rehabilitation in RA.
Key Words: Rheumatoid Arthritis, Tactile Sensitivity, Dexterity, Moberg Pick Up Test
| 19. Category: Oral Presentation. Competitive | | |
Title: Effect of Occupational Therapy Intervention in Volkmann Ischemic Contracture: A Case Report
Authors: Patkar Shreyasi1, Koutarapu Sunita2
Affiliations: 1IInd MOTH Student, OT School & Centre, T.N.M.C & BYL Nair Charitable Hospital, Mumbai, Maharashtra, India.
2Assistant Professor, OT School & Centre, T.N.M.C & BYL Nair Charitable Hospital, Mumbai, Maharashtra, India.
Corresponding Author's Contact: Postal Address: 804, 8th Floor Shree Sai Co-operative Society, R. B Chandorkar Marg, Agripada, Mumbai-400011, Maharashtra, India (Residential Address)
Mobile: +91-9821579399
Email: [email protected]
ABSTRACT
Volkmann Ischemic contracture (VIC) is the result of an untreated ischemic injury that causes muscle and nerve necrosis in the involved compartment. Established Volkmann's contracture has different presentation than acute compartment syndrome with varied deformities and muscle fibrosis. Aim of this study was to emphasize the effects of Occupational therapy treatment techniques in a case of VIC of non-dominant hand.
To aim for use of bilateral hand functioning in case of bimanual tasks. To improve maximum level of functional ability. A case of 7-year-old male child with left supracondylar humeral fracture later diagnosed as a case of VIC was initially managed conservatively by plaster cast in January 2021 later underwent Decompression of volar compartment on 6th May 2021. On assessment which was done on 1st July 2021 loss of range of motion, strength, sensation and hand functions were documented. ADL dependency was tested using WeeFIM scale. Patient also had restrictions while using affected hand for performing bimanual tasks as measured on Pediatric upper extremity motor activity log- Revised (PMAL-R). Smart goals were setup for the patient and occupational therapy intervention in form of splinting, stretching, sensory re-education, hand function and task specific activities and strengthening exercises were given and are also included in the ongoing therapy.
During the active phase of treatment reassessment was done on 22nd December 2021, in which Pain was 6/10 at baseline gradually reduced to 4/10 after therapy as evaluated on Numeric Pain Rating Scale. ADL scores on WeeFIM were improved from complete dependence to 75% independence and on PMAL-R baseline scores were 1.86 whereas after continuous therapy scores were 4.5 (Higher scores denote better use of Upper extremity). There was significant improvement seen in functioning of hand as tested on Jebsen Taylor Hand Function test (Baseline time scores in lifting small common objects and simulated feeding were 34s & 22s whereas post therapy time score was 22s and 16s). Task specific therapeutic intervention resulted in improving the level of functional ability and aided the increased use of affected hand in bimanual tasks.
Key Words: Activities of Daily Living, Bimanual Training, Occupational Therapy Intervention, Volkmann's Ischemic Contracture
| 20. Category: Oral Presentation. Competitive | | |
Title: Effect of Leap Motion Sensor-Based Activities with Dynamic Tapping on Upper Extremity Functions of Cricket Players with Rotator Cuff Injury: A Quasi-Experimental Study
Authors: Tribhuvan. S1, Dr. Arun Kumar. M2
Affiliation: 1Assistant Professor, Saveetha College of OT
2Principal, Saveetha College of OT
Corresponding Authors Contact: Tribhuvan, Assistant Professor, Saveetha College of Occupational Therapy, Thandalam, Chennai-602105, Tamil Nadu, India
Mobile: +91-9710035623
Email: [email protected]
ABSTRACT
Background: There are inherent limitation in the injury surveillance strategies in identifying the authentic burden of accidents in cricket. Rotator cuff injury is more common in cricketers because of the use of upper limbs in all aspects of the game like batting, bowling, fielding. The use of Kinesio taping along with conventional OT protocol has shown significant improvement in the shoulder movements for those who are affected with cuff injury. Dynamic tapping plays a major role in biomechanical taping. It is used and designed to control load, control movements pattern, controlling the function.
Objectives: The purpose of the study was to identify the effectiveness of leap motion sensor-based activities with dynamic tapping on upper extremity function for rotator cuff injured cricket bowlers.
Study Design: Quasi-experimental study design.
Method: 30 participants were selected based on inclusion and exclusion criteria, and were divided into two groups (control group and experimental group). The study consisted of 8 sessions and each session lasted for 45 minutes. Pre- test and post- test evaluation was administered with the Chedoke Arm and Hand Activity Inventory (CAHAI).
Result: The statistical analysis showed the significant changes in the experimental groups compare to the control group. The results of this study showed significant improvement in post-test of group which underwent taping with leap motion sensor- based activities with a mean score of 69.2 than the group which underwent taping with conventional occupational therapy which had a mean score of 61.87 (Z= -2.198 , p<0.05; CI 47 to 80).
Conclusion: Dynamic taping is a good modality for treatment but only assists the joint but does not cause a change by its own, additionally the leap motion-based activities can be incorporated to show significant improvement among participants.
Key Words: Cricket, Dynamic Tapping, Rotator Cuff Injury, Upper Extremity Function
| 21. Category: Oral Presentation. Competitive | | |
Title: Effectiveness of Shoulder Exercise Program in Cricketers with Shoulder Problem: An Interventional Study
Authors: Dr. Shrinivas Sangewar1, Dr. Sunita Koutarapu 2
Affiliations: 1MOTh in Musculoskeletal sciences, O.T. School & Centre, T.N.M.C and B.Y.L Nair Charitable Hospital, Mumbai.
2Associate professor, T.N.M.C and B.Y.L Nair Charitable Hospital, Mumbai.
Corresponding Author's Contact Postal Address: 1211, 5B, Pawan Heights, New Hindu MHADA colony, Ghodapdeo, Mumbai.
Mobile: +91-8169340334
Email: [email protected]
ABSTRACT
Background: Cricket is strictly a non-contact sport, but injuries in cricket are high and can result in number of ways. Injuries can occur while fielding, bowling where players involved in overhead throwing and batting. The shoulder problem occurs as a result of a combination of muscle fatigue imbalances, impingements, rotator cuff tendinopathy, abnormal biomechanics and scapular dyskinesia. Thus, to prevent scapular downward rotation, shoulder strengthening and stretching can be helpful to reduce the pain and prevent the injury at shoulder joint to improve performance level. There is lack of intervention strategies for shoulder problems in cricketers in the literature and the attempt is made to fill the lacuna by not only reduce pain but also prevent injury.
Objectives: This study was conducted with objective of assessing ROM, muscle power, shoulder function and scapular angle in cricket players throughout the intervention period.
Study Design: It is a Prospective, Interventional study.
Methods: In the present study, age group participated was between 18-30 years. One intervention group was formed on the basis of their response to the question. The question was 'Have you ever had shoulder problem in last 12 months that have affected you training for or playing cricket?' 21 players out of 88 gave an affirmative response and were recruited for shoulder exercise program. All these participants were evaluated at baseline using KJOC orthopaedic clinic score, strength of shoulder and scapular muscles, ROM and angle of spine of scapula. These participants then subjected to 6 week intervention program and revaluation was done on 3rd and 6th week. The data obtained in this study was calculated by obtaining chi square values using Friedman's test.
Results: No statistically significant difference was found in both muscular strength and range of motion at the end of our study. Angle of spine of scapula values shown improvement and these values were statistically significant at p < 0.05. Statistically significant difference of KJOC score at baseline, 3rd week and 6th week at 5% level of significance with p value of 0.00*.
Conclusions: Reduced angle of spine of scapula shown improvement in scapula-humeral rhythm. Increase in KJOC score shows improvement in shoulder function. We can conclude that cricketers will be benefited more if they continue the exercise program throughout the cricketing season.
Key Words: Cricket, Scapular Dyskinesia, Angle of Spine of Scapula
| 22. Category: Oral Presentation. Competitive | | |
Title: A Study to Find Out the Prevalence of Musculoskeletal Disorders in Tamarind Mandi Workers over Tamil Nadu Region: A Survey
Author: Sujata Missal
KMCH College of Occupational Therapy, Coimbatore, Tamil Nadu, India
Mobile: +91-9894167948
Email: [email protected]
ABSTRACT
Background: Work-related musculoskeletal disorders are present in a range of occupations. Employment in Tamarind Mandi requires the use of different body parts and, depending on the task, may require forceful use of the back and upper limbs. Such work often entails the handling of hammer, or forceful repetitive gripping, twisting, reaching or moving actions. This may result in higher rates of musculoskeletal disorders (MSD).
Objective: To determine the prevalence of musculoskeletal disorders specific to body region and to find out the intensity of pain. To determine the age group in which most of the workers are prone to WMSD.
Study Design: Survey
Method: 100 Tamarind Mandi workers were selected by a convenient sampling technique. Nordic Musculoskeletal questionnaire was administered by the investigator to find out the prevalence of MSD and Visual Analogue Scale was self-administered to find out the intensity of pain. The data collected was subjected to statistical analysis.
Results: During the 12-month period prevalence of work related musculoskeletal disorders was 95%. Lower back, Neck, shoulder and upper back was the most commonly reported MSD which was 84%, 83%, 81% and 81% respectively. For the intensity of pain (VAS), 63% of the population reported moderate pain and 24% of the population reported severe pain. The elderly population was more prone to MSD than younger adults.
Conclusion: Overall, this study suggests that the Tamarind Mandi workers are more prone to suffer considerably from musculoskeletal disorders. 95% of Tamarind Mandi workers have symptoms of MSD, mainly in neck, shoulder, upper back and lower back region and the prevalence of MSD increases as age increases. Key words: Tamarind Mandi workers, work related musculoskeletal disorders, intensity of pain, MSD, lower back pain, elderly population.
Key Words: Elderly Population, Intensity of Pain, Lower Back Pain, Musculoskeletal Disorders, Tamarind Mandi Workers, Work Related Musculoskeletal Disorders
| 23. Category: Oral Presentation. Competitive | | |
Title: Prevalence of High Risk Symptoms for Carpal Tunnel Syndrome among Dentist: A Cross-Sectional Study
Authors: Dr. Raghuram Pattusamy
Affiliation: Head of Department, Sri Ramachandra University, Chennai, Tamilnadu, India.
Mobile: +91-9677073853
Email: [email protected]
ABSTRACT
Background: Carpal Tunnel Syndrome is a compression neuropathy of the median nerve at the wrist. This compression caused motor and sensory changes in the involved hand. Symptomology included paraesthesia, loss of range of motion, loss of muscle strength, decreases in motor function decreases in the ability to complete Occupational performance tasks. CTS is more prevalent among individuals who practice occupations that involve monotonous and vigorous manoeuvres such as dentists.
Objective: To Estimate the Prevalence of Carpal Tunnel Syndrome Symptoms among Dentists.
Study Design: A cross-sectional study.
