Canadian Association of Occupational Therapists

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CJOT Abstracts
Volume 65, Number 2
April 1998

National Perspective
Support personnel in occupational therapy: Who, what, why and how
Claudia von Zweck, Heather Guillespie

Keywords: Health human resources, professional issues, support personnel

Motor proficiency in children reporting low levels of participation in physical activity
John Hay, Cheryl Missiuna

This study examined the motor proficiency and physical activity levels of young children with low levels of perceived self-efficacy regarding their participation in physical activities. This group (n=48) was compared with 400 of their peers in Grades 4-8 attending the same schools and also with a group (n=44) who reported high levels of perceived self-efficacy. Although none of the students with poor self-efficacy had been identified by their schools as having a learning or behavioural disorder, these children were found to have characteristics which are typical of children with developmental coordination disorder (DCD). These findings suggest that an instrument which asks children about their confidence when participating in physical leisure activities, and their enjoyment of those same activities may have potential as a possible screening tool for DCD.

Developmental coordination disorder, developmental screening, self-efficacy

Le Retour Thérapeutique au Travail comme intervention de réadaptation centralisée dans le milieu de travail: description et fondements théoriques
Marie José Durand, Patrick Loisel, Pierre Durand

Occupational therapists are becoming more and more involved in the treatment of work related musculoskeletal disorders. In this field of practice, an innovative intervention called Therapeutic Return to Work has been developed. This intervention includes, as part of the rehabilitation programme, a rapid return of the injured individual to his regular work station, while under the supervision of a therapist. Occupational therapists make use of the natural work environment as a basic element of the rehabilitation process. This article briefly describes the different steps and the theorical foundations of this intervention. Moreover, the Therapeutic Return to Work fits perfectly into the new guidelines for the integration of occupational therapy practice into the community.

Keywords: Back injuries, rehabilitation, vocational, wWork-related occupational therapy, work environment

Occupation, health and well-being
Mary Law, Sandy Steinwender, Leanne Leclair

Occupational therapists believe that there is a relationship between occupation, health and well-being but there is little evidence in the occupational therapy literature to support this belief. This paper describes the results of a critical review of research examining the relationship between occupation and health and well-being. Twenty-two studies from the health and social sciences literature were reviewed using specific methodological review criteria. The findings of these studies provide moderate to strong evidence that occupation has an important influence on health and well-being. Because most of this research has been completed with persons without disabilities, further research is required to explain the nature of the relationship between occupation and health and well-being for persons who experience a disability which affects their daily occupations

Keywords: Evidence-based practice, health, occupation, psychological well-being

A standardized paediatric sensory assessment for the lower extremity: Preliminary results of a reliability study in normal school-aged children
Sharon Booth, Wendy Estevez, Jasmine Cooper, Annette Majnamer

The aims of this study were to establish a set of standardized sensory procedures for lower extremity sensory assessment in a paediatric population, to gather preliminary data on normal sensory performance, and to derive preliminary reliability estimates. Three subtests derived from the paediatric upper extremity sensory battery under development by Cooper, Majnemer, Rosenblatt and Birnbaum (1993) were performed bilaterally on 50 healthy, school-aged children: i) pressure sensitivity and ii) directionality, on the plantar surface of the distal phalanx of the hallux, using the Semmes-Weinstein Pressure Aesthesiometer, and iii) proprioception at the first metatarsal-phalangeal joint. Neither age nor gender exerted any significant effects on the data, whereas dominance did. Cut-offs were determined separately for the dominant and non-dominant halluces. Data analysis revealed good test-retest and inter-rater agreements on all subtests. These sensory subtests show promise as a standardized, reliable and therapeutically useful assessment of lower extremity sensation in children at risk for sensory impairment.

Paediatric evaluation, sensitivity research, toes

Reflections On...
Considerations for fieldwork education within a private practice
Heather Potts, Jennifer Babcock, Mary McKee

Private practice is a growing field for occupational therapists, and fieldwork placements in this area can provide occupational therapy students with a unique and timely learning experience. As non-traditional placements are being considered more frequently, practitioners in private practice have a greater mandate to respond and to provide opportunities for student fieldwork experience. This article is designed to highlight some of the unique considerations, for both therapist and student, related to fieldwork experience in a private practice setting. It is based on the personal experience of the authors, a review of the literature, and discussions with other private practitioners.

Fieldwork education, occupational therapy, private practice

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