Home Exercise Programs for Adults With Neurological Injuries: A Survey.
Home Exercise Programs for Adults With Neurological Injuries: A Survey.
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DOI：
10.5014/ajot.2016.019729
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发表时间：
2016-05-01
期刊：
影响因子：
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通讯作者：
Proffitt, Rachel
中科院分区：
文献类型：
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作者：
Proffitt, Rachel
目的：本研究的目的是描述当前职业治疗实践中针对神经损伤 (CWNI) 患者的家庭锻炼计划 (HEP) 的使用、处方和临床推理过程。方法：通过邮件向美国职业治疗协会的 2,000 名会员分发了一项调查。调查问题涉及基本人口统计、当前 HEP 实践以及对使用 HEP 和 CWNI 的态度。结果：在 360 份返回的调查中，职业治疗师报告了使用 HEP 的众多好处，并能够清楚地阐明他们的临床推理。通常报道的 HEP 活动本质上是准备性的，最常规定的剂量是每天 16-30 分钟。大多数治疗师依赖相同的临床推理过程，但实施方法不同。结论：这项研究的结果凸显了证据与实践之间的差距。 CWNI 的 HEP 中的活性成分需要更明确的定义和描述。
OBJECTIVE: The purpose of this study was to describe current occupational therapy practices in the usage and prescription of and clinical reasoning process supporting home exercise programs (HEPs) for clients with neurological injuries (CWNIs).METHOD: A survey was distributed via mail to 2,000 members of the American Occupational Therapy Association. The survey questions concerned basic demographics, current HEP practices, and attitudes toward using HEPs with CWNIs.RESULTS: In the 360 returned surveys, occupational therapists reported numerous benefits of using HEPs and were able to clearly articulate their clinical reasoning. Commonly reported HEP activities were preparatory in nature, and the most frequently prescribed dosage was 16-30 min daily. Most therapists relied on the same clinical reasoning process but varied in implementation methods.CONCLUSION: This study's results highlight the gaps between evidence and practice. The active ingredients in HEPs for CWNIs need to be more clearly defined and described.