Method: A Cross Sectional study conducted among dentists working in Sri Ramachandra Dental Hospital, Porur. Sampling was done by Simple Random sampling. The assessment of high-risk symptoms of CTS was done by using self-administered Boston Carpal Tunnel Syndrome questionnaire. Data was analyzed using Microsoft excel. Statistical analysis was done using SPSS
Results: Among 90 dentists CTS was found to be 82.2%. Among all the individual of those who participated, the results of Functional Status Scale (FSS) wherein 20% of participants had no difficulty, 54.4% have slight difficulty, 18.9% of individuals have moderate difficulty and 6.7% have intense difficulty.
Conclusion: The findings from this study suggest that dentists professionals have a prevalence of high risks symptoms for Carpal Tunnel Syndrome with the prevalence being (82).
Key Words: Carpal Tunnel Syndrome; Clinical Dentistry; Occupational Therapy
| 24. Category: Oral Presentation. Competitive | | |
Title: Satisfaction with Upper Extremity Orthosis (SUEO): A Pilot Study
Authors: Ankita Shetye1, Shilpshree Palsule1*(corresponding), Ashwini Chauhan2
Affiliations: 1Post Graduate Student, Department of Occupational therapy, Seth GSMC & KEMH, Mumbai, India.
1*Assistant Professor, Department of Occupational Therapy, Seth GSMC & KEMH, Mumbai, India.
2 MOTH (Master in Musculoskeletal Condition), Seth GSMC and KEMH Mumbai, India.
Corresponding Authors Contact: 103, Mauli Krupa Building Sector 9, Airoli, Navi Mumbai - 400708, Maharashtra, India
Mobile: +91-9869584388
Email: [email protected]
ABSTRACT
Background: An orthosis is defined as an externally applied device used to modify the structural and functional characteristics of the neuromuscular and skeletal system.
User satisfaction is of considerable importance as an outcome measurement in evidence-based healthcare and the client-centered approach.
Objectives: Purpose: To formulate a questionnaire based on available literature for clients prescribed orthotic devices and evaluate the satisfaction and difficulty while using the same.
1. To formulate a questionnaire evaluating satisfaction and difficulty with a given hand orthosis and compare this questionnaire with existing evaluation measures, namely Quebec user evaluation of satisfaction with assistive technology (QUEST)
2. To attempt and establish scoring for the same based on the existing validated scale (QUEST)
Study Design: Cross-sectional study.
Methods: A questionnaire SUEO (satisfaction with upper extremity orthosis) scale was prepared based on existing literature and validated by experts from of Occupational therapy (OT). Final questionnaire consist of 15 items 8 (satisfaction) +7 (difficulty) domain. After ethical permission, 37 participants above 18 years of age, provided with hand splint for unilateral upper extremity impairment in OT department were recruited for the study. Patients with nerve injuries were excluded. SUEO scale with QUEST scale was administered on above patients. Responses on both scales were compared.
Results: The responses provided were analysed based on Pearson correlation test. Difficulty & satisfaction domains were negatively correlated with Pearson Correlation value of -0.229,
However was not statistically significant with P value of .172. Both the scales, namely SUEO and Quebec, had a moderate degree of correlation (with the correlation coefficient of 0.662 of satisfaction domain and -0.445 of difficulty domain) & overall correlation of both the scale was 0.439, thus stating that our scale was a valid and reliable scale for evaluation of satisfaction with upper extremity orthosis.
Conclusion: Preliminary finding of our pilot study show that the SUEO scale can be used as a method for evaluation of satisfaction & level of difficulty of use of upper extremity orthosis.
Key Words: Orthosis, Occupational Therapy, Upper Extremity, Satisfaction, Quebec
| Scientific Session 4: Exploring and Applying Novel Theories for Intervention in Individuals with Neurological Disorders | | |
| 25. Category: Oral Presentation. Competitive | | |
Title: Influence of Exteroceptive & Proprioceptive Deficits on Motor Recovery among Post-Stroke Subjects: A Cross-Sectional Study
Authors: Akshay Kumar Joshi1*, Kamal Narayan Arya2*, Shanta Pandian3*,
Affiliation: 1MOT (Neuro.), Project Technical Officer
2PhD, Lecturer (Occupational therapy)
3MOT (Neuro.), PhD. (Scholar) Lecturer (Occupational therapy)
*Pt. Deendayal Upadhyaya National Institute for Persons with Physical Disabilities, New Delhi, India.
Mobile: +91-8178648998
Email: [email protected]
ABSTRACT
Background: Post-stroke, exteroceptive & proprioceptive deficits are not uncommon. The impairments may be related to the recovery of the paretic upper limb.
Objective: To determine the association between the exteroceptive / proprioceptive deficits & the motor recovery of the affected upper limb in stroke.
Study Design: Cross-Sectional Study
Method: Settings: Neuro Rehab laboratory of a national level rehabilitation institute in a metropolitan city of northern India.
Sample size: 64
Inclusion criteria: Age: 20 to 80 years; Hemiparesis (right or left); Ischemic or haemorrhagic stroke; 1 to 12 months after the stroke onset; sensory deficit of any of the sensory modalities.
Exclusion Criteria: Complex regional pain syndrome; Diabetic or any other neuropathy; Skin disorder; Peripheral nerve injury of either of the upper limbs
Outcome Measure: Nottingham Sensory Assessment (Erasmus MC modification of the revised version) (NSA), Semmes Weinstein Monofilament (SWM), Two-Point Discrimination (2-PD), Thumb Localization test (TLT), Fugl-Meyer assessment (Upper extremity) (FMA-UE)
Intervention: Not applicable
Result: The scores of NSA, SWM and 2-PD was found to be significantly related (r = 0.76; p < 0.05) with that of the FMA- UE (wrist-hand). TLT was found to be significantly related (r = 0.63; p <0.05) with the scores of FM-UE (upper arm).
Conclusion: The exteroceptive deficits such as light touch & tactile discrimination were inversely related with the recovery of the hand dexterity; whereas the proprioceptive impairment was associated with the proximal joint control of the paretic upper limb. In view of the relation, specific intervention should be planned in any stroke rehabilitation regime.
Key Words: Cerebrovascular Accident, Dexterity, Fugl-Meyer Assessment, Hemiparesis, Light Touch, Thumb Localization
| 26. Category: Oral Presentation. Competitive | | |
Title: Recent Trends in Occupational Therapy-Specific Motor Intervention for Adults with Traumatic Brain Injury: A Scoping Review
Authors: Almeida C1, Vajaratkar VP2
Affiliations: 11st year Master of Occupational Therapy, Goa Medical College, Bambolim, Goa, India, 403202
2Deputy Coordinator Allied Health Sciences Course and Lecturer in Occupational Therapy, Department of Orthopaedic Surgery, Goa Medical College, Bambolim, Goa, India, 403202
Corresponding Author's Contact: H. No 175, Near Succoro Panchayat, Porvorim, Bardez, Goa, 403501, India
Mobile: +91-9112801284
Email: [email protected]
Award: Won Ona Vyas Award for Best Scientific Paper in Neuroscience
ABSTRACT
Background: According to the National Crime Records Bureau (2014), TBI is increasingly being recognized as a public health problem of immense proportions with the substantial burden of disability and death occurring in low and middle income countries (LMICs). Many people with traumatic brain injury (TBI) experience various degrees of motor function impairment which can have a significant impact on participation in all areas of occupation. There is scarcity of Evidence Based Occupational therapy (OT)-specific motor intervention. Before developing any intervention, it's necessary to know current literature available to support recovery of our patients.
Objective: To describe recent trends in OT specific motor interventions for adults with TBI.
Study Design: A scoping review was conducted for this study.
Methods: Arksey and O'Malley's six-stage framework for scoping reviews guided our study. A search was conducted in various databases including Cochrane Database of Systematic Reviews, and National Institute for Health and Care Excellence (NICE) & the Cumulative Index to Nursing and Allied Health Literature–CINAHL for papers published between 2015 and 2021. The search strategy was developed based on concepts and keywords used in the Population, Intervention, Comparison, Outcomes and Study design (PICOS) framework. Numerical and thematic analyses were employed.
Results: Of the 35 articles identified in the review process, 9 papers were included in the scoping review. On performing analyses, six major themes were identified which were as follows: (1) Intervention based on activities, (2) Intervention based on exercise, (3) Use of resiliency model, advanced therapy and multicomponent intervention, (4) Outcome measure for functional status, (5) Multidisciplinary team, (6) Use of adjunct therapies
Conclusion: This study has demonstrated limited evidence for OT specific motor interventions and outcome measures to show change in functional status. While there are articles on intervention for traumatic brain injury, there are still some challenges.
Key Words: Activity, Motor Intervention, Occupational Therapy, Occupational Performance, Traumatic Brain Injury
| 27. Category: Oral Presentation. Competitive | | |
Title: Comparison of Effectiveness of Neuromuscular Electrical Stimulation along with Conventional Occupational Therapy versus Conventional Occupational Therapy alone in Patients with Dysphagia: An Experimental Randomized Controlled Study
Authors: Dr. Jasmine Sheikh1, MOTh; Dr. Leena Deshpande2, MOTh, PhD
Affiliations: 1Department of Occupational Therapy, AIIMS, Nagpur, Maharashtra, India
2Associate professor OT School & Centre Government Medical College & Hospital, Nagpur, Maharashtra, India.
Corresponding Author's Contact: Postal Address: House No. 20, Opposite Shums High School, Near Nal Saheb Square, Hansapuri Road, Nagpur-440018, Maharashtra, India.
Mobile: +91-7741099328
Email: [email protected]
ABSTRACT
Background: Dysphagia is related to the change in the form of swallowing. People with neurological conditions such as Parkinson's disease, Multiple Sclerosis and Muscular Dystrophy, often have weak controlled movements. Difficulty with swallowing may have life threatening consequences & can lead to an impaired quality of life. Hence, an effort is made to compare the effect of neuromuscular electrical stimulation (NMES) along with conventional occupational therapy versus conventional occupational therapy alone in patients with dysphagia.
Objectives: To compare the effectiveness of neuromuscular electrical stimulation (NMES) along with conventional occupational therapy versus conventional occupational therapy alone in patients with dysphagia.
Study Design: An experimental randomized controlled study design.
Methods: A total of 80 patients with neurological disorders fulfilling inclusion criteria were recruited for the study. Patients in experimental group received 60 min of conventional occupational therapy along with NMES. The patients in the control group received 60 min conventional occupational therapy alone. Outcome measures were Functional Oral Intake Scale (FOIS), Dysphagia Outcome & Severity Scale (DOSS) & Swallowing Quality of Life (Swal-QoL). Follow-up assessment was performed after 4 weeks and 8 weeks of intervention.
Results: Patients analyzed in experimental group were n=32 & Control Group n=35. Significant difference between the groups was found for improvement in oral intake (SD=0.63 to 0.65; p=0.0249), dysphagia severity (SD=0.66 to 0.58, p=0.0001) & swallowing quality of life (SD=11.65 to 16.21, p=0.0001) with 95%CI value for experimental group than in Control Group. No adverse reactions to therapy were observed.
Conclusions: Neuromuscular electrical stimulation along with conventional occupational therapy found to be more effective than conventional occupational therapy alone in dysphagia.
Key Words: Conventional Occupational Therapy, Dysphagia, Diet Modifications, Neuromuscular Electrical Stimulation, Neurological Disorders
| 28. Category: Oral Presentation. Competitive | | |
Title: To Study the Effect of Ageing on Gross and Fine Motor Skills of Indian Adults Using Bruininks Motor Ability Test: A Cross-Sectional Comparative Study
Authors: Ved Prakash Gupta1; Dr. Anita Gupta2
Affiliations: 1MOTh Final year student, Department of Occupational Therapy, All India Institute of Physical Medicine and Rehabilitation (AIIPMR), Mumbai, Maharashtra, India.
2Lecturer, Department of Occupational Therapy, All India Institute of Physical Medicine and Rehabilitation (AIIPMR), Mumbai, Maharashtra, India.
Corresponding Authors Contact: Postal Address: Department of Occupational Therapy, All India Institute of Physical Medicine and Rehabilitation (AIIPMR), Haji Ali, K. Khadye Marg, Mahalaxmi, Mumbai, Maharashtra, India – 400034 (Official Address)
Mobile: +91-7869477414
Email: [email protected]
ABSTRACT
Background: BMAT is an individually administered, standardised test of gross and fine motor skills for adults. It is an adaptation of the Bruininks-Oseretsky Test of Motor Proficiency used for children. Gross and Fine Motor skills plays a crucial role in every individual throughout their life span and are considered mostly as a component of physical function. The purpose of this study is to compare the fine motor integration, manual dexterity, co-ordination, balance & Mobility and strength and flexibility among different age groups and either gender of ageing population.
Objective: 1. To assess the Gross and Fine Motor ability skills like Fine Motor Integration, Manual Dexterity, Coordination, Balance and Mobility, Strength and Flexibility on BMAT in Indian adults of Aging 50 years and above.
2. To compare the age-related changes in their performance of adults ageing 50 years and above.
3. To compare the performance of males and females in this population using BMAT.
Study Design: Cross-sectional comparative study
Methods: Approval of the Institutional Ethics Committee has taken before starting this study. Adult population working in the institute or care-taker coming along with patients were included in this study after taking their consent. One-time assessment was done for fine motor skills, manual dexterity, co-ordination, balance & mobility, strength and flexibility using BMAT and the scores were recorded.
Statistical Analysis was done to compare their age-wise performance and gender-wise performance.
Results: There is a significant difference (decline) in their Motor ability skills as people become older after 50 years.
Conclusion: BMAT is a good assessment tool to identify the motor ability skills in adults of 50 years above. Occupational Therapy intervention should be planned keeping into account the decline in performance in this age group.
Key Words: Bruininks-Motor Ability Test, Gross and Fine Motor Skills
| 29. Category: Oral Presentation. Competitive | | |
Title: A Survey Study on Bathroom/Toilet Aids Availability in Homes of Geriatric Population and Its Relation to Their Safety and Fall Prevention: A Qualitative Study
Authors: Sai Dharsan.R1, Sakthi Srija.S2
Affiliations: 1Junior Occupational Therapist, KMCH College of Occupational Therapy, Coimbatore, Tamil Nadu, India.
2Assistant Professor, KMCH College of Occupational Therapy, Coimbatore, Tamilnadu, India.
Corresponding Author's Contact: Postal Address: Lara Ladies Hostel, Thirunavukarasu Nagar, Kuniamutur, Coimbatore-641008, Tamil Nadu, India
Mobile: +91-8870017738
Email: [email protected]
ABSTRACT
Background: Aging is a universal and inevitable phenomenon of the life. Fall is a common problem faced by Geriatric population and is a significant cause for increase in morbidity and mortality rate. Bathing and toileting are considered as highest risk among home activity. Bathroom adaptations have been identified as an important environmental and prevention for older adults which may improve health and quality of life.
Objective: To find the availability of bathroom/toilet aids and to determine the safe and unsafe bathroom/ toilet environment in geriatric homes and the importance of bathroom/ toilet aids in relation to fall prevention and safety.
Study Design: Qualitative study
Methods: Institutional & Individual homes were screened in and around Coimbatore city and a total of 30 homes were selected. The Home Safety Self-Assessment Tool (HSSAT) was administered to identify the availability of Bathroom/ Toilet Aids and the hazards were assessed and the participants were suggested for action log that is the actions taken to prevent falls in their homes.
Results: Data analysis reveals that the bathroom of both individual and Institutional homes had unsafe zones such as presence of slippery area and clutters (50% & 35%) low heights of toilet seat with no gab bars was (55%) respectively suggesting the lack of awareness about bathroom/toilet aids. Through the action-log most of the individual and institutional homes identified their problems and start resolving.
Conclusion: Institutional homes have some awareness about bathroom/toilet aids whereas individual homes are unaware about the availability of aids. Both the homes were ready to make the necessary modifications required to have a safe zone for the elderly to carry out their bathing and toileting activity thereby prevent falling and improving independence.
Key Words: Aging, Architectural Barriers, Bathroom Aids, Fall Prevention, Geriatric Population, Safety Measure, Toilet Aids
| 30. Category: Oral Presentation. Competitive | | |
Title: Effect of Conventional Weight Shifting to Improve Dynamic Balance in Geriatric Population: A Quasi-Experimental Study
Authors: Dr. P. Punitha1, Dr. M. Arun Kumar2
Affiliations: 1. Assistant Professor, Saveetha College of Occupational Therapy, 2. Principal, Saveetha College of Occupational Therapy
Corresponding Authors Contact Address: P. Punitha, Assistant Professor, Saveetha College of Occupational Therapy, Thandalam, Chennai – 602105, Tamil Nadu, India
Mobile: +91-7299733924
Email: [email protected]
ABSTRACT
Background: Dynamic balance is defined as the ability to maintain stability during weight shifting, often while changing the base of support. The ability to control balance deteriorates with age as a result of alternations in the vestibular, visual, somatosensory, musculoskeletal, and central nervous systems. As a consequence, many people in the elderly population show impairments in stability and balance and thus are subjected to a risk of falling in both static and dynamic situations.
Objectives: To identify the level of dynamic balance among geriatric population and to identify the effect of conventional weight shifting in improving dynamic balance.
Study Design: A quasi- experimental design with convenient sampling.
Method: 30 participants were selected based on inclusion and exclusion criteria. 15 members were conveniently assigned to both control and experimental group. Control group received conventional occupational Therapy program. The experimental group received conventional weight shifting program along with conventional occupational therapy. 48 sessions were conducted, 3 sessions per week was conducted with each session conducted for 45 minutes. Outcome measure was assessed using Berg Balance Scale.
Result: The results suggested that conventional occupational therapy treatment was significant (Z=-2.00; P<0.05, 95%CI: 10 to 27). Also, the conventional weight shifting intervention received by the experimental group was significant (Z=-3.424; P<0.05, 95%CI: 13 to 31). The statistical analysis showed that there is a significant change in experimental group when compared to control group (Z=-3.4843; P<0.05, 95%CI: 13 to 31).
Conclusion: The findings of this study concluded that conventional weight shifting along with conventional occupational therapy was more effective in improving balance and prevents falls in the elderly population.
Key Words: Balance, Falling, Conventional Weight Shifting, Geriatric Population
| 31. Oral Presentations. Non-Competitive | | |
Title: Biomarkers to Capture Recovery Process in Stroke Rehabilitation: A Review
Authors: Kamal Narayan Arya1*, Shanta Pandian2*, Akshay Kumar Joshi3*
Affiliation: 1PhD, Lecturer (Occupational therapy)
2MOT (Neuro.), PhD (Scholar), Lecturer (Occupational therapy)
3MOT (Neuro.), Project Technical Officer
*Pt. Deendayal Upadhyaya National Institute for Persons with Physical Disabilities, New Delhi, India.
Corresponding Authors Address: Dr. Kamal Narayan Arya, PhD, Lecturer (Occupational therapy), Pt. Deendayal Upadhyaya National Institute for Persons with Physical Disabilities, New Delhi - 110002, India
Mobile: +91-98998 97408
Email: [email protected]
ABSTRACT
Background: Biomarkers are biological indicators of disease status or recovery process or response to an intervention. The evaluation of biomarkers may provide valid information for research and clinical practices in stroke rehabilitation. However, there is dearth of investigational and translational application in the field.
Objective: To provide an overview of the role of biomarkers in recovery process among post-stroke subjects
Study Design: Review (Non-Systematic)
Method: Data Sources: The following databases were utilized: PubMed, Cochrane, Scholar Google, OTseeker and PEDro, DORIS. The primary keywords used were: (Biomarkers) AND (Stroke Rehabilitation).
Data Synthesis: The selected publications were assessed for quality and important finding were extracted, summarized and interlinked.
Result: Various types of biomarkers such as screening, diagnostic, prognostic, and predictive are used in determining the motor recovery. Cerebral blood flow, blood derived neurotrophic factor (BDNF), γ-aminobutyric acid (GABA), blood oxygen-level-dependent signal (using fMRI), corticospinal tract integrity (using diffusion tensor integrity) and motor evoked potential (using transcranial magnetic stimulation) are some of the biomarkers widely investigated for the post-stroke motor recovery process as well as interventions. The biomarkers for somatosensory and cognitive domains are lacking. The physiological and neuroimaging biomarkers provide clinically useful information regarding recovery potential of a stroke individual. Further, the knowledge is supportive in understanding the response of a particular stroke rehabilitation regime.
Conclusion: There is an intense need to utilize biomarkers in stroke rehabilitation, especially in developing countries. Use of biomarkers may be helpful in choosing subject-specific rehabilitation as well as in selection of subjects in trials.
Key Words: Cerebrovascular Accident, Hemiparesis, Motor, Somatosensory, Outcome Measure
| 32. Oral Presentation. Non-Competitive | | |
Title: Application of Recent Motor Control and Learning Theories in Stroke Rehabilitation: A Review
Authors: Shanta Pandian1, R. K. Sharma2, Kamal Narayan Arya3, Akshay Joshi4
Affiliation: 1PhD Scholar (SMC, Ghaziabad) Lecturer OT (PDUNIPPD, New Delhi),
2Dean & Professor OT (SMC, Ghaziabad),
3Lecturer (MOT, PhD) (PDUNIPPD, New Delhi),
4Project Technical Officer (MOT) (PDUNIPPD, New Delhi),
Corresponding Authors Contact Address: Lecturer OT, PDUNIPPD, 4 Vishnu Digamber Marg, New Delhi-110002, India
Mobile: +91-99712 89482
Email: [email protected]
ABSTRACT
Background: Motor learning and control are the most recurrently used terms in the field of neuroscience. The concepts has been debated and applied for traditional and contemporary approaches in stroke management. Recent theories suggest that post stroke subjects can definitely improve with practice of specific motor tasks.1
Objectives: The objective of the study was to review the application of recent motor control and motor learning theories in stroke rehabilitation.
Study Design: A review
Methods: We searched the articles from Google Scholar, MEDLINE, PubMed and Cochrane published during the last 10 years. The research articles of systematic, non-systematic reviews, RCT, non-RCT, single- group deigns, and correlation and analytical design were included in this review. Selection Criteria: The studies which considered the application of motor control and motor learning
Results: As per the selection criteria, 25 studies were included for this review. From the above explained concept, it is obvious that no motor activity is possible without the application of motor learning and control principles.2 The concept has been applied among the contemporary approaches, but in some of the interventions it is not well elaborated. Additionally, it is also strongly evident that activity based intervention is most beneficial for stroke management. Learning of skilled motor actions are most prevalent example of brain motor learning e.g. typing, writing. Sequence of motor activity might look difficult at first attempt, after practice it can be performed effortlessly. Complex motor skill comprised of sequence of voluntary muscle actions. Among post stroke subjects voluntary motor functions are lost, training of sequence of motor actions has to be taught.
Conclusion: Understanding and implementation of recent theories in motor rehabilitation of stroke subjects is a crucial steps for successful the management. The existing regimes should be considered in view of the new concepts as well as innovative techniques may be developed in future studies.
Key Words: Hemiparesis, Stroke, Intervention, Motor Learning, Motor Control, Voluntary Motor Control
| Scientific Session 5: Skill Assessment and Acquisition: Linking Occupational Performances and Developmental Disorders | | |
| 33. Category: Oral Presentation. Competitive | | |
Title: Improve Balance through Foot Hopscotch Activity in Children with Developmental Delay: A Quasi-Experimental Study
Authors: Dr. M. Arun Kumar1, Dr. P. Punitha2
Affiliations: 1Principal, Saveetha College of Occupational Therapy
2Assistant Professor, Saveetha College of Occupational Therapy
Corresponding Authors Contact Address: Dr. M. Arun Kumar
Principal, Saveetha College of Occupational Therapy, 6th Floor, Health Sciences Block
Saveetha Medical College and Hospital, Saveetha University, Thandalam (Near Queens Land), Chennai- 602105
Mobile: +91-9841544004
Email: [email protected]
ABSTRACT
Background: To determine the effect of foot hopscotch activities in improving balance among children with developmental delay.
Objectives: To identify the effect of hopscotch activities to improve balance in Children with developmental delay.
Study Design: Quasi-experimental design.
Method: A total of 30 developmental delay children having problem in walking with balance were selected for the study. The Paediatric balance scale was used for pre and post-test score. 15 children have received hopscotch activities who were in the experimental group and 15 children were given conventional occupational therapy intervention in the control group. After three months of intervention, the post-test evaluation was done for both groups and the scores were calculated and results analyzed.
Results: The mean value of the control group is 33.0667 and the mean value of the experimental group is 46.1333 and the P value is 0.0000 which is less than 0.05 (CI 22 to 51) hence alternative hypothesis is accepted. There is a statistically highly significant difference in post-test scores of experimental group. This showed that the hopscotch activity obtained by the experimental group participants were more effective in balance when compared to control group participants
Conclusion: In future, hopscotch activities can be incorporated with conventional occupational therapy programs to get a better outcome to improve balance skills.
Key Words: Balance, Footprint, Hopscotch Activity
| 34. Category: Oral Presentation. Competitive | | |
Title: Current Occupational Therapy and Physiotherapy Services for Children with Cerebral Palsy: Focus and Gaps: A Cross Sectional Study
Authors: Sujata Missal
Affiliations: KMCH College of Occupational Therapy, Coimbatore, Tamil Nadu, India
Corresponding Authors' Contact: Department of Occupational Therapy, KMCH, Avinashi Road, Coimbatore - 641014, Tamil Nadu, India
Mobile: +91-9894167948
Email: [email protected]
ABSTRACT
Background: Cerebral Palsy (CP) is a common cause of chronic childhood disability and constitutes a substantial portion of paediatric occupational therapy (OT) and physical therapy (PT) practices. An analysis of current rehabilitation practices is necessary to improve the currently used treatment methods and use more recent and evidence-based modalities. This study intends to explore the current rehabilitation trends in assessing and planning interventions for children with CP and finding the focus and gaps in treatment.
Objective: To describe the focus of therapy practices in OT and PT for children with cerebral palsy, and better understand whether it is congruent with recommended practices.
Study Design: Cross-sectional
Methods: An India-wide Web-based survey was completed by 50 occupational and 12 physical therapists to identify assessments, and treatment interventions based on their clinical practice. Data were coded using the International Classification of Functioning, Disability and Health (ICF) definitions for “body functions and structure,” “activity and participation,” and “environment.”
Results: Both professions focused on “activity and participation” when assessing, and intervening (71.09%); attention, however, was mainly directed towards task-oriented activities such as activities of daily living and mobility. Participation in leisure or community-based activities received comparatively less but significant attention (~56.5%). The environment received limited attention for assessments, though it was an important focus of intervention
Conclusion: While body functions and structure are well-addressed, other ICF elements, specifically participation, are poorly integrated into practice. The emerging focus on the environment in therapy intervention, by modifying the context rather than changing aspects of the child, is consistent with current approaches and evidence. Knowledge translation implementation initiatives are recommended to bridge identified gaps.
Key Words: Cerebral Palsy, Focus of Intervention, Occupational Therapy, Physical Therapy
| 35. Category: Oral Presentation. Competitive | | |
Title: Effectiveness of Praxis Engram Motor Skill Training on School Task Performance among Children with Developmental Coordination Disorder: A Randomized Controlled Trial
Authors: Naresh Babu K1, Ramakrishnan M2, Ilavajagan R3, Gokul S4
Affiliations: 1Lecturer Occupational Therapy, NIEPMD, Tamil Nadu
2Junior Occupational Therapist, JIPMER, Puducherry
3Director, Arisjuvady Mental Health Center, Puducherry
4Tutor Occupational Therapy, NIEPMD, Tamil Nadu
Corresponding Author's Contact: No. 14, Senthamarai Nagar, Kamarajar Street, Puducherry-605003, India
Mobile: +91-9881121840
Email: [email protected]
ABSTRACT
Background: Children with Developmental Coordination Disorder have praxis difficulties in performing activities of daily living. A motor engram or memory trace is a set of instructions to provide an idea to perform an action.
Objectives: To study the effect of Praxis Engram Motor Skill Training on School Task Performance among DCD Children from 6-12 years.
Study Design: Randomized Controlled Trial
Methods: Forty Eight Children (aged 6-12 years) diagnosed with developmental coordination disorder, were randomly assigned to experimental group to control group after screening with DCD questionnaire on first visit at both centers at Puducherry and Chennai. The clients were assessed prior to therapy and at weekly intervals for a period of eight months. During screening itself informed consent been taken from the caregivers. Clients in experimental group received praxis engram motor skill training for twice in a week along with conventional occupational therapy for three days in a week, whereas clients in control group received only conventional occupational therapy for three days in a week. The outcome measure was School Assessment of Motor and Process skill (School AMPS).
Results: Clients analyzed in experimental group were n=24 and control group were n=24, both the groups showed improvement in school task performance for experimental group Vs control group as 57.67 ± 7.078 Vs 54.87 ± 6.186 (P<.05, 95%CI: 47.45 to 58.96), however, the experimental group showed significant improvement in process skills of school task performance. The differences in both motor and process skills were significant between the groups for experimental and control group 67.27 ± 9.610 Vs 56.7 ± 5.882 (P<.05, 95%CI: 52.33 to 62.56).
Conclusions: Praxis Engram Motor Skill training is beneficial as an adjunct to conventional occupational therapy among DCD children in school task performance.
Key Words: Developmental Coordination Disorder, Motor Skills, Praxis Engram
| 36. Category: Oral Presentation. Competitive | | |
Title: To Correlate Visual Perception and Gross Motor Function with Activities of Daily Living in Cerebral Palsy Age 5-10 Years: A Cross Sectional Observational Study
Authors: Dr. Divyakumari V. Ughade 1, Dr. Pratibha M. Vaidya 2
Affiliation: 1MOTh in Developmental Disabilities, O.T. School & Centre, T.N.M.C and B.Y.L Nair Charitable Hospital, Mumbai.
2Associate Professor and In Charge, OT School and Centre, T.N Medical College and B.Y.L Nair Charitable Hospital, Mumbai 400008.
Contact Details: Pratibha M. Vaidya
E/10 Pranam Society, 513 Shimpoli Link Road, Chikuwadi, Borivali (w), Mumbai-400092
Mobile: +91- 9821536404
Email: [email protected]
Award: Won AIOTA Award for Best Scientific Paper in Paediatrics
ABSTRACT
Background: Neurological deficits present in a child with Cerebral palsy affect their motor functions and there by activities of daily living and social function. Visual Perception provides connection to our environment & play an important role to continue our daily lives. Thus, it is essential to evaluate the factor which affects the performance of ADL in Cerebral Palsy.
Objectives: In this study an effort has been made to find the correlation between visual perception and gross motor function with activities of daily living in children with cerebral palsy.
Study Design: Cross sectional observational study
Methods: In this cross sectional observational study 60 children age 5 to 10 years diagnosed as spastic and dyskinetic cerebral palsy and those children in level 1, 2 and 3 of GMFCS and MACS were included in this study Consent form was signed by the parents. These children were evaluated using GMFM, TVPS and Wee FIM to assess gross motor function, visual perception and ADL respectively. The scores of GMFM and TVPS were correlated with the scores of Wee FIM.
Results: Pearson's Correlation Coefficient was used. Total GMFM score (95% CI = 71.2 ± 3.21) significantly correlated with Cognition component of Wee FIM (P=0.03) (P≤0.05). Total Wee FIM score (95% CI = 73.7 ± 3.25) significantly correlated with walking, running and jumping component of GMFM. (P=0.02) (P≤0.05). Positive correlation was not established between TVPS (95% CI = 83.40 ± 2.45) and Wee FIM (P=0.928) (P≤0.05).
Conclusion: On examining the correlation between GMFM and ADL in children with Cerebral palsy there was significant correlation between GMFM and Wee FIM in all categories except self-care
Key Words: Cerebral Palsy, Gross Motor Function, Visual Perceptual Skills, Wee FIM
| 37. Category: Oral Presentation. Competitive | | |
Title: Comparison of Handwriting Speed among Typically Developing Indian Children from Different Types of Study Mediums of Education: An Analytical Observational Study
Authors: Dr. Sushmita Ahirwal1, Dr. Anita Gupta2
Affiliations: 1.Assistant Professor in MGUMST, Jaipur Rajasthan,
2. H.O.D, Occupational Therapy, AIIPMR, Mumbai.
Mobile: +91-7869522820
Email: [email protected]
ABSTRACT
Background: The progression of handwriting abilities is a necessary component for success in school for every child. Children spend 31%–60% of their school day writing by hand and performing other fine motor tasks. Difficulties in these skills can adversely affect academic achievement, and the ramifications for academic performance have been thoroughly documented. (1) According to research, in handwriting, cognitive processes and perceptual motor processes continuously interact with each other. If a child is having deficiency in both cognitive and perceptual function child is likely to have following difficulties such as poor quality or slow speed, difficulties in copying text, difficulties in formation of letters etc.(2)
Objectives: To compare Handwriting speed of Indian children with different medium of their education (Vernacular vs. non-vernacular).
Study Design: Analytical observational study
Methods: A sample of 200 children both males and females were included in the study using convenience sampling method. Inclusion criteria- Ability to write in English, Children who were studying in English medium school or non-English medium (vernacular) school. Either gender. Age group: 6 to 9 years. Exclusion criteria: Children with: Any developmental disability with or without associated structural abnormality in child's hand which is used for writing. Independent sample t- test was done to compare the mean raw score of each group. All selected subject's record forms best responses will be evaluated using ETCH-M (The Evaluation Tool of Children's Handwriting). There was a significant difference with statistical value of P< 0.001.
Results: In this study, an independent sample t test shows that there is a significant difference in speed in Lower Case Letter (P=0.00), Upper Case Letter (P=0.00), Numeral writing (P=0.00), Far point copying (P=0.01), and sentence composition (P=0.00) between English and non- English medium students. There is no significant difference in between the groups in near point copying (P=0.12).
Conclusion: In this study, children found difficulty in near point copying as they were slow in speed both reading and writing.
Key Words: Handwriting, Speed, Vernacular Medium
| 38. Category: Oral Presentation. Competitive | | |
Title: Developing and Determining the Content Validity of Handbook on Occupational Therapy Strategies for Dressing Skills: A Guide for Parents of Children with Special Needs: A Methodological Study
Authors: Anakha Pisharody1, Sugi Sowmian2
Affiliation: 1,2KMCH College of Occupational Therapy, Coimbatore, Tamil Nadu, India
Mobile: +91-9443044020
Email: [email protected]
ABSTRACT
Background: Dressing skill is one of the self-care skills required for children to function independently. Inability to participate due to skill deficits may lead to social isolation and reduced self-esteem. Thus, intervention to promote independence in dressing skills is important.
Objective: To develop and find content validity of the Handbook on Occupational therapy strategies for dressing skills- a guide for parents of children with special needs.
Study Design: Methodological study
Methods: A methodological study was conducted in two phases: developing a Handbook on occupational therapy strategies for dressing skills: a guide for parents of children with special needs and content validation of it. Development of Handbook involved content development and handbook designing, and its content validation was done by nine panel experts and six target populations.
Results: The content validation of the handbook was done by a panel of experts in which the item content validity index (I-CVI) scores ranged from 0.78-1. By average approach, the S-CVI/Av was 0.93. By Universal agreement approach, the S-CVI/UA was 0.5. Kappa statistic co-efficient (k) ranged from 0.76-1, and its average was 0.93. Then, the content validation of the handbook was done by the target population in which the item content validity index (I-CVI) scores were 1. By average approach, the S-CVI/Av was 1. By Universal agreement approach, the S-CVI/UA was 1. Kappa statistic co-efficient (k) was 1, and its average was 1. These scores indicated that the handbook has excellent content validity.
Conclusion: The study concluded that the prepared Handbook on Occupational therapy strategies for dressing skills among children with special needs has adequate content validity. Hence, it can be used as an appropriate parent guide to train dressing skills among their children.
Key Words: Occupational Therapy Strategies, Children with Special Needs, Dressing Skills, Parent Guide, Content Validity
| 39. Category: Oral Presentation. Competitive | | |
Title: A Study to Assess Performance of Typically Developing Indian Children Aged Between 9-16 Years on Detailed Assessment of Speed of Handwriting Test: An Observational Study
Authors: Waseema Khan1, Dr. Anita Gupta2
Affiliations: 1 MOTh 2nd year student, Department of Occupational therapy, All India Institute of Physical Medicine and Rehabilitation (AIIPMR), Mumbai, Maharashtra, India.
2 Lecturer, Department of Occupational therapy, All India Institute of Physical Medicine and Rehabilitation (AIIPMR), Mumbai, Maharashtra, India.
Corresponding Authors Contact: Postal Address: Corresponding Author's Contact: Postal Address: All India Institute of Physical Medicine and Rehabilitation (AIIPMR), Haji Ali, K. Khadye Marg, Mahalaxmi, Mumbai-400034, Maharashtra, India.
Mobile: +91-9137301205
Email: [email protected]
ABSTRACT
Background: Detailed Assessment of Speed of Handwriting Test (DASH) is a standardised test which can be administered individually or in groups. It is comprised of 5 tasks that assist to analyse different aspects of the skill of handwriting speed. Handwriting is a complex skill which is important for a child's competency at school. In past few studies, students have scored more than its normative sample because of cross-cultural differences and other factors. Hence, this study was done with the purpose to get a preliminary data on performance of typically developing Indian children on DASH.
Objective: To assess performance of typically developing Indian children aged 9-16 years on 5 tasks of DASH: copy best, alphabet writing, copy fast, graphic speed and free writing. To compare performance of typically developing Indian children with the original normative sample of DASH. To explore gender differences in typically developing Indian children on performance of DASH.
Study Design: Observational study
Methods: Approval of the Institutional Ethics Committee has taken before starting this study. Typically developing Indian children aged between 9-16 years are included in this study after taking their parent's consent. It is one time evaluation done either individually or in groups and the scores are recorded. Statistical Analysis will be done to compare their performance with the original normative sample and across gender.
Results: There is difference between performances of typically developing Indian children from original normative data and also gender differences exist, because of different cultural and educational environment.
Conclusion: DASH is an easily administered test to identify handwriting impairments, but a large normative data is required for its applicability in Indian population.
Key Words: Assessment, Children, Detailed Assessment of Speed of Handwriting Test, Handwriting
| Scientific Session 6: Making Sense of Senses: Occupational Therapy Innovations, Strategies and Outcomes in Children with Developmental Disorders | | |
| 40. Category: Oral Presentation. Competitive | | |
Title: Effect of Visual Sequencing Activities to Improve Academic Performance in Children with Learning Disability: A Quasi-Experimental Study
Authors: Dr. M. Arun Kumar1, Dr. S. Nithiya2
Affiliations: 1Principal in Saveetha College of Occupational Therapy, SIMATS,
2Tutor, Saveetha College of Occupational Therapy, SIMATS
Corresponding Author's Contact: Dr. M. Arun Kumar, Principal, Saveetha College of Occupational Therapy, 6th floor, Health Sciences Block, Saveetha Medical College and Hospital, Saveetha University, Thandalam (Near Queens Land), Chennai- 602105, Tamil Nadu, India
Mobile: +91-9841544004
Email: [email protected]
ABSTRACT
Background: Learning disability is a neurological condition which affects the brain's ability to send, receive, and process information. A child with a learning disability may have difficulties in reading, writing, speaking, listening, understanding mathematical concepts, and with general comprehension.
Objective: To identify the effect of visual sequencing activities to improve academic performance in children with learning disability.
Study Design: The study is quantitative research with quasi-experimental design.
Methods: Thirty (30) subjects were selected based on the selection criteria. 15 subjects were in control group and 15 subjects in experimental group. The control group underwent conventional occupational Therapy. The experimental group underwent visual sequencing interventions. Intervention was done for 3 Days in a week, 4 months, The pre-test and post-test was assessed by academic performance rating scale. The Mann Whitney U test and Wilcoxon test were used to analyse the data.
Results: Children analysed in experimental group were n=15 and control group were n=15. The results showed a statistically significantly difference between the groups for Academic Performance Rating Scale with mean score of 36.8 in control group and with mean score of 59.2 in experimental group (P=0.0000, Z=-4.6455; CI value23 to 68). Statistical analysis showed significant changes in experimental group after receiving visual sequencing activity training.
Conclusions: The results suggest that the visual sequencing activities can be used as an effective intervention to improve the academic performance in children with learning disability.
Key Words: Academic Performance, Learning Disability, Visual Sequencing Activities
| 41. Category: Oral Presentation. Competitive | | |
Title: Effect of Complementary Structured Behavior Modification Intervention to Conventional Occupational Therapy in Children with Attention Deficit Hyperactivity Disorder: A Comparative Study
Authors: Dr. Manasi S. Kadam1, Dr. Pratibha M. Vaidya2
Affiliations: 1. MOTh Developmental Disabilities, O.T. School & Centre, T.N.M.C and B.Y.L Nair Charitable Hospital, Mumbai.
2. Associate Professor and In Charge, OT School and Centre, T.N Medical College and B.Y.L Nair Charitable Hospital, Mumbai 400008
Postal Address; E/10 Pranam Society, 513 Shimpoli Link Road, Chikuwadi, Borivali West, Mumbai-400092, Maharashtra, India
Mobile: +91- 9821536404
Email: [email protected]
ABSTRACT
Background: Attention Deficit Hyperactivity Disorder (ADHD) is a mental and neurobehavioral disorder which is typically seen in early school years. It is characterized by difficulty in inattention, hyperactivity or impulsiveness or a combination of the two. These children are restless, acts impulsively and lacks focus which in turn affects their ability to learn properly. These children face difficulty in completing task with ease and therefore tends to avoid repetitive and boring task. With such type of tasks, ADHD child may throw a tantrum or show defiant behaviour. Conventional Occupational Therapy focuses on components like cognition, motor performance, sensory processing, and play. Behavioural therapies play a major role in long term improvement of organizational skills and executive functions. Therefore, in this study behaviour modification strategy is used in ADHD children to see its effect on improving behaviour like inattention and hyperactivity.
Objective: To compare the effect of Structured Behaviour Modification Intervention to Conventional Occupational Therapy in improving Hyperactivity and Inattention in children with ADHD.
Study Design: Interventional, comparative, analytical and prospective study.
Methods: In this study 30 ADHD children 8 to 10 years were included based on inclusion criteria. They were equally divided into two groups, Group 1 received Conventional Occupational Therapy and Group 2 received Structured Behaviour Modification Intervention along with Conventional Occupational Therapy. Children from both the groups were evaluated on Conner's 3 TM: Parent Short version at the beginning and post therapy. Conventional Therapy was based on sensory integration, neuro developmental approaches. Structured behaviour modification included praising, modelling, time out, simulation, point programme, visual schedules, shaping, and positive reinforcement. Therapy for both the groups was for 45 mins, twice a week for a period of 8 weeks.
Result: Statistically significant difference was seen in subtypes of Inattention (P value- 0.005), Hyperactivity (P value- 0.05) and peer relation (P value- 0.001), on comparing the values between control group and experimental group from baseline to post 8 weeks of therapy session at P ≤ 0.05 with 95% Confidence Interval.
Conclusion: Structured behaviour modification intervention was effective in improving inattention and hyperactivity in children with ADHD.
Key Words: Attention Deficit Hyperactivity Disorder, Behaviour Modification Treatment, Conner's 3 TM
| 42. Category: Oral Presentation. Competitive | | |
Title: Systematic Review on Multisensory Intervention in Preterm Infants in Neonatal Intensive Care Unit: A Qualitative Study
Authors: V. Shrinithi1, Sujata Missal2
Affiliations: 1. MOT 2nd year student, KMCH College of Occupational Therapy
2. Principal, KMCH College of Occupational therapy, Coimbatore, Tamil Nadu, India
Corresponding Authors Contact: Postal Address: 24, Raj Kannan Garden, Nehru Nagar, Coimbatore - 641048 Tamil Nadu, India.
Mobile: +91-9698831747
Email: [email protected]
ABSTRACT
Background: Preterm infants are at risk for sensory deprivation during their stay in the neonatal intensive care unit. This level of sensory exposure is very much essential for motor, cognitive, perceptual, social development.
Objective: To examine the evidence of articles on the effectiveness of multisensory stimulation in preterm infants in the neonatal intensive care unit.
Study Design: Qualitative Study
Methods: This systematic review follows PRISMA guidelines. The searches were undertaken in relevant search engines and data sources such as MEDLINE, PubMed, Cochrane Library, and Google scholar, OT seeker. Studies were identified that used sensory-based interventions in the NICU with preterm infants born ≤32 weeks' gestation, published between 2010 and 2021, and measured outcomes related to infant and parent outcomes. All papers were assessed for methodological quality by the Downs and Black checklist.
Results: 195 articles were identified, out of which only ten articles met the eligibility criteria. Out of the 10 articles, 3 articles were on oral feeding, 1 was on weight gain, 1 was on neuromuscular development, and 5 were on pain reduction. Out of the 10 RCTs identified, 7 studies were of good, 3 studies were of fair quality evidence.
Conclusion: This systematic review concludes that there is a growing body of evidence in multisensory stimulation in preterm infants. Reviewed articles can be collated and incorporated into occupational therapy intervention to improve the relevant outcomes in preterm infants in NICU.
Key Words: Preterm Infants, Multisensory Stimulation, Neurodevelopmental Outcomes
| 43. Category: Oral Presentation. Competitive | | |
Title: Association of Screen-Time, Sleep Behavior& Behavior in Indian School Children: A Cross-Sectional Study
Authors: Yashvi Faria1, Pratibha Vaidya2 (Corresponding Author), Princy Thekkepurayil3.
Affiliations: 1.Postgraduation Student of Occupational Therapy, TN Medical College & BYL Nair Ch. Hospital. 2. Associate Professor and In-charge, Department of Occupational Therapy, Topiwala National Medical College & BYL Nair Ch. Hospital. 3. Post-graduation Student of Occupational Therapy, TN Medical College & BYL Nair Ch. Hospital.
Corresponding Author's Contact: 34, Sarvonnati Society, Hansoti Lane, Cama Lane Corner, Ghatkopar West, Mumbai-400086, Maharashtra, India
Mobile: +91-9821536404
Mobile: +91-9930622005
Email: [email protected]
ABSTRACT
Background: Children's time spent in front of screens continues to increase. Parents, health care professionals, educators, and researchers are concerned about this pervasive sedentary behaviour affecting young people's well-being. Increased screen time has also been positively associated with sleep problems, unfavourable behavioural conduct and lower fitness. The escalated duration of screen exposure; delay in bedtime and rise time causes more disruption in sleep behavior. This is also associated with an increased risk of learning and behavioural problems. There has been many attempts to study the relation between children's sleep duration and behavior with screen time. Hence, this study is to find an association between screen time and changes in sleep behaviours and behaviours.
Objective: To study the associations of screen time with sleep behaviours and behaviours in typically developing school going children.
Study Design: Cross-sectional survey design.
Methods: Online Questionnaires based survey was conducted to understand the correlation between screen time, sleep behaviours and behaviours in typically developing school going children age 6 to 16 years. The questionnaires included in the survey were Screen Q, Children Sleep Habit Questionnaire and Corner's Scale. These questionnaires were administered on 74 parents of typically developing children who were well versed in English language and use of Smartphone. Consent was taken from the parents. Questionnaires were sent through email or WhatsApp messages as Google forms to 74 parents, out of which 55 responses were received. Total 51 responses were included in the study which was analyzed to find association of screen time with sleep behaviours and behaviours in typically developing children.
Results: The average time spent on screen by typically developing children per week was 17.54 hrs. The average scores obtained on Children Sleep Habit Questionnaire was 57.82. The Pearson's Correlation(r) value was found to be -0.108284 between the associations of screen time with sleep behaviours. The Pearson correlation(r) between screen-time with inattention was 0.223920, with hyperactivity was 0.063886, with defiance was -0.028944, with peer relations was 0.044821, and with executive functions was 0.704613.
Conclusion: Therefore, it can be concluded that there is no correlation between screen time use and sleep behaviours and also between screen time with behaviours like inattention, hyperactivity, defiance and peer relations. There seem to be moderate correlation between screen-time with executive functions.
Key Words: Behaviours, Screen Time, Sleep Behaviours, Typically Developing School Children
| 44. Category: Oral Presentation. Competitive | | |
Title: Developing and Determining Content Validity of Occupational Therapy Handbook: A Parent Guide on School Readiness for Pre-Schoolers with Autism Spectrum Disorder: A Methodological Study
Authors: Lakshmipriya P, 1 Sujata Missal, 2
Affiliations: KMCH College of Occupational Therapy, Coimbatore, Tamil Nadu, India.
Corresponding Authors Address: H. No 54 Betalbatim Binvaddo Salcete, Goa, India
Mobile: +91- 9600367701 Email: [email protected]
Mobile: +91-9894167948 Email: [email protected]
Award: Won Bharati Kirti Patel Youth Talent Award for Best Scientific Paper
ABSTRACT
Background: School readiness is important to a positive start and success in school but children with Autism Spectrum Disorder (ASD) are at risk of not being ready to school. Thus improving prerequisites like, independence in self-care, social and communication skills, and motor skills are important.
Objective: To develop and find content validity of the Occupational Therapy Handbook - a parent guide on school readiness skills for pre-schoolers with Autism Spectrum Disorder (ASD).
Study Design: A methodological study
Methods: A methodological study was conducted in two phases: developing an Occupational Therapy Handbook - a parent guide on school readiness for pre-schoolers with ASD and content validation of it. Development of Handbook involved content construction and handbook designing, and its content validation was done by eight panel experts and six target populations.
Results: The content validation of the handbook was done by a panel of 8 experts in which the item content validity index (I-CVI) scores ranged from 0.88 to 1.00. By average approach, the S-CVI/Ave was 0.99 and by Universal agreement approach, the S-CVI/UA was 0.92 and kappa statistic coefficient (k*) ranged from 0.88 to 1.00, and its average was 0.99. By the necessity of the items approach, CVR ranged from 0.75 to 1.00 for the items in the required skills for school readiness. Then, the content validation of the handbook was done by the target population (6 lay experts) in which the item content validity index (I-CVI) scores were ranged from 0.83 to 1.00. By average approach, the S-CVI/Ave was 0.98. By Universal agreement approach, the S-CVI/UA was 0.90, and Kappa statistic co-efficient (k*) average was 0.98. These scores indicated that the handbook has excellent content validity.
Conclusion: The study concluded that the prepared Occupational Therapy Handbook on School Readiness for pre-schoolers with ASD has adequate content validity. Hence, it can be used as an appropriate parent guide for school readiness for children with ASD.
Key Words: Autism Spectrum Disorder, Content Validity, Occupational Therapy Strategies, Pre-Schoolers, Parent Guide, School Readiness Skills
| 45. Category: Oral Presentation. Competitive | | |
Title: Effect of Modified Snake and Ladder Board Game on Cognition and Leisure of Visually Impaired Children: A Prospective Experimental Study
Authors: Tribhuvan. S1, Dr. Arun Kumar2
Affiliation: 1Assistant Professor, Saveetha College of OT; 2Principal, Saveetha College of OT
Corresponding Authors Contact: Tribhuvan, Assistant Professor, Saveetha College of Occupational Therapy, Thandalam, Chennai-602105, Tamil Nadu, India
Mobile: +91-9710035623
Email: [email protected]
ABSTRACT
Background: Ideal posture is described by the positions of the joints and body segments and balance between the muscles crossing the joints. Impairments in the joints, muscles, or connective tissues may lead to faulty postures or conversely, faulty postures may lead to impairments in joints as well as symptoms of discomfort and pain. Several studies documents high incidence of postural abnormalities such as forward head, rounded shoulders, excessive thoracic kyphosis and lumbar lordosis. A study has found that application of scapular brace decreased the forward shoulder angle, changing the forward angle posture. Thus, upper back brace with auditory feedback was given for self-correction and correcting the faulty posture.
Objectives: To assess the change in posture using Upper back brace with auditory feedback for FHRSP in clerks with chronic neck pain working in MCGM.
Study Design: Prospective, experimental.
Methods: A total of 10 clerks with chronic neck pain were included with convenient sampling and screening for forward head rounded shoulder posture (FHRSP) was done using shoulder girdle flexibility test. The upper back brace with auditory feedback was used on these 10 subjects. This brace was worn on upper back. When the subject slouches it triggers the electrical circuit and provide the subject with auditory feedback to correct the posture. The subjects were advised to wear the brace for 6 hours/day in continuation for 30 minutes for 2 weeks. Pre and Post assessments of the Neck Disability Index, Visual Analogue Scale, Cranio-Vertebral Angle and Scapular Index were done at the baseline and after 2 weeks respectively.
Results: There was significant reduction (P<0.05) in Neck disability index and VAS scale. Also changes in the CV angle and scapular index with use of upper back brace with auditory feedback in clerks with FHRSP were seen.
Conclusion: The results indicate that upper back brace with auditory feedback improves the FHRSP in clerks with chronic neck pain and also causes reduction in neck pain and neck pain related disability.
Key Words: Auditory Feedback, Cranio-Vertebral Angle, Forward Head, Neck Disability Index Rounded Shoulder, Scapular Index, Upper Back Brace
| 46. Category: Oral Presentation. Competitive | | |
Title: Impact of Autism Spectrum Disorder on Family: A Survey
Authors: Poornapriya.N1, Sujata Missal2
Affiliations: 1MOT Second Year Student at KMCH College of Occupational Therapy, Coimbatore, Tamil Nadu, India
2 The Principal of KMCH College of OT
Mobile: +91-6382258352 Email: [email protected]
ABSTRACT
Background: Children with autism face different challenges within the family and as well as society.
Objective: The study aims to understand how ASD is impacting families.
Study Design: Survey research design.
Methods: Permission was obtained from heads of institutions of OT KMCH and other two centre's (Shriano and The Mind) at Coimbatore. The need and purpose of the study and confidentiality were explained on the landing page. The children with a diagnosis of Autism Spectrum Disorder attending occupational therapy of above mentioned institutions were recruited for the study. The ASD diagnosis was confirmed by clinical paediatrician/child psychiatrist. Fifty-four families of children with ASD were taken with a mean age of children 5.74±2.58, of whom were 83.3 % boys and 16.7% girls. Information regarding demographic details of family and child characteristics were taken. Families were assessed using the Family Impact Questionnaire (FIQ) about the family impact of children with ASD in a family. Statistical analysis was performed, to determine strength of the relationship between FIQ subscales and characteristics of family using Point Biserial correlation and Multiple Linear Regression.
Results: Multiple linear regression analyses were performed with family and child characteristics and FIQ sub-scores as criteria. Rates of variance explained by family variables were 15% (F [10,43] = 0.744, 95%CI 0.073 to 4.119, P=0.680) for negative feelings towards the child, 21 % 95%CI 0.328 to 5.538 for impact on partnership, 25% (F [10,43] = 1.484, 95%CI -3.019 to 2.985, P=0.178) for positive feelings towards the child, 7 % (F [10,43] = 0.316, 95%CI -1.824 to 4.509, P=0.973) for impact on social life, 15 % (F [10,43] = 0.782, 95%CI -2.435 to 4.217, P=0.646) for impact on finances, and 79% (F [10,43] = 16.075, 95%CI -1.153 to 1.804, P<0.05) for impact on siblings. The strongest independent predictors were parents' qualification status, behavior problems, and the presence of siblings. The R2 value (0.789) of the impact of siblings was indicated to have a strong effect on child and family predictors. The R2 value (0.069) from the effects of social life has shown a weak impact on the child and family predictors.
Conclusion: The study findings indicated a high positive feelings towards children and low impact on siblings in families of children with ASD.
Key Words: Autism Spectrum Disorder, Family Life, Impact
| 47. Category: Oral Presentation. Competitive | | |
Title: Social Inclusion of Children with Autism Spectrum Disorders: A Scoping Review
Authors: Samnani M1, Shahi S2. Jaiswal A3, Srivastava M4, Chauhan N5
Affiliations: 1PhD scholar, IILM University, Gurgaon, Founder Director, Feeding Clinic by Malvika Samnani, Gurgaon, Haryana, India.
2Vice Chancellor, Professor and Head, Dept. of Psychology, IILM University, Gurgaon, Haryana, India.
3PhD, CIHR Health System Impact Post-doctoral Fellow in Vision Science, Wittich Vision Impairment Research Laboratory, École d'optométrie (School of Optometry), Université de Montréal (University of Montreal).
4Research Assistant, SOCH, Gurgaon, Haryana (India)
5Research Assistant, SOCH, Gurgaon, Haryana (India)
Corresponding Author's Contact: Postal Address: 402 A, Hamilton Court, Gurgaon, Haryana, 122009
Mobile: +91-9810887523
Email: [email protected]
Award: Won M. M. Sangoi Award for Best Scientific Paper on Ergonomics, Environment & Access
ABSTRACT
Background: Social inclusion is described as the process of improving the terms of participation in society, particularly for disadvantaged individuals. This includes the capacity to make friends, participate in community activities, engage in leisure and play, and have access to outstanding inclusive classroom practices. Social isolation of children with Autism Spectrum Disorders is well documented in research and Inclusive Education as a policy strives to achieve full participation of all children in the school/ classroom setting. However it is not very well known about “What are the determinants of Social Inclusion in children with ASD within an inclusive classroom setting”
Objective: The aim of this research was to analyze empirical studies on social inclusion of children with Autism in the educational settings over the past 20 years and then summarize the same.
Study Design: A scoping review
Method: A systematic process was used to conduct the review as suggested by Arksey and O'Malley strategy for scoping review. This strategy consists of five main steps: (a) identifying the research question, (b) identifying relevant studies, (c) selection of critical articles, (d) reviewing and charting the data, and (e) collating and summarizing the results. A total of more than 15,000 articles were searched in a total of 5 databases Viz. SCOPUS, PUBMED, ERIC, COCHRANE and Google SCHOLAR. Prisma Model was followed to screen and shortlist the articles based on title, abstract and full article. The final number of articles selected for summarizing were 41.
Conclusion: This study helped us to find experiences, key concepts, evidence types and research gaps by synthesizing current knowledge through systematic search to up rise the stakeholders for social inclusion.
Key Words: Autism Spectrum Disorders, Social Inclusion, Social Skills
| Scientific Session 7: Unmasking Potential in Pandemic: Occupational Therapy Concerns and Practices | | |
| 48. Category: Oral Presentation. Competitive | | |
Title: Understanding the Role of Occupational Therapy in Post COVID-19 Rehabilitation in India: A Cross Sectional Quantitative Survey Study
Authors: Agni N1, Adsule P2
Affiliations: 1Occupational Therapist, Goa Medical College, Bambolim-Goa, India.
2Assistant Professor in Occupational Therapy, Dept. of Orthopaedic Surgery, Goa Medical College, Bambolim-Goa, India
Corresponding Author's Contact: Postal Address: 69/3, Govardhan, near Lokmanya Co-operative Society Limited, Kurpas, Nageshi, Bandora, Ponda-403401, Goa, India.
Mobile: +91-9657728373
Email: [email protected]
ABSTRACT
Background: Rehabilitation care is vital for patients having debilitating illness. There is a need to deepen the reflection on post corona virus disease 2019 (COVID-19) complications, assess the role of occupational therapists in the healthcare system in India, and develop guidelines to form standards of safety and ethical practice of occupational therapy in post COVID-19 rehabilitation.
Objectives: The study aimed to conduct a survey to assess the role of Occupational therapy practice in post COVID-19 rehabilitation among occupational therapy professionals in India.
Study Design: Cross sectional survey study design was used.
Methods: A survey was conducted amongst occupational therapists practicing in India having a minimum work experience of 2 years and more. Selection of the participants was as per the inclusion criteria. Administration of online survey through Google Forms was done on the identified subjects. Prior to administration of the survey, the healthcare professionals were overviewed about the purpose of the study and prior consent was taken, following which the Google Forms link were sent to them. Data collection and interpretation of the obtained data was done.
Results: One hundred and two (n=102) occupational therapists (mean= 34.52, 1± 9.73) participated in the study. 77.5 % indicated tiredness/fatigue as the major problem faced by post covid-19 patients. 82.4% suggested occupational therapy functional assessment as a major assessment tool. Occupational therapy approaches to intervention: In ICU/ Acute post covid-19 patients: 83.3% mentioned relaxation techniques, following discharge: 77.5% mentioned advice on management of breathlessness, fatigue, out-patient settings: 80.4% said to encourage engagement in meaningful occupations, physical activity, relaxation to promote well-being and reduce symptoms of mental health. Expected occupational therapy role in view of post COVID-19 rehabilitation: 79.4% have suggested remedial services and restorative care.
Conclusion: The study concludes there is future expected occupational therapy role in the management and long-term rehabilitation of post covid-19 patients.
Key Words: Occupational Therapy Role, Post COVID-19, Rehabilitation
| 49. Category: Oral Presentation. Competitive | | |
Title: Innovative Occupational Therapy Methods for Students with Special Needs during COVID-19 Pandemic: A Scoping Review
Authors: Sarju Moirangthem 1 Gita Jyoti Ojha 2
Affiliations: 1Officer-in-Charge & Lecturer cum Program Officer (Occupational Therapy), National Institute for Locomotor Disabilities-Regional Centre, Aizawl, SCERT campus, Chaltlang,Aizawl-796012, Mizoram, India
2Occupational Therapist, Department of Occupational Therapy, Institute of Human Behavior and Allied Sciences (IHBAS), Dilshad Garden, Delhi-110095, India
Corresponding Author's Contact Postal Address : 1Officer-in-charge & Lecturer cum Program Officer (Occupational Therapy),National Institute for Locomotor Disabilities-Regional Centre, Aizawl, SCERT campus, Chaltlang,Aizawl-796012, Mizoram (Official Address).
Mobile: +91-9862588953
Email: [email protected]
Award: Won Kamala V Nimbkar Award for Best Scientific Paper
ABSTRACT
Background: As the world continues facing the corona virus disease 2019 (COVID-19) pandemic, life has been challenging. Throughout the world, most commonly practiced method of prevention from COVID-19 infection has been isolation and social distancing. Since January, 2020, most of the countries started implementing lockdowns locally or nation-wide as a containment measure. Consequently, there has been closure of schools, Although there exists number of articles on how challenges are being met in mainstream education during pandemic little focus has been towards students with special needs who need supportive services like Occupational therapy to aid in their learning and ,whatever little available was found as grey literature. Since, occupational therapists are creative solution providers, it is imperative to look at the gaps and the possible creative solutions which occupational therapists can offer to aid students with special needs. Hence, this scoping review was undertaken for the innovative occupational therapy solutions for students with special needs during the COVID-19 pandemic
Objectives: To identify barriers to learning for students with disabilities in the context of remote learning in the pandemic. To identify innovative solutions/assistive technology in occupational therapy to aid learning for students with disabilities
Study Design: A scoping review.
Methods: The methodological framework for scoping reviews by Arksey and O'Malley were used in reporting findings. The overarching question: “What are the innovative Occupational Therapy strategies used to support students with disabilities during COVID-19 pandemic” was addressed. Using the search terms related to “Occupational therapy” ,”students with disabilities/special needs” and covid-19/pandemic” for the duration Dec'2019-Aug'2021 various databases like PubMed, Google Scholar, Web of science and Cochrane library were searched .Only those study who met the inclusion criteria were included. Then data collected were charted. Finally it was collated & summarize and the results were reported.
Results: 1186 articles related to the topic were found. Finally, by excluding abstracts only, pre-prints, duplicates and irrelevant articles 5 articles were identified for synthesis.
Conclusion: Tele-health is emerging as a crucial method of service delivery in occupational therapy for students with disabilities both in academic and non- academic interventions during pandemic.
Key Words: Assistive Technology, COVID-19, Occupational Therapy, Students with Disabilities, Pandemic, Remote Learning
| 50. Oral Presentation. Competitive | | |
Title: Relationship Between Dietary Behavior & Psychosocial Health among College Students, During COVID-19 Outbreak: A Cross Sectional Survey
Authors: Noor Mohammad1, Sachin Kumar Koundal2
Affiliations: 1Assistant Professor, Department of Rehabilitation Sciences, Jamia Hamdard New Delhi, India
2MOT Department of Rehabilitation Sciences Jamia Hamdard New Delhi, India
Corresponding Authors Contact Address: 5th Floor, Central Library, Department of Occupational Therapy, Jamia Hamdard, New Delhi - 110062, India
Mobile: +91-9811745726
Email: [email protected]
ABSTRACT
Background: Worldwide COVID-19 outbreak lead to nationwide lockdown in India, which caused restricted access to before pandemic available food choices, change in lifestyle and limited physical activity. This increased the already existing psychosocial health challenges for young adults.
Objectives: The purpose of the study was to find the possible relationship between Dietary Behavior & Psychosocial Health (mental Health, social disconnect, and wellbeing) among College Students after the COVID-19 outbreak.
Study Design: A cross section survey study.
Method: This study was a preliminary cross-sectional survey study carried out on 200 participants, including college students from Delhi. The age group ranged from 20 years and 25 years. Demographic data, Age, height, weight & BMI were recorded. dietary behavior was assessed using Adult Eating Behavior Questionnaire (AEBQ), mental health was assessed the Four-Item Patient Health Questionnaire for Anxiety and Depression (PHQ-4), social disconnect was assessed using UCLA Loneliness Scale and wellbeing was assessed using The PERMA Profiler (PERMA).
Result: Data collected were statistically analyzed. 28.5% agreed on enjoyment of food, 15.5% agreed on emotional over eating, 25% agreed on emotional under eating, 19.5% agreed on food fussiness, 23.5% agreed on food responsiveness, 6% agreed on slowness in eating, 15% agreed on hunger, 8.5% agreed on satiety responsiveness. It was found a significant strong positive correlation between Dietary behavior and mental health (r= -0.24, n=200, P<0.005), non-significant positive correlation between Dietary behavior and social disconnect (r=0.13, n=200, P=0.05), non-significant positive correlation between Dietary behavior and wellbeing (r=0 .11, n=200, P=0 .09).
Conclusion: Covid 19 lockdown has affected everyone globally in various ways. People indulged into negative dietary behaviors, such as emotional over eating and emotional under eating which were associated with negative impact on psychosocial health. These negative dietary behaviors may significantly influence psychosocial health (mental health, social disconnect, and wellbeing), both in short term and if sustained in long term.
Key Words: COVID-19, Dietary Behavior, Lockdown, Psychosocial Health
| 51. Oral Presentation. Non-Competitive | | |
Title: Teletherapy in Occupational Therapy in India: A Review of Literature
Authors: Samnani M1, Jaiswal A2, Srivastava M3, Chauhan N4
Affiliations: 1PhD scholar, MVGU University, Jaipur (Rajasthan). INDIA, Director, SOCH, Gurgaon, Haryana, India.
2 PhD, CIHR Health System Impact Post-doctoral Fellow in Vision Science, Wittich Vision Impairment Research Laboratory, École d'optométrie (School of Optometry), Université de Montréal (University of Montreal).
3Research Assistant, SOCH, Gurgaon, Haryana (India)
4 Research Assistant, SOCH, Gurgaon, Haryana (India)
Corresponding Author's Contact: Postal address: 402 A, Hamilton Court, Gurgaon, Haryana, 122009
Mobile: +91-9810887523
Email: [email protected]
Background: Telerehabilitation (TR) was first used in 1998 and refers to the use of information and communication technologies to provide rehabilitation services at a distance. In 2014, the World Federation of Occupational Therapists acknowledged TR as an appropriate service delivery model for OT services.
Objective: The purpose of this review was to analyze empirical studies on teletherapy in Occupational Therapy (OT) over the past 20 years in India and then propose recommendations for future research.
Study Design: A review of literature.
Method: A systematic process was used to search the literature for this review. Quantitative and qualitative studies were included in the review using Petticrew and Roberts (2006) as the basis. First, research-based articles from research databases were included in this review. Second, the data was summarized and analyzed including research theme, and research method. Third, we performed a content analysis on the descriptive data and identified recurring themes from the empirical research. The search keyword strings were “occupational-therapy”, OR “OT” AND “teletherapy”, OR “telerehabilitation”, OR “telehealth”, OR “virtual-therapy”, OR “online-therapy”, OR “teleconsultation” AND “India”, which appeared in the title, abstract, or keyword fields.
Results: The total number of identified articles from the searches of these databases was 74. Duplicate references were removed. We further excluded articles by reading the title, abstracts, and full articles of the study.
The final number of articles in the analysis was 9.
Conclusion: This study helped to identify gaps with the intent to inform practice, policy, and future research by comprehensively synthesizing evidence to map a broad, complex, or emerging field of Telehealth in Occupational Therapy.
Key Words: Teletherapy, Telerehabilitation, Occupational Therapy
| 52. Oral Presentation. Non-Competitive | | |
Title: Quality of Occupational Therapy Research in India: A Descriptive Analysis of the Methods in AIOTA Conference Abstracts during 2017-2021
Authors: Sureshkumar Kamalakannan1, Lakshmanan Sethuraman2, Manigandan Chockalingam3, Selvaraj Samuel Kamalesh Kumar4, Shobana Devi Moorthy5, Murali Krishnan Srinivasan6, Jothi Kumar Ramakrishnan7, Thirumugam Muthuvel8, Karthik Mani9
Affiliations: 1North Umbria University, Newcastle upon Tyne, U.K
2NIMHANS, Bengaluru, Karnataka, India
3National University of Ireland Galway Ireland
4CMC Vellore, Tamil Nadu, India
5Smart Sensory Kids, Chennai, Tamil Nadu, India
6MAHER, Chennai, Tamil Nadu, India
7HSE, Limerick, Ireland
8Rehabilitation Research Consultancy, Karaikal, Tamil Nadu, India
9UTMB, Galveston, Texas, USA
Corresponding Authors Contact Address: Suresh Kumar Kamalakannan, B-020 Coach Lane Campus, Department of Health and Life Sciences, North Umbria, University, Newcastle Upon Tyne – NE & TR, United Kingdom.
Mobile: +91-96763 33412
Email: [email protected]
ABTRACT
Background: Occupational therapy (OT) research in India has been shown to have various methodological limitations. This can subsequently impact the quality of research as well as on the evidence derived from this research to inform decision making in health care. The majority of the OT research is disseminated through the All-India Occupational Therapists Association's annual national conference (ANC). Analyzing the abstracts, selected for the presentation at the ANC could help understand the quality of OT research in India.
Objectives: The objective of the study is to assess the quality of occupational therapy research in India.
Study Design: A descriptive analysis
Methods: Descriptive, non-systematic review and analysis of the key methodological aspects of the conference abstracts of the AIOTA ANC published in Indian Journal of OT (IJOT) between 2017 and 2021.
Results: About 218 abstracts have been selected for either poster or oral presentations in the conference. In the total abstracts selected for the ANC, 8055 participants were recruited for the studies conducted between 2017 and 2021. 72 % (5807) of the participants were recruited for cross-sectional studies. 33% of the abstracts presented were related to cross-sectional studies, 24% were case studies and 30% were experimental studies. However, there were 4% of randomized controlled trials with 297 participants and 2% were systematic reviews that constitute the peak of the evidence pyramid. Positive results were reported with statistically significant improvements and associations in 98% of the studies evaluating the effectiveness of interventions or aiming to investigate associations.
Conclusion: The review provides invaluable information related to the quality of occupational therapy research in India. The positive results reported in 98% of the intervention and correlational studies, imply potential reporting bias and methodological flaws in the conduct. Only four percent of the studies in this review had a design that could inform evidence, imply a radical change and strengthening of OT research as well as prioritization of research within OT education and professional practice in India.
Funding: This work was supported by the DBT/Wellcome Trust India Alliance Fellowship [grant: IA/CPHE/16/1/502650], awarded to Dr. Sureshkumar Kamalakannan.
Key Words: Disability, Health Services, Occupational Therapy, Rehabilitation, Research.
| Mini Movie Delegate Abstract | | |
| 1. Title: Occupational Therapy from Coma to Community | | |
Theme: To establish role of Occupational Therapy Interventions in patients with acute brain injury from the state of Coma till the Community re-integration phase.
Participants: Dr. Neetu Vardani; Dr. Shreyasi Patkar; Dr. Shriharsh S. Jahagirdar
Address: OT School & Centre, T. N. Medical College & B. Y. L. Nair Ch. Hospital, Dr. A. L Nair Marg, Mumbai Central - 400008, Maharashtra, India
Mobile: +91- 8856833781, +91-9821579399, +91-9821011353
Email: vardanine[email protected], [email protected], [email protected]
Award: Won Nirmala Venkateswaran Award for Best Mini Movie
ABSTRACT
The film depicts the journey of an individual with brain injury acutely admitted in a neurosurgical ICU till the final stage of recovery i.e. integration back into the community. The film depicts various occupational therapy interventions addressing physical, sensory, cognitive and client-centered approaches which encourage individual to participate in meaningful functional activities in the wards and continue being productive and re-integrate into the community using functional approach.
Occupational therapy interventions helps patients from Coma to Community.
| 2. Title: Occupational Therapy: Booster for Capability | | |
Theme: A Movie to create awareness of occupational therapy in community.
Participants: Dr. Aishwarya Jadhav; Dr. Smita Pote; Dr. Pratibha M. Vaidya
Address: OT School & Centre, T. N. Medical College & B. Y. L. Nair Ch. Hospital, Dr. A. L Nair Marg, Mumbai Central - 400008, Maharashtra, India
Mobile: +91-8767879641, +91-8169106671, +91-9821536404
Email: [email protected], [email protected], [email protected]
ABSTRACT
There are two incidences projected in this film. The first incidence is of a working adult male patient who has suffered from stroke and is narrating his experiences to his relative about how he recovered to become independent after undergoing treatment from an OT. The second story is about a mother telling about the difficulties she faces while handling an autistic child and thereon her experience after consulting an Occupational therapist.
This movie can help to spread awareness about occupational therapy through media and through word of mouth.
| 3. Title: #Let's Unmask | | |
Theme: Unmasking and enhancing sleep, sexual health and mental wellbeing in daily living.
Participant: Dr. Shadval Mhatre, Mumbai
Address: B/20, Hastinapur, BARC Colony, Anushakti Nagar - 400094, India
Mobile: +91-9930046839
Email: [email protected]
ABSTRACT
Being the most creative and innovative field of medical sciences, occupational therapy is growing its firm roots in different areas of practice. Occupational therapy is enhancing people's lifestyle with its unique intervention programs. In recent years this branch has bloomed with strong and empowering evidence. But now it's time to strengthen this evidence and expand the practice with exploring some of the most important areas of human life. Today's world is turning towards more non pharmacological interventions, occupational therapy has brought promising results. So let's unmask our potentials in the fields of sexual health & intimacy, sleep and mental well-being of the clients.
| 4. Title: Accessibility of Occupational therapy services in Cancer Care across India | | |
Theme: Accessibility of occupational therapy services in cancer care across India
Participants: Dr. Luvleen Verma; Dr. Vijita Bahekar; Dr. Mohammad Chaudhary; Dr. Saumya Dixit
Address: B-1102 Shiv Shankar Tower Kopri, Kharghar, Sector 10, Navi Mumbai, Maharashtra 410210, India
Mobile: +91-9873348704
Email: [email protected]
ABSTRACT
The incidence of cancer is 94.1 per 100,000 and 103.6 per 100,000 in females (according to cancer statistics report, 2020 from National cancer registry program, India)) and with advancement in medical treatment and increasing survival rates, the rehabilitation needs of patients are also increasing.
Our mini movie is about struggles and difficulties faced by cancer patients to receive rehabilitation service in our country. There are only few institutes which are having occupational therapy department for providing rehabilitation services regarding BADLs and IADLs services, which plays an important role in an individual's life.
The premier cancer center of Asia values and attempts to reach out to all the underprivileged cancer patients and provides them with Occupational therapy services of international standards.
We are depicting how best we can address not only physical but the psychological, socio-cultural and economical barriers faced by a patient who is diagnosed as a case of soft tissue sarcoma of calf and underwent above knee amputation.
| 5. Title: Motivation | | |
Theme: 'mOTivation' - there's none without OT is the core of this mini movie.
Participants: Dr. Poovarasan Gandhi
Address: Department of Occupational Therapy, Happy Child Development & Rehabilitation Centre, Vijayawada, India
Mobile: +91-7867985870
Email: [email protected]
ABSTRACT
This mini-movie throws light on the role of occupational therapy in addressing the challenges faced by individuals with Parkinson's disease. With its many features such as intentional tremors, gait difficulties, mask like face etc., Parkinson's disease significantly influences an individual's ability to carry out his day-to-day tasks by affecting all areas of occupational performance. Adding to the physical challenges are the psycho-social factors, which further affect an individual's functioning. This mini movie highlights how occupational therapy (OT) is a beacon of hope in dark times for a famous novelist diagnosed with Parkinson's disease. Adopting a holistic approach, occupational therapists bring back the zeal and enthusiasm and fill in the void in his life full of accolades.
|
